Starfile

Starfile / Delaware

POLARIS HEALTHCARE AND REHABILITATION CENTER

21 W CLARKE AVENUE, MILFORD, DE 19963 · CCN 085058

SFF Candidate

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★☆☆ 3
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Limited Liability company
Certified beds
100
Avg residents/day
91.0
Phone
3025037650

Inspection history vs Delaware & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityDelaware avgNational avgvs state
12025-01-283213.59.5+18.5 worse
22024-04-112813.69.8+14.4 worse
32022-10-182912.69.3+16.4 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care9
Resident assessment and care planning3
Nursing and physician services3
Resident rights7
Nutrition and dietary1
Pharmacy service4
Administration4
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.1970.5%
RN staffing (reported)0.8369.4%
Total nurse staffing (adjusted)3.58

Fines & penalties

Total fines
$127,199
Number of fines
2
Number of penalties
2
Payment denials
0

Chain

Chain
NATIONWIDE HEALTHCARE SERVICES
Facilities in chain
7
Chain avg overall
2.40 / 5

Inspection citations (89)1 immediate jeopardy2 actual harm

  1. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-08-11 · Health · corrected 2025-09-11

    Potential for more than minimal harm

  2. DF0791Provide or obtain dental services for each resident.2025-08-11 · Health · corrected 2025-09-11

    Potential for more than minimal harm

  3. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  4. DF0567Honor the resident's right to manage his or her financial affairs.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  5. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  6. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  7. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  8. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-01-28 · Health · corrected 2025-04-24

    Potential for more than minimal harm

  9. DF0610Respond appropriately to all alleged violations.2025-01-28 · Health · corrected 2025-04-24

    Potential for more than minimal harm

  10. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  11. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  12. DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  13. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  14. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  15. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  16. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  17. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  18. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  19. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  20. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  21. DF0692Provide enough food/fluids to maintain a resident's health.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  22. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  23. GF0697Provide safe, appropriate pain management for a resident who requires such services.2025-01-28 · Health · corrected 2025-03-18

    Actual harm

  24. DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  25. DF0730Observe each nurse aide's job performance and give regular training.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  26. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  27. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  28. KF0760Ensure that residents are free from significant medication errors.2025-01-28 · Health · corrected 2025-03-18

    Immediate jeopardy

  29. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  30. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  31. DF0791Provide or obtain dental services for each resident.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  32. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  33. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  34. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-01-28 · Health · corrected 2025-04-24

    Potential for more than minimal harm

  35. DF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  36. DF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  37. DF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  38. DF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  39. DF0946Provide training in compliance and ethics.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  40. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  41. DF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2025-01-28 · Health · corrected 2025-03-18

    Potential for more than minimal harm

  42. DF0660Plan the resident's discharge to meet the resident's goals and needs.2024-07-09 · Health · corrected 2024-08-26

    Potential for more than minimal harm

  43. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-07-09 · Health · corrected 2024-08-26

    Potential for more than minimal harm

  44. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-04-11 · Health · corrected 2024-06-03

    Potential for more than minimal harm

  45. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-04-11 · Health · corrected 2024-06-03

    Potential for more than minimal harm

  46. DF0558Reasonably accommodate the needs and preferences of each resident.2024-04-11 · Health · corrected 2024-06-03

    Potential for more than minimal harm

  47. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-04-11 · Health · corrected 2024-06-03

    Potential for more than minimal harm

  48. BF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-04-11 · Health · corrected 2024-06-03

    Potential for minimal harm

  49. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-11 · Health · corrected 2024-06-03

    Potential for more than minimal harm

  50. DF0641Ensure each resident receives an accurate assessment.2024-04-11 · Health · corrected 2024-06-03

    Potential for more than minimal harm

  51. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-04-11 · Health · corrected 2024-06-03

    Potential for more than minimal harm

  52. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-11 · Health · corrected 2024-06-03

    Potential for more than minimal harm

  53. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-11 · Health · corrected 2024-06-03

    Potential for more than minimal harm

  54. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-04-11 · Health · corrected 2024-06-03

    Potential for more than minimal harm

  55. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-11 · Health · corrected 2022-10-24

    Actual harm

  56. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-04-11 · Health · corrected 2024-06-03

    Potential for more than minimal harm

  57. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-04-11 · Health · corrected 2024-06-03

    Potential for more than minimal harm

  58. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-04-11 · Health · corrected 2024-06-03

    Potential for more than minimal harm

  59. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-04-11 · Health · corrected 2024-06-03

    Potential for more than minimal harm

  60. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-11 · Health · corrected 2024-06-03

    Potential for more than minimal harm

  61. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-03-10 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  62. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-03-10 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  63. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-10 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  64. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-10-18 · Health · corrected 2022-12-01

    Potential for more than minimal harm

  65. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-10-18 · Health · corrected 2022-12-01

    Potential for more than minimal harm

  66. DF0583Keep residents' personal and medical records private and confidential.2022-10-18 · Health · corrected 2022-12-01

    Potential for more than minimal harm

  67. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2022-10-18 · Health · corrected 2022-12-01

    Potential for more than minimal harm

  68. EF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2022-10-18 · Health · corrected 2022-12-01

    Potential for more than minimal harm

  69. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-10-18 · Health · corrected 2022-12-01

    Potential for more than minimal harm

  70. BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-10-18 · Health · corrected 2022-12-01

    Potential for minimal harm

  71. EF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2022-10-18 · Health · corrected 2022-12-01

    Potential for more than minimal harm

  72. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-10-18 · Health · corrected 2022-12-01

    Potential for more than minimal harm

  73. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-10-18 · Health · corrected 2022-12-01

    Potential for more than minimal harm

  74. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-10-18 · Health · corrected 2022-12-01

    Potential for more than minimal harm

  75. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-10-18 · Health · corrected 2022-12-01

    Potential for more than minimal harm

  76. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-10-18 · Health · corrected 2022-12-01

    Potential for more than minimal harm

  77. DF0685Assist a resident in gaining access to vision and hearing services.2022-10-18 · Health · corrected 2022-12-01

    Potential for more than minimal harm

  78. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-10-18 · Health · corrected 2022-12-01

    Potential for more than minimal harm

  79. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-10-18 · Health · corrected 2022-12-01

    Potential for more than minimal harm

  80. CF0732Post nurse staffing information every day.2022-10-18 · Health · corrected 2022-12-01

    Potential for minimal harm

  81. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-10-18 · Health · corrected 2022-12-01

    Potential for more than minimal harm

  82. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-10-18 · Health · corrected 2022-12-01

    Potential for more than minimal harm

  83. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2022-10-18 · Health · corrected 2022-12-01

    Potential for more than minimal harm

  84. EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2022-10-18 · Health · corrected 2022-12-01

    Potential for more than minimal harm

  85. DF0791Provide or obtain dental services for each resident.2022-10-18 · Health · corrected 2022-12-01

    Potential for more than minimal harm

  86. DF0825Provide or get specialized rehabilitative services as required for a resident.2022-10-18 · Health · corrected 2022-12-01

    Potential for more than minimal harm

  87. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-10-18 · Health · corrected 2022-12-01

    Potential for more than minimal harm

  88. EF0880Provide and implement an infection prevention and control program.2022-10-18 · Health · corrected 2022-12-01

    Potential for more than minimal harm

  89. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2022-10-18 · Health · corrected 2022-12-01

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
GELLEY, MEIRIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST95%2019-05-20
GELLEY, LEAHIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST5%2019-05-20
NATIONWIDE HEALTHCARE SERVICESOrganizationOPERATIONAL/MANAGERIAL CONTROL2019-05-20
GELLEY, MEIRIndividualW-2 MANAGING EMPLOYEE2019-05-20

Other facilities in MILFORD

NameOverallBeds
DELAWARE VETERANS HOME★★★★★144
MILFORD CENTER136

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.