Starfile

Starfile / Pennsylvania

GARDENS AT MILLVILLE, THE

48 HAVEN LANE, MILLVILLE, PA 17846 · CCN 395872

Ratings

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

Facility

Ownership type
For profit - Corporation
Certified beds
110
Avg residents/day
100.5
Phone
5704585566

Inspection history vs Pennsylvania & national averages

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

CycleInspection dateThis facilityPennsylvania avgNational avgvs state
12025-12-05910.19.5-1.1 better
22025-02-141510.99.8+4.1 worse
32024-04-122310.59.3+12.5 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care3
Resident assessment and care planning1
Nutrition and dietary1
Pharmacy service2
Environmental1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)2.5644.4%
RN staffing (reported)0.4547.4%
Total nurse staffing (adjusted)3.01

Fines & penalties

Total fines
$25,275
Number of fines
1
Number of penalties
2
Payment denials
1

Chain

Chain
PRIORITY HEALTHCARE GROUP
Facilities in chain
14
Chain avg overall
2.80 / 5

Inspection citations (47)1 immediate jeopardy1 actual harm

  1. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-12-05 · Health · corrected 2026-01-13

    Potential for more than minimal harm

  2. DF0641Ensure each resident receives an accurate assessment.2025-12-05 · Health · corrected 2026-01-13

    Potential for more than minimal harm

  3. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-05 · Health · corrected 2026-01-13

    Potential for more than minimal harm

  4. DF0699Provide care or services that was trauma informed and/or culturally competent.2025-12-05 · Health · corrected 2026-01-13

    Potential for more than minimal harm

  5. 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.2025-12-05 · Health · corrected 2026-01-13

    Potential for more than minimal harm

  6. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-05 · Health · corrected 2026-01-13

    Potential for more than minimal harm

  7. DF0926Have policies on smoking.2025-12-05 · Health · corrected 2026-01-13

    Potential for more than minimal harm

  8. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-10-15 · Health · corrected 2025-11-11

    Actual harm

  9. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-10-15 · Health · corrected 2025-11-11

    Potential for more than minimal harm

  10. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-02-14 · Health · corrected 2025-03-25

    Potential for more than minimal harm

  11. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-02-14 · Health · corrected 2025-03-25

    Potential for more than minimal harm

  12. EF0679Provide activities to meet all resident's needs.2025-02-14 · Health · corrected 2025-03-25

    Potential for more than minimal harm

  13. DF0692Provide enough food/fluids to maintain a resident's health.2025-02-14 · Health · corrected 2025-03-25

    Potential for more than minimal harm

  14. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-02-14 · Health · corrected 2025-03-25

    Potential for more than minimal harm

  15. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2025-02-14 · Health · corrected 2025-03-25

    Potential for more than minimal harm

  16. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-02-14 · Health · corrected 2025-03-25

    Potential for more than minimal harm

  17. EF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2025-02-14 · Health · corrected 2025-03-25

    Potential for more than minimal harm

  18. EF0880Provide and implement an infection prevention and control program.2025-02-14 · Health · corrected 2025-03-25

    Potential for more than minimal harm

  19. 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.2024-08-27 · Health · corrected 2024-09-17

    Potential for more than minimal harm

  20. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-05-21 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  21. 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.2024-05-21 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  22. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-05-21 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  23. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-21 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  24. DF0880Provide and implement an infection prevention and control program.2024-05-21 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  25. 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.2024-04-12 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  26. DF0610Respond appropriately to all alleged violations.2024-04-12 · Health · corrected 2024-05-21

    Potential for more than minimal harm

  27. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-04-12 · Health · corrected 2024-05-21

    Potential for more than minimal harm

  28. EF0688Provide 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.2024-04-12 · Health · corrected 2024-05-21

    Potential for more than minimal harm

  29. KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-12 · Health · corrected 2024-06-21

    Immediate jeopardy

  30. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-04-12 · Health · corrected 2024-05-21

    Potential for more than minimal harm

  31. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-04-12 · Health · corrected 2024-05-21

    Potential for more than minimal harm

  32. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-04-12 · Health · corrected 2024-05-21

    Potential for more than minimal harm

  33. 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.2024-04-12 · Health · corrected 2024-05-21

    Potential for more than minimal harm

  34. EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-04-12 · Health · corrected 2024-05-21

    Potential for more than minimal harm

  35. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-12 · Health · corrected 2024-05-21

    Potential for more than minimal harm

  36. EF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-04-12 · Health · corrected 2024-05-21

    Potential for more than minimal harm

  37. EF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2024-04-12 · Health · corrected 2024-05-21

    Potential for more than minimal harm

  38. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-04-12 · Health · corrected 2024-05-21

    Potential for more than minimal harm

  39. FF0880Provide and implement an infection prevention and control program.2024-04-12 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  40. DF0881Implement a program that monitors antibiotic use.2024-04-12 · Health · corrected 2024-05-21

    Potential for more than minimal harm

  41. 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.2024-02-15 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  42. EF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-02-15 · Health · corrected 2024-04-12

    Potential for more than minimal harm

  43. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-02-15 · Health · corrected 2024-04-12

    Potential for more than minimal harm

  44. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2024-01-12 · Health · corrected 2024-02-15

    Potential for more than minimal harm

  45. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-12 · Health · corrected 2024-02-15

    Potential for more than minimal harm

  46. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-01-12 · Health · corrected 2024-02-15

    Potential for more than minimal harm

  47. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-05-12 · Health · corrected 2023-06-20

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
MAYBROOK-P OPCO HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2016-08-15
PHILIPSON FAMILY LIMITED LIABILITY COMPANY, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST26%2016-08-15
BL CAPITAL GROUP HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST24%2020-01-28
FAIR OAKS FAMILY HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST12%2020-01-28
STRAWBERRY HILL HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST10%2020-01-28
LME FAMILY HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST10%2020-01-28
SAMARA HOLDINGS COMPANY LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST10%2020-01-28
SEBBAG, GABRIELIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST5%2016-08-15
CLINICAL CONSULTING SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2019-01-01
PRIORITY CARE GROUP LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2019-01-01
SUMMATION FINANCIAL SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2019-01-01
PEARLSTEIN, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROL2021-07-01
URBAN, VINCENTIndividualOPERATIONAL/MANAGERIAL CONTROL2016-08-15

Other facilities in MILLVILLE

NameOverallBeds

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