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.
| Cycle | Inspection date | This facility | Pennsylvania avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-12-05 | 9 | 10.1 | 9.5 | -1.1 better |
| 2 | 2025-02-14 | 15 | 10.9 | 9.8 | +4.1 worse |
| 3 | 2024-04-12 | 23 | 10.5 | 9.3 | +12.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
| Environmental | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.56 | 44.4% |
| RN staffing (reported) | 0.45 | 47.4% |
| 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
- 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
- DF0641Ensure each resident receives an accurate assessment.2025-12-05 · Health · corrected 2026-01-13
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- DF0926Have policies on smoking.2025-12-05 · Health · corrected 2026-01-13
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- EF0679Provide activities to meet all resident's needs.2025-02-14 · Health · corrected 2025-03-25
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-02-14 · Health · corrected 2025-03-25
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2025-02-14 · Health · corrected 2025-03-25
Potential for more than minimal harm
- 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
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-05-21 · Health · corrected 2024-06-21
Potential for more than minimal harm
- 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
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2024-05-21 · Health · corrected 2024-06-21
Potential for more than minimal harm
- 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
- DF0610Respond appropriately to all alleged violations.2024-04-12 · Health · corrected 2024-05-21
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- FF0880Provide and implement an infection prevention and control program.2024-04-12 · Health · corrected 2024-06-21
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2024-04-12 · Health · corrected 2024-05-21
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MAYBROOK-P OPCO HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2016-08-15 |
| PHILIPSON FAMILY LIMITED LIABILITY COMPANY, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 26% | 2016-08-15 |
| BL CAPITAL GROUP HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24% | 2020-01-28 |
| FAIR OAKS FAMILY HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12% | 2020-01-28 |
| STRAWBERRY HILL HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2020-01-28 |
| LME FAMILY HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2020-01-28 |
| SAMARA HOLDINGS COMPANY LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2020-01-28 |
| SEBBAG, GABRIEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2016-08-15 |
| CLINICAL CONSULTING SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 |
| PRIORITY CARE GROUP LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 |
| SUMMATION FINANCIAL SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 |
| PEARLSTEIN, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-07-01 |
| URBAN, VINCENT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-08-15 |
Other facilities in MILLVILLE
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.