MILFORD REHABILITATION AND HEALTHCARE CENTER
264 ROUTE 6 & 209, MILFORD, PA 18337 · CCN 395466
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 80
- Avg residents/day
- 61.9
- Phone
- 5704914121
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 | 2025-07-01 | 4 | 10.1 | 9.5 | -6.1 better |
| 2 | 2024-08-15 | 19 | 10.9 | 9.8 | +8.1 worse |
| 3 | 2023-09-14 | 37 | 10.5 | 9.3 | +26.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Nutrition and dietary | 1 |
| Pharmacy service | 3 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.80 | 39.1% |
| RN staffing (reported) | 0.75 | 46.7% |
| Total nurse staffing (adjusted) | 3.59 | — |
Fines & penalties
- Total fines
- $61,593
- Number of fines
- 1
- Number of penalties
- 3
- Payment denials
- 2
Chain
- Chain
- AKIKO IKE
- Facilities in chain
- 7
- Chain avg overall
- 3.80 / 5
Inspection citations (60)1 actual harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-07-01 · Health · corrected 2025-08-11
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-07-01 · Health · corrected 2025-08-11
Potential for more than minimal harm
- EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-07-01 · Health · corrected 2025-08-11
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.2025-07-01 · Health · corrected 2025-08-11
Potential for more than minimal harm
- 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.2025-02-19 · Health · corrected 2025-03-07
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-08-15 · Health · corrected 2024-09-18
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.2024-08-15 · Health · corrected 2024-09-18
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-15 · Health · corrected 2024-09-18
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-08-15 · Health · corrected 2024-09-18
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-08-15 · Health · corrected 2024-09-18
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-08-15 · Health · corrected 2024-09-18
Potential for more than minimal harm
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-08-15 · Health · corrected 2024-09-18
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-08-15 · Health · corrected 2024-09-18
Potential for more than minimal harm
- FF0814Dispose of garbage and refuse properly.2024-08-15 · Health · corrected 2024-09-18
Potential for more than minimal harm
- FF0836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.2024-07-26 · Health · corrected 2024-09-18
Potential for more than minimal harm
- BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-03-26 · Health · corrected 2024-04-25
Potential for minimal harm
- EF0692Provide enough food/fluids to maintain a resident's health.2024-03-26 · Health · corrected 2024-04-25
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-03-26 · Health · corrected 2024-04-25
Potential for more than minimal harm
- 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.2024-03-26 · Health · corrected 2024-04-25
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.2024-03-26 · Health · corrected 2024-04-25
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-03-05 · Health · corrected 2024-03-26
Potential for more than minimal harm
- BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-03-05 · Health
Potential for minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-05 · Health · corrected 2024-03-26
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.2024-01-24 · Health · corrected 2024-03-05
Potential for more than minimal harm
- FF0908Keep all essential equipment working safely.2024-01-24 · Health · corrected 2024-03-05
Potential for more than minimal harm
- FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-01-24 · Health · corrected 2024-03-05
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.2024-01-03 · Health · corrected 2024-03-05
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-03 · Health · corrected 2024-03-05
Actual harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-03 · Health · corrected 2024-03-05
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.2023-09-14 · Health · corrected 2023-10-31
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.2023-09-14 · Health · corrected 2023-10-31
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-14 · Health · corrected 2023-10-31
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-14 · Health · corrected 2023-10-31
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-09-14 · Health · corrected 2023-10-31
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2023-09-14 · Health · corrected 2023-10-31
Potential for more than minimal harm
- EF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2023-09-14 · Health · corrected 2023-10-31
Potential for more than minimal harm
- 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.2023-09-14 · Health · corrected 2023-10-31
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.2023-09-14 · Health · corrected 2023-10-31
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-09-14 · Health · corrected 2023-10-31
Potential for more than minimal harm
- EF0908Keep all essential equipment working safely.2023-09-14 · Health · corrected 2023-10-31
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-09-14 · Health · corrected 2023-10-31
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-08-16 · Health · corrected 2023-09-06
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.2023-08-16 · Health · corrected 2023-09-06
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-08-16 · Health · corrected 2023-09-06
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-08-16 · Health · corrected 2023-09-06
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.2023-06-27 · Health · corrected 2023-08-16
Potential for more than minimal harm
- DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2023-05-04 · Health · corrected 2023-08-16
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.2023-05-04 · Health · corrected 2023-05-31
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-05-04 · Health · corrected 2023-08-16
Potential for more than minimal harm
- BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-05-04 · Health · corrected 2023-05-31
Potential for minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-05-04 · Health · corrected 2023-05-31
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-04 · Health · corrected 2023-05-31
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-04 · Health · corrected 2023-05-31
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2023-05-04 · Health · corrected 2023-08-16
Potential for minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-05-04 · Health · corrected 2023-08-16
Potential for more than minimal harm
- 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.2023-05-04 · Health · corrected 2023-08-16
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-05-04 · Health · corrected 2023-05-31
Potential for more than minimal harm
- EF0885Report COVID19 data to residents and families.2023-05-04 · Health · corrected 2023-05-31
Potential for more than minimal harm
- FF0886Perform COVID19 testing on residents and staff.2023-05-04 · Health · corrected 2023-05-31
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-03-29 · Health · corrected 2023-05-04
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| IKE, AKIKO | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-02-15 |
| CONNERY, DONNA | Individual | W-2 MANAGING EMPLOYEE | — | 2022-02-15 |
Other facilities in MILFORD
| 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.