All citations for Complete Care at Milford Manor LLC
State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.
Last standard health inspection on record
March 7, 2025
Showing 1 to 25 of 37 citations
Harm to a resident
Provide safe, appropriate pain management for a resident who requires such services.
The home gave a date the problem would be corrected (March 10, 2025).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
The home gave a date the problem would be corrected (March 8, 2025).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
The home gave a date the problem would be corrected (March 8, 2025).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
The home gave a date the problem would be corrected (March 8, 2025).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
The home gave a date the problem would be corrected (March 31, 2023).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
The home gave a date the problem would be corrected (March 31, 2023).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
The home gave a date the problem would be corrected (March 31, 2023).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
The home gave a date the problem would be corrected (April 19, 2023).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
The home gave a date the problem would be corrected (March 31, 2023).
No harm, with potential for more than minimal harm
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
The home gave a date the problem would be corrected (March 10, 2025).
No harm, with potential for more than minimal harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
The home gave a date the problem would be corrected (March 10, 2025).
No harm, with potential for more than minimal harm
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
The home gave a date the problem would be corrected (March 10, 2025).
No harm, with potential for more than minimal harm
Provide training in compliance and ethics.
The home gave a date the problem would be corrected (March 10, 2025).
No harm, with potential for more than minimal harm
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
The home gave a date the problem would be corrected (March 10, 2025).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
The home gave a date the problem would be corrected (April 19, 2023).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
The home gave a date the problem would be corrected (March 31, 2023).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
The home gave a date the problem would be corrected (March 31, 2023).
No harm, with potential for more than minimal harm
Have restrictions on the use of portable space heaters.
The home gave a date the problem would be corrected (March 31, 2023).
No harm, with potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
The home gave a date the problem would be corrected (July 25, 2025).
No harm, with potential for more than minimal harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
The home gave a date the problem would be corrected (March 10, 2025).
No harm, with potential for more than minimal harm
Keep residents' personal and medical records private and confidential.
The home gave a date the problem would be corrected (March 10, 2025).
No harm, with potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
The home gave a date the problem would be corrected (March 10, 2025).
No harm, with potential for more than minimal harm
Provide enough food/fluids to maintain a resident's health.
The home gave a date the problem would be corrected (March 10, 2025).
No harm, with potential for more than minimal harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
The home gave a date the problem would be corrected (March 10, 2025).
No harm, with potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
The home gave a date the problem would be corrected (March 10, 2025).
Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.