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.

Back to Complete Care at Milford Manor LLC

Last standard health inspection on record

March 7, 2025

Showing 1 to 16 of 16 citations

  1. Harm to a resident

    Provide safe, appropriate pain management for a resident who requires such services.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2025).

  2. No harm, with potential for more than minimal harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 8, 2025).

  3. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 8, 2025).

  4. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 8, 2025).

  5. 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2025).

  6. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0883, Infection Control Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2025).

  7. 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0945, Infection Control Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2025).

  8. No harm, with potential for more than minimal harm

    Provide training in compliance and ethics.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0946, Administration Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2025).

  9. No harm, with potential for more than minimal harm

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0949, Administration Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2025).

  10. 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2025).

  11. No harm, with potential for more than minimal harm

    Keep residents' personal and medical records private and confidential.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0583, Resident Rights Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2025).

  12. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2025).

  13. No harm, with potential for more than minimal harm

    Provide enough food/fluids to maintain a resident's health.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2025).

  14. No harm, with potential for more than minimal harm

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2025).

  15. 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2025).

  16. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of March 7, 2025. Found during a standard inspection.

    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 October 1, 2026. Inspection results describe the home at the time of each inspection.