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 17 of 17 citations

  1. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2023).

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of February 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2023).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of February 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2023).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 19, 2023).

  5. 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 February 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2023).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of February 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 19, 2023).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of February 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2023).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of February 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2023).

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

    Have restrictions on the use of portable space heaters.

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

    Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of February 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2023).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of June 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 25, 2025).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of February 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2023).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of February 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2023).

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

    Plan the resident's discharge to meet the resident's goals and needs.

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

    Health citation F-0660, Resident Assessment and Care Planning Deficiencies. Inspection of February 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2023).

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of February 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2023).

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

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

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of February 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2023).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of February 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2023).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of February 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2023).

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.