Miletree Center

In the surveyor’s words

From the most serious findings on record at Miletree Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF838Dec 2, 2021

  Based on interview and review of the Facility Assessment, the facility failed to include an evaluation of the overall number of facility staff needed to ensure sufficient number of qualified staff are available to meet each resident's needs. This oversight had the potential to affect all residents in the facility. Facility census: 55. The regulation outlines that the individualized approach of the facility assessment is the foundation to determine staffing levels and competencies. Therefore, the facility assessment must include an evaluation of the overall number of facility staff needed to ensure sufficient number of qualified staff are available to meet each resident's needs. […]

• No harm, potential for more than minimal, patternF880Aug 18, 2025

  Based on observation and staff interview, the facility failed to maintain an infection control program while serving from the tray line in the resident dining room. This was a random opportunity for discovery. This practice had the potential to affect more than an isolated number of residents. Facility Census: 56. Findings Include:a) Resident Dining RoomOn 08/11/25 12:12 PM, an observation was made of Dietary Aide #46 working the tray line in the resident dining room. The Dietary Aide #46 kept her gloves on and pushed a tray cart from the tray line to the dining room door. The Dietary Aide #46 used the telephone in the dining room with the same gloves on. […]

• No harm, potential for more than minimal, patternF641Jul 11, 2024

  b) Resident #42 On 07/09/24 at 1:00 PM, a record review was completed for Resident #42. The review found a physician's order dated 05/31/24 stating, Restraint: Seatbelt while in wheelchair for inability to maintain upright sitting position independently. Release seatbelt every 2 (two) hours for repositioning. (Typed as written.) A review of the Minimum Data Set (MDS) dated [DATE] significant change did not have any indication for the use of restraints. On 07/09/24 at 2:00 PM, the Director of Nursing (DON) confirmed the MDS was incorrect and should have indicated the use of restraints. c) Resident #20 On 07/09/24 at 1:30 PM, a record review was completed for Resident #20. […]

• No harm, potential for more than minimal, patternF656Jul 11, 2024

  Based on record review and staff interview, the facility failed to develop and/or implement a comprehensive care plan for Resident #10 regarding a diagnosis of diabetes mellitus, Resident #20 for the use of restraints, Resident #52 for fall interventions and meal intake and Resident #47 regarding dental care. This was true for five (5) of 15 residents reviewed during the survey process. Resident Identifiers: #10, #20, #52 and #47. Facility Census: 57. Findings Include: a) Resident #10 On 07/09/24 at 11:15 AM, a record review was completed for Resident #10. The review found the care plan was not developed regarding the diagnosis of diabetes mellitus. […]

• No harm, potential for more than minimal, patternF692Jul 11, 2024

  Based on observation, record review and staff interview the facility failed to maintain acceptable parameters of nutrition which are consistent with professional standards of practice. This failed practice was found true for two (2) of (2) two residents looked at for nutrition during the Long-Term Care Survey Process. Resident identifiers #9, and #52. Facility Census 57. Findings Include: a) Resident #9 An initial observation on 07/08/24 at 1:00 PM, of Resident #9 eating lunch revealed, she had only eaten about 25% of her lunch and her tray was away from her. […]