Milford Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Milford Health and Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF692Feb 19, 2026

  Based on review of the clinical record, facility policy and interviews for 2 of 4 residents (Resident #2 and Resident #16) reviewed for nutrition, the facility failed to ensure a significant weight loss of 18.6 pounds (lbs.) in 31 days was identified timely for Resident #2 which resulted in a delay of Resident #2 receiving a nutritional supplement and failed to ensure nutritional supplements were administered per physician orders for a resident with significant weight loss of 20.4 lbs. in 6 months for Resident #16. […]

• No harm, potential for more than minimal, patternF698Feb 19, 2026

  Based on observations, interviews, review of clinical records, and facility policy for 2 of 2 residents (Resident #3 and Resident #16) reviewed for dialysis, the facility failed to ensure an emergency dialysis kit was at the bedside per policy (Resident #3) and for Resident #16, failed to document/tally Resident #16's actual fluid intake and failed to ensure administration of medication per physician orders. The findings include: 1.Resident #3 was admitted to the facility in January 2026 with diagnoses that included end stage renal disease, renal dialysis dependent, and hemiplegia affecting the nondominant left side. […]

• No harm, potential for more than minimal, patternF677Jun 4, 2024

  Based on review of the clinical record, facility policy, and interviews for 1 of 3 residents (Resident #52) reviewed for Activities of Daily Living (ADL's), the facility failed to maintain proper fingernail hygiene and care. The findings include: Resident # 52's diagnoses included cerebrovascular accident (CVA) with left sided paralysis, muscle weakness, difficulty in walking, and repeated falls. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #52 was cognitively impaired and required staff assistance with personal hygiene and substantial staff assistance with bed mobility and transfers. The Resident Care Plan dated 3/21/24 identified Resident #52 had an ADL self-care performance deficit CVA with left side deficit. […]

• No harm, potential for more than minimal, patternF812Jun 4, 2024

  Based on the tour of the Dietary Department, staff interview, facility documentation and facility policy, the facility failed to ensure the Dietary Department consistently labeled opened dry food with the date opened and expiration dated and failed to ensure canned goods identified an expiration date. The findings included: Tour of the Dietary Department on 5/28/24 at 10:46 AM with the Food Service Director identified the following: a. Large plastic bulk bins containing flour which was approximately 1/4 full, rice which was approximately 1/4 full, sugar which was approximately 3/4 full and oatmeal approximately 1/2 full without the benefit of identifying the date the contents were poured into the bin, and lacking an expiration date. b. […]

• No harm, potential for more than minimal, isolatedF609Jun 16, 2026

  Based on review of the clinical record and facility documentation, and interviews for one resident (Resident #1) reviewed for accidents, the facility failed to ensure staff notified the State Agency timely when a new fracture of indeterminate age was identified. The findings include: Resident #1's diagnoses included dementia, vascular parkinsonism, and epilepsy. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #1 was unable to complete a Brief Interview for Mental Status (BIMS), had severe cognitive impairment and was dependent for all ADLs (activities of daily living) and transfers. The Resident Care Plan dated 3/19/26 identified a deficit in self-care function related to left side hemiplegia and dementia. […]