Deficiency Index

Milford Rehabilitation and Healthcare Center

Milford, Pennsylvania · CCN 395466

48 surveys since 2011, 8 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
280
Surveys
48
Harm or worse
8
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse8

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file36/48

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
80
Ownership
For profit - Limited Liability company
Chain
AKIKO IKE
County
Pike · rural
Medicare-certified since
1980

CMS ratings

Overall
2
Health inspection
2
Staffing
—
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 58 for-profit facilities of 66–99 beds in Pennsylvania.

Last survey on record

May 14, 2026

179 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Annual nurse turnover36.1%46.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$61,593 across 1 penalty
Payment denials
1

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG12.0%H—I—
No harm, potential for more than minimalD2449.0%E1632.7%F612.2%
No harm, potential for minimalA—B24.1%C—
CMS’s current file: 49 of the 280 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6563×

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

  • F6843×

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

  • F6893×

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

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5802×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

In the surveyor’s words

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

  • Actual harm, isolatedF689Jan 3, 2024

    Based on a review of clinical records and select incident reports, and staff interview it was determined that the facility failed to develop and implement effective fall prevention interventions for a resident with known unsafe behaviors to prevent a fall resulting in serious injury, a fractured clavicle, for one out 11 sampled residents (Resident 3). Findings include: A review of Resident 3's clinical record revealed that she was admitted to the facility on [DATE], with diagnoses that included a history of a fracture of the left femoral neck [is a type of hip fracture of the thigh bone (femur) which is just below the ball of the ball-and-socket hip joint], difficulty walking, and cognitive communication deficit [difficulty with any aspect of communication that is affected by disruption of… […]

  • Actual harm, isolatedF600Jun 2, 2021

    Based on a review of clinical records and select facility investigative reports and staff interview it was revealed that the facility neglected to provide the care necessary to prevent physical harm, a serious injury, a diagnosed fractured neck and possible [CONDITION(S)], sustained during an avoidable fall, by one of six residents reviewed (Resident 1). Findings include: Clinical record review revealed that Resident 1 was admitted to the facility on [DATE], with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

  • No harm, potential for more than minimal, widespreadF812Jul 1, 2025

    Based on observation and staff interview, it was determined the facility failed to maintain acceptable practices for the storage and service of food to prevent the potential for contamination and microbial growth in food, which increased the risk of food-borne illness in the dietary department. Findings include: Food safety and inspection standards for safe food handling indicate that everything that comes in contact with food must be kept clean and food that is mishandled can lead to foodborne illness. Safe steps in food handling, cooking, and storage are essential in preventing foodborne illness. […]

  • No harm, potential for more than minimal, widespreadF814Aug 15, 2024

    Based on observation and staff interview, it was determined that the facility failed to properly dispose of garbage and refuse. Findings include: Observation on August 13, 2024, at 10:20 AM in the presence of the food service director revealed that the facility's dumpster, containing bags of garbage, was not covered. One of the two lids on the dumpster was observed open. There were food containers and debris scattered on the ground surrounding the dumpster. Interview with the food service director at this time confirmed that the dumpster lid was to be kept closed and that the area surrounding the dumpster should be maintained in a sanitary manner. 28 Pa Code 201.8 (e)(2.1) Management

  • No harm, potential for more than minimal, widespreadF836Jul 26, 2024

    Based on a review of the results of facility water testing for safe drinking water and interviews with laboratory staff and facility staff it was determined the facility failed to comply with requirements from the Environmental Protection Agency (EPA) and Pennsylvania Department of Agriculture and Pennsylvania Drinking Water Information System (PADWIS) in conjunction with the Title 25 Pa. Code Chapter 109 Subchapter C Monitoring Requirements relating to Title 40, Code of Federal regulations 40 CFR. Findings included: According to the PADWIS the facility received violations regarding the failure to monitor/report routine samples for specific contaminates for 30 types of contaminates resulting in a violation for each contaminant on July 23, 2024. […]

Read 28 findings in full →The most serious and the most recent: 28 of 280 on record.

Every survey on record

FindingsAt actual harm or above

  • May 14, 2026Standard and complaint9 findings
  • Feb 20, 2026Complaint1 finding
  • Jul 1, 2025Standard and complaint4 findings
  • Feb 19, 2025Complaint1 finding
  • Aug 15, 2024Standard9 findings
  • Jul 26, 2024Complaint1 finding
  • Mar 26, 2024Complaint5 findings
  • Mar 5, 2024Complaint3 findings
Show the 40 earlier surveys
  • Jan 24, 2024Complaint3 findings
  • Jan 3, 2024Complaint3 findings · 1 harm
  • Sep 14, 2023Standard and complaint12 findings
  • Aug 16, 2023Complaint4 findings
  • Jun 27, 2023Complaint1 finding
  • May 4, 2023Complaint15 findings
  • Mar 29, 2023Complaint1 finding
  • Dec 2, 2022Complaint8 findings
  • Oct 6, 2022Standard27 findings
  • Sep 27, 2022Complaint24 findings
  • May 26, 2022Complaint1 finding
  • Mar 17, 2022Complaint1 finding
  • Nov 22, 2021Standard18 findings
  • Oct 12, 2021Complaint7 findings
  • Jun 2, 2021Complaint1 finding · 1 harm
  • Jan 14, 2021Standard3 findings
  • Feb 19, 2020Complaint1 finding
  • Sep 6, 2019Standard5 findings
  • Jun 24, 2019Complaint1 finding
  • Feb 14, 2019Complaint1 finding
  • Aug 10, 2018Standard6 findings
  • Sep 1, 2017Standard7 findings
  • Jun 15, 2017Complaint1 finding
  • Aug 11, 2016Standard21 findings
  • Jan 26, 2016Complaint6 findings · 1 harm
  • Oct 14, 2015Complaint1 finding
  • Sep 1, 2015Standard6 findings
  • Aug 20, 2014Standard10 findings · 3 harm
  • May 1, 2014Complaint5 findings
  • Apr 3, 2014Complaint7 findings
  • Feb 4, 2014—6 findings
  • Oct 30, 2013—2 findings
  • Jul 18, 2013—11 findings · 1 harm
  • Aug 10, 2012—7 findings
  • Dec 21, 2011—1 finding
  • Nov 9, 2011—1 finding · 1 harm
  • Oct 18, 2011—2 findings
  • Sep 9, 2011—8 findings
  • Jul 1, 2011—1 finding
  • Mar 8, 2011—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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