Mill Manor Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF605Jan 14, 2026

  Based on medical record review, staff interview, and policy review, the facility failed to ensure residents receiving psychotropic medications were adequately monitored for effectiveness and adverse reactions. This affected five (#1, #3, #11, #19, and #22) of five residents reviewed for unnecessary medications. The facility census was 23.Findings Include: 1. Review of the medical record for Resident #1 revealed an admission date of 06/03/25 and a discharge date of 11/20/25. Diagnoses included type two diabetes mellitus, hypertension, gastro-esophageal reflux disease, Parkinson's disease, major depressive disorder, and anxiety. […]

• No harm, potential for more than minimal, patternF584Sep 7, 2023

  Based on medical record review, observation, resident interview, and staff interview, the facility failed to provide the residents with a reasonably quiet and peaceful environment. This affected one resident (#6) and had the potential to affect 10 residents residing on the 100-hall. The facility census was 30. Findings include: Review of Resident #20's medical record revealed an admitted [DATE]. Diagnoses included anxiety, dysphagia, and depression. Review of the annual Minimum Data Set (MDS) assessment, dated 05/31/23, revealed Resident #20 was cognitively impaired. […]

• No harm, potential for more than minimal, isolatedF756Jan 14, 2026

  Based on medical record review and staff interview, the facility failed to implement physician order changes identified during a medication regimen review (MRR). This affected one (#19) of five residents reviewed for unnecessary medications. The facility census was 23.Findings include:Review of the medical record for Resident #19 revealed an admission on [DATE]. Diagnoses included unspecified intestinal obstruction, constipation, and hypothyroidism. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #19 was cognitively impaired.Review of Resident #19's medication regimen review (MRR) signed and dated by the physician on 11/06/25 revealed an note to change the stool softener, docusate sodium 100 milligrams (mg) to be administered as needed.Review of… […]

• No harm, potential for more than minimal, isolatedF609Jul 6, 2024

  Based on record review, staff interview, review of the Ohio Department of Health's (state survey agency) enhanced information dissemination collection (EIDC) system (computer database used by nursing facilities to report allegations of abuse, neglect and exploitation), and policy review the facility failed to ensure an allegation of alleged physical abuse was reported to the state survey agency (The Ohio Department of Health) as required. This affected one (Resident #28) of three residents reviewed for abuse. The facility census was 26. Findings Include Resident #28 was admitted to the facility on [DATE] with diagnoses that included Alzheimer's disease, anxiety disorder, and dementia. […]

• No harm, potential for more than minimal, isolatedF610Jul 6, 2024

  Based on record review and staff interview the facility failed to ensure it completed a thorough investigation related to an allegation of physical abuse by staff to a resident. This affected one (Resident #28) of three residents reviewed for abuse. The facility census was 26. Findings Include Resident #28 was admitted to the facility on [DATE] with diagnoses that included Alzheimer's disease, anxiety disorder, and dementia. Review of the most recent Minimum Data Set (3.0) assessment dated [DATE] revealed Resident #28 was severely cognitively impaired and required extensive assistance for two staff persons for completing her activities of daily living. Review of the incident report dated 05/25/24 revealed State tested Nursing Assistant (STNA) #900 stated at about 11:40 P.M. […]