Millennium Post Acute Rehabilitation

In the surveyor’s words

From the most serious findings on record at Millennium Post Acute Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Mar 17, 2026

  Based on review of facility policy, observation, interview, and record review, the facility failed to (1.) ensure linen and resident clothing was washed at appropriate temperatures or with proper disinfection to prevent the potential spread of infection and or diseases, in 1 of 1 laundry room. Specifically, the washing machine failed to maintain adequate hot water temperature. Additionally, the facility failed (2.) to ensure that medications were administered to residents utilizing proper hand hygiene and use of Personal Protective Equipment (PPE) while performing medication pass, for 2 of 2 residents reviewed. Findings include: 1. Review of the facility policy titled Infection Control Prevention and Control Program with a revised date of 09/2017, revealed, II. […]

• No harm, potential for more than minimal, widespreadF850Sep 10, 2025

  Based on record review and interviews, the facility failed to employ a full-time qualified Licensed Medical Social Worker (LMSW), as required for facilities with more than 120 certified beds. 130/130 certified beds, all of which are potentially affected by the lack of a full-time LMSW to provide necessary psychosocial support and services.Findings include:Review of facility staff list revealed there is no Licensed Medical Social Worker employed in the facility. Review of the facility census dated 9/9/25 revealed the facility was certified for 132 beds. During an interview with the Social Services Assistant (SSA) on 09/09/25 at 1:29 PM revealed the facility's Social Services Director, who was a Social Worker (SW) left the facility around Mid-August of 2025. […]

• No harm, potential for more than minimal, widespreadF812Feb 10, 2022

  Based on observations, record review, interviews, and facility policies, the facility failed to ensure proper food storage and kitchen sanitation in 1 of 1 kitchen observed. Specifically, the facility failed to ensure the proper storage, labeling, and dating of dry and refrigerated foods; and the discarding of foods that have passed their labeled expiration date. These failures placed all 90 residents at risk for food contamination and potential foodborne illness. 1. Proper storage, labeling, and dating of dry and refrigerated foods: Review of the facility's policy and procedure titled Dietary Services Food Storage; Policy for Dry /Cold Storage, last revised 08/07, revealed the safety policies and procedures for the cold storage of refrigerated foods. […]

• No harm, potential for more than minimal, patternF583Sep 10, 2025

  Based on facility policy review, observation, and interviews, the facility failed to ensure the confidentiality and security of resident Protected Health Information (PHI) for two of two residents (R)3 and R4) observed for resident rights. Specifically, a resident's code status document containing PHI was observed uncovered and unsecured in a clear wall-mounted mailbox, located in a hallway accessible to staff, residents, and visitors. Additionally, a staff member left a computer unattended in a common area with the screen displaying a resident face sheet, which included personally identifiable information such as the resident's name, photograph, and medical details.Findings include:Review of the undated facility document titled, HIPAA Privacy and Security Operational Guide, revealed: The… […]

• No harm, potential for more than minimal, patternF698Feb 10, 2022

  Based on record reviews, interviews, and review of the facility's policies and procedures, and the facility's [CONDITION(S)] service agreement, the facility failed to ensure ongoing communication with the [CONDITION(S)] center regarding care and services for one of one resident (Resident (R) 67) reviewed for [CONDITION(S)]. This failure placed the resident at risk for a lack of continuity of care and services. Review of the facility's policy titled Nursing Clinician - [CONDITION(S)] (Renal), Pre and Post Care, last revised on 03/2009, revealed that it is the facility's policy to assess or evaluate the resident's condition and monitor for complications before and after [CONDITION(S)] treatments, and collaborate and communicate with the [CONDITION(S)] facility regarding [CONDITION(S)] care… […]