Miller Health Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF678Feb 10, 2026

  Based on interview and record review, the facility failed to assess a resident after CNA (Certified Nurse Assistant) was unable to obtain resident's blood pressure or heart rate and failed to document resident's code status in the medical record.This failure resulted in an Immediate Jeopardy (IJ). The Immediate Jeopardy began on [DATE] around 6:30 AM when V33 (Agency RN) did not assess R18 after V35 (CNA/Certified Nurse Assistant) notified V33 that she was unable to obtain a blood pressure or heart rate on R18. Around 7:45 AM, V33 (Agency RN) found R18 unresponsive and left R18 to find V16 (RN/Registered Nurse). V16 said V33 told her she thought R18 expired and R18 was DNR (Do Not Resuscitate). […]

• Actual harm, isolatedF686Apr 17, 2026

  Based on observation, interview and record review the facility failed to provide interventions to prevent the development and worsening of skin breakdown. This failure resulted in two residents developing pressure ulcer (also known as a bedsore or pressure wound is an injury to the skin and the tissue below the skin that are due to pressure on the skin for an extended period). This applies to 2 residents, R1 and R2 reviewed for facility acquired pressure ulcers in a sample of 8.Findings include:1.R1 was admitted to the facility on [DATE] with diagnoses that include disease of the spinal cord, cervical radiculopathy, chronic obstructive pulmonary disease, acute respiratory failure, pneumonia, morbid obesity, muscle wasting and atrophy, major depressive disorder, and diaper dermatitis. […]

• Actual harm, isolatedF684Feb 10, 2026

  Based on interview and record review, the facility failed to assess and notify the provider of changes in a resident's condition after fall incident with injuries and pain for R2 and R6. This resulted in a delay of treatment for R2 and R6 for pain and a fracture from a fall incident. The facility failed to notify the provider of R4's change of condition that included vomiting blood and black tarry stools that resulted in the need for hospitalization and blood transfusions. This applies to 3 of 3 residents (R2, R4, and R6) reviewed for resident injury and improper nursing. The findings include: 1. […]

• Actual harm, isolatedF689Feb 10, 2026

  Based on interview and record review, the facility failed to implement fall precautions for a high fall risk resident admitted with a history of fall and left hip fracture.This failure resulted in R5's fall in the facility on 12/25/25, transfer to the hospital, and diagnosis of right hip fracture.This applies to 1 resident (R5) reviewed for falls with injury in a sample of 3.The findings include:R5's Face sheet shows she was admitted to the facility on [DATE] with primary diagnosis of fracture of left pubis. R5's other diagnoses include: unsteadiness on feet, abnormalities of gait and mobility, cognitive communication deficit, dizziness, osteoarthritis, and falls.On 1/28/26 at 2:35 PM, V40 (LPN/Licensed Practical Nurse) said she was the nurse taking care of R5 on 12/25/25 when she fell. […]

• Actual harm, isolatedF697Jul 18, 2024

  Based on observation, interview, and record review the facility failed to manage a resident's pain during bathing and wound care. This applies to 1 of 2 residents (R36) reviewed for pain management in the sample of 19. This failure resulted in R36 crying in pain during bed bath, wound treatment, and repositioning. Findings include: According to the face sheet R36 was admitted to facility on April 2, 2024, with multiple diagnoses including diabetes mellitus with neuropathic arthropathy, pressure ulcers, morbid obesity and end stage renal disease with dependence on renal dialysis. […]