Miller Nursing Home

In the surveyor’s words

From the most serious findings on record at Miller Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF565Feb 7, 2025

  Based on observations, resident and staff interviews, record review, and review of the facility's policy titled, Grievance Policy, the facility failed to ensure that six of 40 sampled residents (R) (R37, R59, R57, R62, R68 and R83) who participated in Resident Council (RC), received a response to their grievances. Specifically, the facility failed to provide a response to grievances and complaints about call lights over a six-month period. The deficient practice had the potential to negatively impact each resident's quality of life and/or dimmish feelings of self-worth for R37, R59, R57, R62, R68 and R83. […]

• No harm, potential for more than minimal, patternF812Feb 7, 2025

  Based on observations, staff interviews, record review, and review of the facility's policy titled, Dietary Procedure Manual, the facility failed to ensure dietary areas were maintained in a sanitary manner. Specifically, food and supplements were not labeled properly, frozen meats were exposed to air, chemicals were stored with food, handwashing could not be completed without contamination of one's hands, floors were observed with built up substance, and the facility failed to use a sanitizer on kitchen surfaces. The deficient practice had the potential for transmission of food borne illness, and potential to affect 60 of 153 residents who received an oral diet served from the kitchen. […]

• No harm, potential for more than minimal, patternF656Aug 4, 2022

  Based on staff interviews, clinical record review, and review of the policy titled Assessments and Care Planning; Care Plans-Comprehensive, the facility failed to document adverse reactions and/or side effects as indicated in each care plan for five residents (R), R#12, R#69, R#83, R#99, and R#129) of sampled residents. Findings include: Review of the facility policy titled, Assessments and Care Planning; Care Plans-Comprehensive, Revised April 2010, revealed: Policy Interpretation and Implementation #3. Each resident's comprehensive care plan is designed to: a. incorporate identified problem areas b. incorporate risk factors associated with identified problems e. reflect treatment goals, timetables and objectives in measurable outcomes g. […]

• No harm, potential for more than minimal, isolatedF550May 17, 2026

  Based on observations, family and staff interviews, record review, and review of the policy titled, Residents' Rights, the facility failed to protect and promote the rights of one of 71 sampled residents (R) (R88). This deficient practice had the potential to violate the residents' preferences and religious culture.Findings include:Interview on 05/16/2026 at 12:25 PM with Social Services DD confirmed that R88's hair was cut without prior permission. She stated that a night shift nurse cut the hair. She was not sure why the nurse cut the hair but suggested it may have been for cleanliness. […]

• No harm, potential for more than minimal, isolatedF693May 17, 2026

  Based on observations, staff interviews, record review and review of the facility's policy titled, Gastrostomy Tube Feedings, the facility failed to provide appropriate care for a gastrostomy tube (G-tube) (tube inserted into the stomach for nutrition) for one of 71 sampled residents (R) (R83). The deficient practice increased the risk of associated complications for R83.Findings include:Review of the facility's policy titled Gastrostomy Tube Feedings, reviewed 01/20/2023, documented Procedure: The initial gastrostomy tube is inserted in the surgical department by a physician. Position of resident. […]