Milton Rehabilitation and Nursing Center

In the surveyor’s words

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

• Actual harm, isolatedF692Jan 21, 2022

  Based on clinical record review and family and staff interview, it was determined that the facility failed to provide physician ordered interventions and timely assessments/interventions from a qualified nutrition professional for residents to promote acceptable parameters of nutritional status resulting in harm for one of seven residents reviewed for nutrition concerns (Resident 21). The facility also failed to weigh a resident per physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings include: An observation of Resident 21 on January 18, 2022, at 12:55 PM revealed the resident lying in bed, as a staff member placed a lunch tray in the resident's room on a tray table located at the bottom of the resident's bed and then walked out of the room. […]

• No harm, potential for more than minimal, widespreadF812Nov 6, 2024

  Based on observation and staff interview, it was determined the facility failed to store food and maintain food service equipment in a safe and sanitary manner and prevent the potential for food borne illness in the facility's main kitchen. Findings include: Observation of the facility's main kitchen on November 3, 2024, at 8:52 AM revealed the following: The right side of the food steamer was covered in dried food splatter. The flooring under the steamer and the two-door cooler and stove area beside it contained a buildup of dirt, dried food, and debris. Several potholders lying on tables and the meal service area were blackened and stained. Dust and debris were observed on the shelves where food products were stored in the dry storage area. […]

• No harm, potential for more than minimal, patternF580Mar 15, 2026

  Based on review of facility policy, clinical records, and staff interviews, it was determined that the facility failed to notify the resident representative/responsible party of changes in condition or care for three of seven residents reviewed (Resident R1, R2, and R3).Findings include: Review of the facility policy, Change in Condition dated 6/1/25, indicated, The facility shall notify the resident, his or her attending physician, and representative of changes in theresident's medical/mental condition and/or status. Review of the clinical record indicated Resident R1 was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF684Nov 6, 2024

  Based on clinical record review, observation, and staff interview, it was determined that the facility failed to provide the highest practicable care regarding physician ordered weights for three of nine residents reviewed (Residents 22, 51, and 84) and appropriate positioning for meals for one of nine residents reviewed for nutritional concerns (Resident 105). Findings include: Clinical record review for Resident 84 revealed a diagnoses list that included severe protein-calorie malnutrition. Review of the current care plan for Resident 84 revealed the resident has a potential nutrition problem for risk of malnutrition. […]

• No harm, potential for more than minimal, patternF791Nov 6, 2024

  Based on clinical record review, and staff and resident interview, it was determined that the facility failed to provide dental services to meet the needs of residents for three of four residents reviewed (Residents 36, 46, and 63). Findings include: Clinical record review for Resident 63 revealed that the dentist saw them on June 14, 2023, and indicated that if Resident 63 experienced any intra-oral (inside mouth) pain or swelling, please refer to an oral surgeon for extractions as needed. On July 9, 2024, at 12:30 PM facility staff identified that they had right mandible (jaw) swelling. Resident 63 indicated a bad tooth concern. Staff visualized a molar with a large filling that was broken away from the filling and notified their physician. […]