MILFORD CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Milford Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

MILFORD CENTER
700 MARVEL ROAD
MILFORD, DE 19963
(302) 422-3303

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

89%

Number of Residents and Certified Beds

  • Residents: 121
  • Certified Beds: 136

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Georgetown | Dover | Lewes

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Milford Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-161.4%
ADL Index Range: 2-100.10%
Total Percent:1.5%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-160.2%
Total Percent:0.2%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-160.5%
Total Percent:0.5%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1628.1%
ADL Index Range: 6-1023.3%
ADL Index Range: 0-515.7%
Total Percent:67.1%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-163.5%
ADL Index Range: 6-103.8%
ADL Index Range: 0-51.9%
Total Percent:9.3%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.3%
ADL Index Range: 6-100.8%
Total Percent:2.1%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.8%
ADL Index Range: 6-100.7%
ADL Index Range: 0-50.05%
Total Percent:2.6%
 

Low Rehabilitation

Rehabilitation 45 Minutes Per Week Minimum
  • Three days any combination of three rehabilitation disciplines
  • Two services of restorative nursing six days per week
ADL Index Range: 0-100.10%
Total Percent:0.10%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Isolation for active infectious disease
0.3%
Total Percent:0.3%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
0.3%
ADL Index Range: 11-14
- No Signs of depression
1.4%
ADL Index Range: 6-10
- No Signs of depression
2.0%
Total Percent:3.7%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
2.8%
ADL Index Range: 11-14
- No Signs of depression
1.5%
ADL Index Range: 6-10
- No Signs of depression
1.0%
Total Percent:5.3%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 15-16
- Signs of depression
0.7%
ADL Index Range: 15-16
- No Signs of depression
2.2%
ADL Index Range: 11-14
- Signs of depression
0.7%
ADL Index Range: 11-14
- No Signs of depression
0.7%
ADL Index Range: 6-10
- No Signs of depression
0.2%
ADL Index Range: 0-1
- No Signs of depression
0.05%
Total Percent:4.6%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 0-1
- Less restorative nursing
0.7%
Total Percent:0.7%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 6-10
- Less restorative nursing
1.0%
ADL Index Range: 2-5
- Less restorative nursing
0.8%
ADL Index Range: 0-1
- Less restorative nursing
0.1%
Total Percent:2.0%
 

Rating Details For Milford Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours1 Hour and 12 Minutes59 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours42 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 31 Minutes2 Hours and 34 Minutes
Total Licensed Nurse Hours1 Hour and 53 Minutes1 Hour and 38 Minutes
Total Nurse Hours4 Hours and 24 Minutes4 Hours and 12 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Delaware are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityDelaware Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season86%94%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination86%94%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Were Physically Restrained10%9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious17%12%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder59%52%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection18%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair5%5%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse16%13%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%3%
Percent of Long-Stay Residents Who Lose Too Much Weight10%8%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased24%16%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores9%9%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination89%88%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season85%89%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores14%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain28%17%
Percent of Short-Stay Residents Who Have Delirium-2%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 05/31/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 09/24/2008
  • Correction Date: 10/31/2008
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Inspection Date: 09/09/2009
  • Correction Date: 10/16/2009
Choose a Doctor to Be the Medical Director.
  • Inspection Date: 09/09/2009
  • Correction Date: 10/16/2009
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 09/09/2009
  • Correction Date: 10/16/2009

Environmental

Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 09/24/2008
  • Correction Date: 10/31/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 09/09/2009
  • Correction Date: 10/16/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 05/31/2011
  • Correction Date: 07/01/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/31/2011
  • Correction Date: 07/01/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 05/31/2011
  • Correction Date: 07/01/2011

Nutrition and Dietary

Provide Food in a Way That Meets a Resident's Needs.
  • Inspection Date: 09/09/2009
  • Correction Date: 10/16/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/31/2011
  • Correction Date: 07/01/2011

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 05/31/2011
  • Correction Date: 07/01/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 05/31/2011
  • Correction Date: 07/01/2011

Quality Care

Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 09/24/2008
  • Correction Date: 10/31/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 09/09/2009
  • Correction Date: 10/16/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 09/09/2009
  • Correction Date: 10/16/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 05/31/2011
  • Correction Date: 07/01/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 05/31/2011
  • Correction Date: 07/01/2011

Resident Assessment

Make Sure That Doctors Visit Residents Regularly, As Required.
  • Inspection Date: 09/09/2009
  • Correction Date: 10/16/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 05/31/2011
  • Correction Date: 07/01/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 09/24/2008
  • Correction Date: 10/31/2008
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure.
  • Inspection Date: 09/09/2009
  • Correction Date: 10/16/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 09/09/2009
  • Correction Date: 10/16/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 05/31/2011
  • Correction Date: 07/01/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 05/31/2011
  • Correction Date: 07/01/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Milford Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Give or Get Lab Tests to Meet the Needs of Residents.
  • Complaint Filed: 12/31/2008
  • Correction Date: 01/31/2009
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 05/11/2011
  • Correction Date: 06/25/2011

Environmental

Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 09/24/2008
  • Correction Date: 10/31/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 07/23/2010
  • Correction Date: 09/07/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Complaint Filed: 04/04/2008
  • Correction Date: 05/12/2008
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 04/04/2008
  • Correction Date: 05/12/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Complaint Filed: 09/24/2008
  • Correction Date: 10/31/2008

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Complaint Filed: 09/24/2008
  • Correction Date: 10/31/2008
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 05/11/2011
  • Correction Date: 06/25/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 07/22/2008
  • Correction Date: 09/01/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 09/24/2008
  • Correction Date: 10/31/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 09/24/2008
  • Correction Date: 10/31/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 12/31/2008
  • Correction Date: 01/31/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 05/20/2009
  • Correction Date: 07/01/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 12/10/2009
  • Correction Date: 01/22/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 07/23/2010
  • Correction Date: 10/23/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 05/11/2011
  • Correction Date: 06/25/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 07/22/2008
  • Correction Date: 09/01/2008
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Complaint Filed: 09/24/2008
  • Correction Date: 10/31/2008
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Complaint Filed: 09/09/2009
  • Correction Date: 10/16/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 12/10/2009
  • Correction Date: 01/22/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 07/23/2010
  • Correction Date: 09/07/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 05/11/2011
  • Correction Date: 06/25/2011
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
  • Complaint Filed: 05/11/2011
  • Correction Date: 06/25/2011

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident.
  • Complaint Filed: 07/22/2008
  • Correction Date: 09/01/2008
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 07/22/2008
  • Correction Date: 09/01/2008
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 07/23/2010
  • Correction Date: 09/07/2010
Let Each Resident Choose a Personal Doctor.
  • Complaint Filed: 05/11/2011
  • Correction Date: 06/25/2011

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Milford Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 06/06/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 12/03/2008
  • Correction Date: 12/29/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/06/2011
  • Correction Date: 07/01/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 06/06/2011
  • Correction Date: 07/01/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 06/06/2011
  • Correction Date: 07/01/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 06/06/2011
  • Correction Date: 07/01/2011

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 12/03/2008
  • Correction Date: 12/29/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 12/03/2008
  • Correction Date: 12/29/2008

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 06/06/2011
  • Correction Date: 07/01/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 06/06/2011
  • Correction Date: 07/01/2011
Source: Medicare Nursing Home Compare; Health and Social Services of Delaware - Division of Long Term Care and Resident Protection - Retrieved 2011