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As a Genesis Healthcare Community, Milford Center is a nursing home ideal for residents who seek to relax and recover. Specializing in short-term rehabilitation and long-term care, the multi-awarded community provides professional and compassionate service for its residents. Milford Center cultivates the holistic needs of its residents in a home-like setting.
The services are multidisciplinary for both skilled nursing and rehabilitation services– focusing on post-surgical care, on-site therapy (physical, occupational, speech), strength conditioning, mobility improvement; colostomy care, dementia care, pain management, wound care; and medical professionals are on-call– medical directors, nurse practitioners, and physicians.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 30th out of 38 homes in Delaware. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 45m per day | ▼ 27% State avg: 1h 2m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 51m per day | ▼ 16% State avg: 1h 1m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 8m per day | ▼ 14% State avg: 2h 28m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 21m per day | ▼ 17% State avg: 4h 2m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 78% State avg: 9m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 29m per day | ▼ 33% State avg: 43m per day · National avg: 28m per day |
Lower than the Delaware average: 80.7%Milford Center is administrated by John Byrd.
Key information about the people who lead and staff this community.
In Delaware, the Department of Health and Social Services, Division of Health Care Quality is responsible for the oversight, unannounced inspection, and licensing of all long-term care settings.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Delaware state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | DE Average | vs. DE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 93 | 64 | This facility has 45% more total deficiencies than a typical Delaware nursing home (93 vs. DE avg 64).↑ 45% worse |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 15.5 | 10.7 | This facility has 45% more deficiencies per year than a typical Delaware nursing home (15.5 vs. DE avg 10.7).↑ 45% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on December 23, 2025, found the facility to be in substantial compliance with no deficiencies noted. Prior inspections showed a pattern of multiple deficiencies related mainly to resident care planning, activities of daily living assistance, respiratory and continence care, food safety, and recordkeeping. Several complaint investigations substantiated issues including failure to prevent and investigate abuse, inadequate pressure ulcer care, medication management errors leading to an Immediate Jeopardy finding, and staffing shortages. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s compliance appears to have improved over time, with the most recent follow-up confirming substantial compliance after earlier periods of cited deficiencies.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsDelaware average 4.4
Last Health inspection on Nov 2025
Delaware average 38.9
Delaware average 8.72
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
38 of 76 citations resulted from standard inspections; 29 of 76 resulted from complaint investigations; and 9 of 76 came from combined inspections (standard and complaint).
344% worse than Delaware averageDelaware average: 0.9
150% worse than Delaware averageDelaware average: 1.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
7% better than Delaware average
0% compared with Delaware average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,757 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 60 | 14 | 74 | 16,713 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 15 | 7 | 22 | 6,374 | 92 | 100% | 8.7 |
| Registered Nurse | 14 | 4 | 18 | 3,909 | 92 | 100% | 8.1 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,890 | 70 | 76% | 7.9 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,430 | 89 | 97% | 7.3 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,360 | 66 | 72% | 8 |
| Physical Therapy Aide | 4 | 0 | 4 | 525 | 66 | 72% | 7.5 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 486 | 61 | 66% | 8 |
| Other Social Services Staff | 1 | 0 | 1 | 423 | 56 | 61% | 7.6 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 347 | 45 | 49% | 7.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 320 | 47 | 51% | 6.8 |
| Speech Language Pathologist | 2 | 0 | 2 | 299 | 55 | 60% | 5.3 |
| Qualified Social Worker | 2 | 0 | 2 | 217 | 38 | 41% | 5.4 |
| Physical Therapy Assistant | 6 | 0 | 6 | 209 | 45 | 49% | 3.7 |
| Nurse Aide in Training | 3 | 0 | 3 | 100 | 13 | 14% | 6.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 80 | 31 | 34% | 2.6 |
| Medical Director | 0 | 2 | 2 | 39 | 12 | 13% | 3.3 |
| RN Director of Nursing | 1 | 0 | 1 | 7 | 2 | 2% | 3.5 |
Includes penalties issued in 2024-2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
80% higher than Delaware averageDelaware average: $98K
61% more fines than Delaware averageDelaware average: 1.9
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Delaware averageDelaware average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 26, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 25, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 27, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.7
22% worse than Delaware averageDelaware average: 9.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.7
14% worse than Delaware averageDelaware average: 19.0
Percent of long-stay residents whose need for help with daily activities has increased
14.2%
8% better than Delaware averageDelaware average: 15.4%
Percent of long-stay residents whose ability to move independently worsened
22.4%
13% worse than Delaware averageDelaware average: 19.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.3%
28% worse than Delaware averageDelaware average: 22.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.2%
27% better than Delaware averageDelaware average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
10.8%
142% worse than Delaware averageDelaware average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.3%
87% better than Delaware averageDelaware average: 2.1%
Percent of long-stay residents who lose too much weight
9.0%
56% worse than Delaware averageDelaware average: 5.8%
Percent of long-stay residents who have depressive symptoms
8.9%
48% worse than Delaware averageDelaware average: 6.0%
Percent of long-stay residents who received an antipsychotic medication
14.3%
30% worse than Delaware averageDelaware average: 11.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
79.3%
17% worse than Delaware averageDelaware average: 95.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.9%
5% worse than Delaware averageDelaware average: 97.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
47.7%
42% worse than Delaware averageDelaware average: 82.1%
Percent of short-stay residents who newly received an antipsychotic medication
2.7%
200% worse than Delaware averageDelaware average: 0.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
60.9%
27% worse than Delaware averageDelaware average: 83.1%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
17.5%
19% better than Delaware averageDelaware average: 21.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.6%
5% better than Delaware averageDelaware average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Delaware averageDelaware average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
50.0%
7% worse than Delaware averageDelaware average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
47.5%
6% worse than Delaware averageDelaware average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
35% of new residents, usually for short-term rehab.
54% of new residents, often for short stays.
11% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
89Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Milford Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #8 / 35Payroll — State benchmarkedThis home is ranked 8th out of 35 homes in Delaware. Shows total annual staff payroll benchmarked to the Delaware average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
1.4 miles from city center
Estimated distance in miles from Milford's city center to Milford Center's address, calculated via Google Maps.
— 0.35 miles to nearest hospital (Milford Wellness Village)
Add your location
Milford Center is located in Milford, Delaware.
Here are the financial assistance programs available to residents in Delaware.
The information below is reported by the Delaware Department of Health and Social Services, Division of Health Care Quality.
| Delaware Veterans Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Milford (Delaware Veterans Boulevard) | 144 | 59.0% | -27% | 6.83 | +44% | +47% | $31.8k | 28 | 7.0 | 1 | 85 | 3 | Carol Erhart | $6.5M | $9.4M | 144.2% | 85051 | ||||
| Milford Center | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Milford | 136 | 64.7% | -20% | 3.81 | - | - | - | -8% | -18% | $162.4k | 76 | 8.4 | 7 | 87 | 34 | Genesis De Holdings LLC | $22.2M | $10.2M | 45.9% | 85010 |
Beth Poehouseman is the Director of Nursing at Milford Center.
Milford Center has a walk score of 34. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to DE state health department records, Milford Center's license number is 1155.
According to DE state health department records, Milford Center's license expires on February 12, 2025.
Milford Center's occupancy is 65%.
John Byrd is the administrator of Milford Center.
Milford Center has 136 beds.
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