Milford Center

Assisted Living, Skilled Nursing & Respite Care · Milford, DE
Milford Center
Assisted Living, Skilled Nursing & Respite Care · Milford, DE
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Milford Center accepts Medicare, Medicaid, and private pay.

Overview of Milford Center

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.

(302) 422-3303

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Delaware state averages

Total nursing care / resident Info This home is ranked 27th out of 35 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.
3h 48m per day
Rank #27 / 35Nurse hours — state benchmarkedThis home is ranked 27th out of 35 homes in Delaware.Shows adjusted nurse hours per resident per day benchmarked to the Delaware average, with a ranking across 35 Delaware SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs Delaware avg

6 of 6 metrics below state avg

Staff typeHours / dayvs state avg
Registered Nurse (RN) Info 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 Info 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 Info 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
Total Nursing (Weekend) Info 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 Info 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
RN (Weekend) Info 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

Capacity and availability

Avg. Length of Stay
125 days

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

35% of new residents, usually for short-term rehab.

Typical stay 25 days

Private pay

54% of new residents, often for short stays.

Typical stay 30 days

Medicaid

11% of new residents, often for long-term daily care.

Typical stay 2 - 3 years

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$22.2M
Operating loss
-$2.5M
Privately-owned community Operated by a business corporation.
Home revenue
$22.2M Rank #12 / 30Revenue — state benchmarkedThis home is ranked 12th out of 30 homes in Delaware.Shows this facility's annual revenue compared to the Delaware SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Operating loss
-$2.5M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #22 / 30Payroll — state benchmarkedThis home is ranked 22nd out of 30 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.
$10.2M
45.9% of revenue Rank #24 / 30Payroll % — state benchmarkedThis home is ranked 24th out of 30 homes in Delaware.Shows payroll as a percentage of revenue versus the Delaware average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$14.5M
Total costs $24.7M
Bed community size
136-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 34 / 100 Rank #12 / 25Walk Score — state benchmarkedThis home is ranked 12th out of 25 homes in Delaware.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Delaware SNFs. Higher scores benefit residents, families, and staff.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
65%
Rank #28 / 34Occupancy rate — state benchmarkedThis home is ranked 28th out of 34 homes in Delaware.Shows this facility's occupancy rate versus the Delaware average, with its statewide rank out of 34. Higher occupancy signals strong local demand and financial stability.
Lower than the Delaware average: 80.7%
Occupied beds
88 / 136
Average residents per home in Delaware 86 per day

License Details

Facility TypeNursing Home
IssuanceFebruary 9, 2025
ExpirationFebruary 12, 2025
License Number1155

Ownership & Operating Entity

Milford Center is administrated by John Byrd.

Staffing

Key information about the people who lead and staff this community.

Leadership

Director of NursingBeth Poehouseman
Director of Nursing Email[email protected]
Administrator Email[email protected]

Types of Care at Milford Center

Skilled Nursing Respite Care

Contact Milford Center

Inspection History

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.

The data displayed corresponds to the last 7 years.

22 visits/inspections Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

Latest inspection

Date December 23, 2025
Follow Up

93 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Delaware average: 64 deficiencies

Inspection Report Summary for Milford Center

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.

Health Inspection History

Inspections
Total health inspections 9

Delaware average 4.4


Last Health inspection on Nov 2025

Total health citations
76 Rank #32 / 35Health citations — state benchmarkedThis home is ranked 32nd out of 35 homes in Delaware.Shows this facility's total health deficiency citations benchmarked to the Delaware state average, with a ranking across all 35 DE SNFs. Lower citation counts earn a better rank.

Delaware average 38.9

Citations per inspection
8.44 Rank #18 / 35Citations per inspection — state benchmarkedThis home is ranked 18th out of 35 homes in Delaware.Shows average deficiency citations per CMS inspection for this facility versus the Delaware mean across 35 SNFs with citation data. Lower is better.

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).

Breakdown of citation severity (last 2 years)
Critical Health citations More info
4
344% worse than Delaware average

Delaware average: 0.9


Serious Health citations More info 3
150% worse than Delaware average

Delaware average: 1.2

4 critical citations More info Delaware average: 0.9

3 serious citations More info Delaware average: 1.2

69 moderate citations More info Delaware average: 35.7

0 minor citations More info Delaware average: 1
Citations history (last 2 years)
Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Nov 17, 2025
Corrected

Quality of Care critical citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Jun 26, 2025
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Nov 25, 2024
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Nov 25, 2024
Corrected

Financial Assistance for
Assisted Living in Delaware

Milford Center is located in Milford, Delaware.
Here are the financial assistance programs available to residents in Delaware.

Get Financial aid guidance

Elderly and Disabled Waiver

Delaware Medicaid E&D Waiver

Age 65+ or disabled
General Delaware resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
DE

Small state, faster processing in some areas.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home modifications

Delaware Caregiver Support Program

DE Caregiver Support (NFCSP)

Age Caregiver of someone 60+
General Delaware resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
DE

Limited slots; rural focus.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Program of All-Inclusive Care for the Elderly (PACE)

Delaware Medicaid PACE

Age 55+
General Delaware resident, nursing home-level care need, safe with PACE support.
Income Limits (2025) ~$2,829/month 300% FBR
Asset Limits $2,000 (individual), $3,000 (couple).
DE

Limited to specific areas (e.g., New Castle County); few providers.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Therapy

Medicare Savings Program (MSP)

Delaware Medicare Savings Program

Age 65+ or disabled
General Delaware resident, enrolled in Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual, adjusted annually.
Asset Limits $9,430 (individual), $14,130 (couple).
DE

Three tiers; broader limits than some states.

Benefits
Covers Medicare Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20% of services)

Senior Community Service Employment Program (SCSEP)

Delaware SCSEP (federally funded, state-administered)

Age 55+
General unemployed, low-income, Delaware resident.
Income Limits (2025) ~$1,983/month 125% FPL, individual
Asset Limits Not specified; income-focused.
DE

Priority for veterans, rural residents; ~400 slots/year.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

Places of interest near Milford Center

Address 1.4 miles from city center Info 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)

Calculate Travel Distance to Milford Center

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 143
Employees 116
Contractors 27
Staff to resident ratio 1.61:1
0% compared with Delaware average

Delaware average ratio: 1.61:1

Avg staff/day 51
Average shift 7.5 hours
0% compared with Delaware average

Delaware average: 7.6 hours

Total staff hours (quarter) 34,700
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 17
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 23
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 64
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

12.6%

4,377 contractor hours this quarter

Certified Nursing Assistant: 14 Licensed Practical Nurse: 8 Registered Nurse: 2 Medical Director: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant50146416,52391100%7.5
Licensed Practical Nurse158236,58591100%8.3
Registered Nurse152173,95391100%7.8
Other Dietary Services Staff5051,56291100%7.3
Clinical Nurse Specialist5051,2236268%7.8
Mental Health Service Worker4041,1726673%7.2
Physical Therapy Aide2025366571%7.8
Administrator1015126470%8
Nurse Practitioner1015126470%8
Respiratory Therapy Technician1014415864%7.6
Qualified Activities Professional4044186571%5.8
Nurse Aide in Training5053822527%7.3
Other Social Services Staff1012783640%7.7
Occupational Therapy Aide0112392932%8.2
Speech Language Pathologist1011963741%5.3
Occupational Therapy Assistant011802831%2.9
Physical Therapy Assistant303533336%1.4
Medical Director011221719%1.3
Qualified Social Worker2021489%1.7
Other Activities Staff101111%0.5
64 Certified Nursing Assistant
% of Days 100%
23 Licensed Practical Nurse
% of Days 100%
17 Registered Nurse
% of Days 100%
5 Other Dietary Services Staff
% of Days 100%
5 Clinical Nurse Specialist
% of Days 68%
4 Mental Health Service Worker
% of Days 73%
2 Physical Therapy Aide
% of Days 71%
1 Administrator
% of Days 70%
1 Nurse Practitioner
% of Days 70%
1 Respiratory Therapy Technician
% of Days 64%
4 Qualified Activities Professional
% of Days 71%
5 Nurse Aide in Training
% of Days 27%
1 Other Social Services Staff
% of Days 40%
1 Occupational Therapy Aide
% of Days 32%
1 Speech Language Pathologist
% of Days 41%
1 Occupational Therapy Assistant
% of Days 31%
3 Physical Therapy Assistant
% of Days 36%
1 Medical Director
% of Days 19%
2 Qualified Social Worker
% of Days 9%
1 Other Activities Staff
% of Days 1%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 89
Medicare
4
4.5% of residents
Private pay or other
85
95.5% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info 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 average

Delaware average: 9.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 21.7
14% worse than Delaware average

Delaware average: 19.0

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 14.2%
8% better than Delaware average

Delaware average: 15.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 22.4%
13% worse than Delaware average

Delaware average: 19.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 28.3%
28% worse than Delaware average

Delaware average: 22.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.2%
27% better than Delaware average

Delaware average: 3.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 10.8%
142% worse than Delaware average

Delaware average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.3%
87% better than Delaware average

Delaware average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 9.0%
56% worse than Delaware average

Delaware average: 5.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 8.9%
48% worse than Delaware average

Delaware average: 6.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 14.3%
30% worse than Delaware average

Delaware average: 11.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 79.3%
17% worse than Delaware average

Delaware average: 95.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 92.9%
5% worse than Delaware average

Delaware average: 97.4%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 47.7%
42% worse than Delaware average

Delaware average: 82.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.7%
200% worse than Delaware average

Delaware average: 0.9%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 60.9%
27% worse than Delaware average

Delaware average: 83.1%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 17.5%
19% better than Delaware average

Delaware average: 21.5%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 10.6%
5% better than Delaware average

Delaware average: 11.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Delaware average

Delaware average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 50.0%
7% worse than Delaware average

Delaware average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 47.5%
6% worse than Delaware average

Delaware average: 50.6%

Penalties and fines

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)

Total fines amount $177K
80% higher than Delaware average

Delaware average: $98K

Number of fines 3
61% more fines than Delaware average

Delaware average: 1.9

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Delaware average

Delaware average: 0.2

Fines amount comparison
Fines amount comparison
This facility $177K
Delaware average $98K
Penalty History

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.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jun 26, 2025
$15K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Nov 25, 2024
$105K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Feb 27, 2024
$58K

Last updated: Jan 2026

Compare Assisted Living around Milford The information below is reported by the Delaware Department of Health and Social Services, Division of Health Care Quality.

Filter by care type
Delaware Veterans Home
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.

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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).

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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.

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).

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.

Milford136No 34 -John ByrdBeth Poehouseman
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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.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

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Frequently Asked Questions about Milford Center

Who is the Director of Nursing at Milford Center?

Beth Poehouseman is the Director of Nursing at Milford Center.

Is Milford Center in a walkable area?

Milford Center has a walk score of 34. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Milford Center?

According to DE state health department records, Milford Center's license number is 1155.

When does Milford Center's license expire?

According to DE state health department records, Milford Center's license expires on February 12, 2025.

Who is the administrator of Milford Center?

John Byrd is the administrator of Milford Center.

How many beds does Milford Center have?

Milford Center has 136 beds.

What is the phone number of Milford Center?

(302) 422-3303 will put you in contact with the team at Milford Center.

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