Inspection Reports for Milford Health & Rehabilitation Center
195 Platt St, Milford, CT 06460, CT, 06460
Back to Facility ProfileInspection Report Summary
The most recent inspection on March 17, 2025, was a complaint investigation and found no deficiencies. Earlier inspections showed a mixed record, with several citations related primarily to resident care documentation, notification procedures, and medication management, including issues with discharge assessments, conservatorship documentation, and medication storage. Complaint investigations were mostly unsubstantiated, except for one in 2021 that substantiated violations involving discharge without proper authorization and documentation. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s recent inspections indicate improvement, with the last two inspections showing no deficiencies after prior issues were addressed.
Deficiencies (last 7 years)
Deficiencies (over 7 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
64% better than Connecticut average
Connecticut average: 5.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
93% occupied
Based on a March 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 112
Capacity: 120
Deficiencies: 0
Mar 17, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to complaint numbers #43216 and #43266.
Findings
No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.
Complaint Details
Complaint investigation for complaints #43216 and #43266 was conducted and found no violations.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joanne Jinete | Administrator | Personnel contacted during the inspection. |
| Connie Vumback | RN | Report submitted by. |
Inspection Report
Renewal
Census: 115
Capacity: 120
Deficiencies: 0
Jan 2, 2025
Visit Reason
The inspection was a desk audit conducted as part of the renewal process for the facility license.
Findings
No violations of the General Statutes of Connecticut or regulations were identified at the time of this inspection. The violation previously noted was corrected as of 1/2/25 at 1:03 PM.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Scott Kegley | ADNS | Personnel contacted during the inspection |
| Marlena Deschaine | Report submitted by |
Inspection Report
Renewal
Deficiencies: 8
Jun 4, 2024
Visit Reason
Unannounced visits were made to Milford Health Care Center Inc which concluded on June 4, 2024 by representatives of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting multiple investigations and a licensure renewal inspection.
Findings
The report details multiple violations of Connecticut State Agencies regulations identified during the visits, including failures in notifying providers of weight loss, incorrect coding of discharge assessments, failure to notify mental health authorities promptly, inadequate maintenance of residents' fingernails, failure to address abnormal lab results, incomplete yearly performance reviews for staff, and improper medication storage and reconciliation. Plans of correction were submitted for each violation.
Complaint Details
Complaint CT #'s 33247, 35965, 36931, 39271 were part of the investigations.
Deficiencies (8)
| Description |
|---|
| Failed to notify the provider of weight loss for Resident #89. |
| Failed to correctly code the Minimum Data Set (MDS) assessment for discharge for Resident #111. |
| Failed to notify the state mental health authority promptly after a new psychiatric diagnosis for Residents #3 and #26. |
| Failed to maintain proper fingernail hygiene for Resident #52. |
| Failed to ensure Resident #1's abnormal laboratory results were addressed. |
| Failed to complete a yearly performance review for Nurse Aide #3. |
| Failed to appropriately store and reconcile a discontinued controlled substance (Lorazepam). |
| Failed to ensure dietary department consistently labeled opened dry food with date opened and expiration date. |
Report Facts
Weight loss: 9.2
Dates of audits: 5
Dates of audits: 5
Dates of audits: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Judy Birtwistle | Supervising Nurse Consultant | Named as the contact for response to violations and questions regarding the inspection. |
| NA #3 | Nurse Aide | Failed to complete yearly performance review; date of hire 1/20/23. |
| LPN #1 | Unit Nurse Manager | Interviewed regarding failure to notify physician of weight loss and fingernail care issues. |
| APRN #1 | Advanced Practice Registered Nurse | Interviewed regarding weight loss notification and fingernail infection. |
| DNS | Director of Nurses | Interviewed regarding lab orders, medication storage, and overall responsibility for compliance. |
| Social Worker #1 | Director of Social Services | Interviewed regarding PASARR notifications and psychiatric diagnosis reporting. |
| Social Worker #2 | Interviewed regarding review of psychiatric progress notes. | |
| Food Service Director | Interviewed regarding dietary department labeling and food storage. |
Inspection Report
Renewal
Census: 113
Capacity: 120
Deficiencies: 0
May 28, 2024
Visit Reason
The inspection was conducted as a renewal licensing inspection and included review of complaint investigations.
Findings
Violations of the General Statutes of Connecticut and/or regulations were identified during the inspection. Multiple complaint investigations were also reviewed as part of this inspection.
Complaint Details
Complaint investigations reviewed include #33247, 35965, 36931, and 39271.
Report Facts
Licensed Bed Capacity: 120
Census: 113
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joanne Jinete | Administrator | Personnel contacted during inspection |
| Scott Kegley | ADNS | Personnel contacted during inspection |
Inspection Report
Follow-Up
Census: 117
Capacity: 120
Deficiencies: 0
Apr 22, 2022
Visit Reason
Revisit for the purpose of reviewing the Plan of Correction (POC) for the violation letter dated 03/15/2022.
Findings
No violations of the Public Health Code of the State of Connecticut and/or Regulations of Connecticut State Agencies were identified at the time of this inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Evelyn DeJesus | DNS | Personnel contacted during inspection on 04/22/2022 at 1:00 p.m. |
| James Tan | RN, Nurse Consultant | Report submitted by |
Inspection Report
Complaint Investigation
Census: 110
Capacity: 120
Deficiencies: 1
Jun 9, 2021
Visit Reason
The inspection visit was conducted as a complaint investigation related to Complaint Investigation #30210.
Findings
Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified during the inspection. The report includes details of a resident's discharge against medical advice and failure to properly document conservatorship status in clinical records.
Complaint Details
Complaint Investigation #30210 was substantiated with violations identified. The complaint involved Resident #1 signing out Against Medical Advice (AMA) without proper involvement of the Conservator, and failure to notify police prior to discharge. The facility also failed to clarify and document the conservatorship status in the clinical record.
Deficiencies (1)
| Description |
|---|
| Failure to include legal documentation clarifying the status of Resident #1's Conservatorship in the clinical record. |
Report Facts
Licensed Bed Capacity: 120
Census: 110
Complaint Number: 30210
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joanne Jinete | Administrator | Named as personnel contacted during the inspection and involved in findings. |
| Marie Hudak | DNS | Named as personnel contacted during the inspection and involved in findings. |
| Judy Birtwistle | Supervising Nurse Consultant | Signed the notice letter regarding violations and complaint. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Jun 9, 2021
Visit Reason
An unannounced visit was made to Milford Health Care Center Inc on June 9, 2021, by the Department of Public Health for the purpose of conducting an investigation related to complaint #30210.
Findings
The investigation identified violations of Connecticut State regulations, including failure to include legal documentation clarifying the status of a resident's conservatorship in the clinical record. The resident signed out Against Medical Advice (AMA) without proper authorization, and the facility failed to prevent the discharge without notifying the conservator or police in a timely manner.
Complaint Details
Complaint #30210 triggered the investigation. The complaint involved Resident #1 signing out AMA with a spouse who was not the appointed conservator. The facility failed to clarify conservatorship status and did not notify the conservator or police promptly. Protective services and other authorities were notified after the event.
Deficiencies (1)
| Description |
|---|
| Failure to include legal documentation in the clinical record clarifying the status of Resident #1's conservatorship (person, estate, or both). |
Report Facts
Complaint number: 30210
Plan of correction submission deadline: Plan of correction to be submitted by July 2, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Judy Birtwistle | Supervising Nurse Consultant | Signed the notice letter related to the complaint investigation |
Inspection Report
Abbreviated Survey
Census: 103
Capacity: 120
Deficiencies: 0
May 27, 2020
Visit Reason
A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.
Findings
The survey found the facility compliant with no deficiencies cited related to COVID-19 infection prevention and control practices.
Report Facts
Capacity: 120
Census: 103
Inspection Report
Abbreviated Survey
Census: 92
Capacity: 120
Deficiencies: 0
May 19, 2020
Visit Reason
A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.
Findings
The survey found no deficiencies related to infection prevention and control practices for COVID-19 at Milford Health Care Center.
Report Facts
Capacity: 120
Census: 92
Inspection Report
Abbreviated Survey
Deficiencies: 0
May 10, 2020
Visit Reason
A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.
Findings
The survey found the facility compliant with the requirements, and no deficiencies were cited as a result of this COVID-19 focused survey.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Apr 22, 2020
Visit Reason
A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.
Findings
No deficiencies were cited as a result of this COVID-19 focused survey conducted on April 22, 2020 at Milford Health Care Center.
Inspection Report
Plan of Correction
Deficiencies: 1
Jan 8, 2020
Visit Reason
An unannounced visit was made to Milford Health Care Center Inc on January 8, 2020, by the Department of Public Health for the purpose of conducting an investigation related to a violation of state regulations.
Findings
The facility failed to ensure that the responsible party was notified once a medication was discontinued for Resident #1. The findings included documentation and interviews showing that the Percocet medication was discontinued without proper notification to the resident's family member, despite the resident having chronic pain and a history of medication orders.
Deficiencies (1)
| Description |
|---|
| Failure to notify responsible party once a medication was discontinued for Resident #1. |
Report Facts
Residents reviewed for change of condition: 3
Dates of physician orders: Nov 6, 2019
Dates of care plan: Dec 2, 2019
Dates of APRN progress notes: Dec 2, 2019
Dates of APRN progress notes: Dec 10, 2019
Interview dates: Jan 3, 2020
Interview dates: Jan 7, 2020
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joanne Jinete | Administrator | Addressee of the notice and plan of correction |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Identified as charge nurse who took the order to discontinue Percocet and attempted to notify Person #1 |
| Director of Nurses | Director of Nurses | Interviewed on January 7, 2020, regarding notification of medication changes |
| Advanced Practice Registered Nurse #1 | APRN | Interviewed regarding medication changes and resident pain management |
Inspection Report
Plan of Correction
Deficiencies: 3
Jul 11, 2019
Visit Reason
Unannounced visits were made to Milford Health Care Center Inc for the purpose of conducting an investigation, a licensure renewal inspection, and a certification survey.
Findings
The report identifies multiple violations related to failure to notify resident representatives of condition changes, unnecessary medication administration, and inadequate infection control practices. Plans of correction include staff in-service training, audits, and policy reviews to address these deficiencies.
Complaint Details
Complaint #24011 triggered the investigation and inspection.
Deficiencies (3)
| Description |
|---|
| Failure to notify resident representative of condition change and treatment for Resident #101. |
| Failure to ensure resident was free from unnecessary medication when a Nicotine patch was applied without indication for Resident #410. |
| Failure to ensure appropriate infection control practices during dressing change for Resident #30. |
Report Facts
Plan of correction submission deadline: Aug 3, 2019
Resident count reviewed: 1
Resident count reviewed: 5
Resident count reviewed: 3
Frequency of audits: 5
Audit review frequency: 1
Audit randomization frequency: 3
Dressing change frequency: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Norma Schuberth | Supervising Nurse Consultant | Signed letter regarding plan of correction and complaint #24011. |
| Joanne Jinete | Administrator | Named as recipient of the notice and involved in the inspection. |
Inspection Report
Renewal
Census: 114
Capacity: 120
Deficiencies: 0
May 2, 2018
Visit Reason
The inspection was conducted as a licensing renewal inspection and included review of complaint investigations numbered 22905, 22112, 29260, and 29222.
Findings
The report indicates that the inspection included licensing renewal and complaint investigation reviews. No violations or citations were explicitly noted in this summary page.
Complaint Details
Complaint investigations referenced by numbers 22905, 22112, 29260, and 29222 were reviewed during the inspection.
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