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The Milton Home
Nursing Home, Assisted Living, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · South Bend, IN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Outdoor pergola with seating area and landscaping Staff and resident enjoying a meal outdoors Resident and staff member sharing a warm moment

The Milton Home

Nursing Home, Assisted Living, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · South Bend, IN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
206 E Marion St, South Bend, IN 46601 View map Calculator: See prices in your area
The Milton Home accepts Medicaid, Medicare, and private pay.
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The Milton Home accepts Medicaid, Medicare, and private pay.

Overview of The Milton Home

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The Milton Home is a 62-bed nursing facility located at 206 E Marion Street in South Bend, Indiana, overlooking the St. Joseph River. Operated under Pulaski Memorial Hospital and led by administrator Hemmington Mwanza and Nursing Director Andrea Budzien, the community accepts Medicare, Medicaid, and private pay options.

The clinical staffing structure delivers an average of 5 hours of total daily nursing care per resident, which includes 54 minutes from registered nurses, 54 minutes from licensed nurses, and 2 hours and 27 minutes from certified nursing assistants. This team supports the facility’s skilled nursing, short-term rehabilitation, and respite care programs, with medical oversight provided by an on-staff physician. On-site amenities consist of a beauty salon, a resident library, flat-screen televisions, Wi-Fi, housekeeping, and laundry services.

The dining program focuses on fresh ingredients, and daily activities include exercise classes, gardening, arts, and community outings. Because the neighborhood carries a walkability score of 81 out of 100, the local area is highly accessible on foot. State records indicate that the facility’s citations-per-inspection rate is zero. Interested individuals can reach out to the admissions department to check on current room openings, discuss specific dietary plans, or schedule a tour of the riverside campus.

Facility Direct Line (574) 233-0165
Facility Direct Line (574) 233-0165
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▲ 62.1% Above IN avg. ▲ 62.1% Above IN avg.IN average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 42.5% Above IN avg. ▲ 42.5% Above IN avg.IN average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▲ 62.7% Above IN avg. ▲ 62.7% Above IN avg.IN average: 2.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▲ 22.3% Above IN avg. ▲ 22.3% Above IN avg.IN average: 4.1Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours 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 vs Indiana averages

Rank #42 / 275Nurse hours — State benchmarkedThis home is ranked 42nd out of 275 homes we track in Indiana for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Indiana average, with a ranking across 275 Indiana facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 42nd out of 275 homes we track in Indiana for nurse hours. 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.

4h 8m

20% above state avg
Staff type
Hours / day / resident
vs 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.
57m
+43% State avg: 40m 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.
1h 5m
+41% State avg: 46m 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 6m
−8% State avg: 2h 16m per day · National avg: 2h 21m per day
Weekend Total Nursing 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 27m
+7% State avg: 3h 14m 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.
1m
−66% State avg: 4m per day · National avg: 4m per day
Weekend RN 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.
35m
+29% State avg: 27m per day · National avg: 29m per day

2 of 6 metrics below state avg

Standout metric: Registered Nurse (RN) is +43% above Indiana average

By The Numbers

Community insights.

Bed count Info A moderately sized community that may balance personal attention with shared amenities and social activities. 62 Rank #367 / 431Bed count — State benchmarkedThis home is ranked 367th out of 431 homes we track in Indiana for bed count. Shows this facility's certified or reported bed count compared to other Indiana facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking. 62-bed community

Smaller home · May offer a more intimate, personalized care environment.

Years of operating Info A newer community that may feature more recent facilities and programs. Rank #156 / 417Years in operation — State benchmarkedThis home is ranked 156th out of 417 homes we track in Indiana for years in operation. Shows how long this facility has been in operation compared to other Indiana facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
1 year
Walk Score Info Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk. Rank #15 / 551Walk Score — State benchmarkedThis home is ranked 15th out of 551 homes we track in Indiana for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Indiana facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
81 / 100
Occupancy rate Info Occupancy lower than 85% suggests more openings may be available. Rank #384 / 410Occupancy rate — State benchmarkedThis home is ranked 384th out of 410 homes we track in Indiana for occupancy. Shows this facility's occupancy rate versus the Indiana average, with its Statewide rank out of 410. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
40% This home usually has availability 40%
Lower than the Indiana average: 68.1%
Occupied beds
25 / 62
Average occupied beds in Indiana homes 70 beds
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
160 days

About this community

License Details

Facility TypeNursing Home / Skilled Nursing Facility / Nursing Facility Dually Certified
StatusActive
IssuanceDecember 1, 2024
ExpirationNovember 30, 2026
License Number24-001141-1
CMS Certification Number155738

Ownership & Operating Entity

The Milton Home is legally operated by Pulaski Memorial Hospital, and administered by Hemmington Mwanza.

Type Of Units

SNF/NF (Combined)
34 units
Residential
28 units
Total beds
62 units

Staffing

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

Leadership

Medical DirectorSusan Moore
Director of NursingAndrea Budzien

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
Doctor on Staff

Additional Services

2 services
Short-Term Rehabilitation
Skilled Nursing Care

Contact Information

Fax(574) 237-9818

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Salon
Cable Tv
Wi-Fi
Dining
Housekeeping
Laundry
Library
River View
ActivitiesActivities include games, entertainment, community outings, religious services, outdoor events, gardening, exercise classes, and arts & crafts

Contact The Milton Home

Inspection History

In Indiana, the Department of Health, Division of Long Term Care is the primary regulatory body that performs onsite inspections and quality of care reviews for all licensed facilities.

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Indiana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Overall vs. IN average 4 Worse Metrics worse than Indiana average:
• Total deficiencies (130% above)
• Deficiencies per inspection (179% above)
• Inspections with deficiencies (43% above)
• Inspection deficiency rate (57% above) 2 At Avg Metrics at Indiana average:
• Total complaints (at IN avg)
• Complaints per year (at IN avg) 0 Better No metrics in this bucket.

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityIN Averagevs. IN Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 7633 This facility has 130% more total deficiencies than a typical Indiana nursing home (76 vs. IN avg 33).↑ 130% worse Rank #299 / 318 Total deficiencies — State benchmarked This home is ranked 299th out of 318 homes we track in Indiana for deficiencies. Shows this facility's deficiencies compared to the Indiana average among 318 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Deficiencies per inspection Info Average deficiencies per inspection. 6.92.47 This facility has 179% more deficiencies per inspection than a typical Indiana nursing home (6.9 vs. IN avg 2.47).↑ 179% worse Rank #294 / 309 Deficiencies per inspection — State benchmarked This home is ranked 294th out of 309 homes we track in Indiana for deficiencies per inspection. Shows this facility's deficiencies per inspection compared to the Indiana average among 309 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityIN Averagevs. IN Avg
Total visits Info Combined count of all on-site visits — routine inspections, complaint visits, follow-ups, and other focused visits. 1119 This facility has had 42% fewer total visits than the Indiana average (11 vs. IN avg 19). More inspections can mean more regulatory scrutiny rather than worse care.↓ 42% fewer
Inspections with deficiencies Info Inspections that resulted in at least one regulatory deficiency. 107 This facility has 43% more inspections with deficiencies than a typical Indiana nursing home (10 vs. IN avg 7).↑ 43% worse
Inspection deficiency rate Info Percentage of inspections that resulted in at least one deficiency. 91%58% This facility has 33 percentage points higher inspection deficiency rate than a typical Indiana nursing home (91% vs. IN avg 58%).↑ 33% worse
Inspections Info Routine, scheduled inspections conducted by state regulators. 1113 This facility has had 15% fewer inspections than the Indiana average (11 vs. IN avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↓ 15% fewer

Complaints & Investigations Info Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

This FacilityIN Averagevs. IN Avg
Total complaints Info Formal expressions of concern made by residents, families, or staff. 55 This facility has total complaints in line with the Indiana average (5 vs. IN avg 5).— At avg Rank #169 / 290 Total complaints — State benchmarked This home is ranked 169th out of 290 homes we track in Indiana for total complaints. Shows this facility's total complaints compared to the Indiana average among 290 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Complaints per year Info Average complaints per year since 2022. 1.31.3 This facility has complaints per year in line with the Indiana average (1.3 vs. IN avg 1.3).— At avg
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2022 · 4 years of data
Total health inspections 6

Indiana average 6

Last Health inspection on Nov 2025

Total health citations
25 Rank #155 / 278Health citations — State benchmarkedThis home is ranked 155th out of 278 homes we track in Indiana for health citations. Shows this facility's total health deficiency citations benchmarked to the Indiana State average, with a ranking across all 278 IN facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Indiana average 25

Citations per inspection
4.17 Rank #165 / 278Citations per inspection — State benchmarkedThis home is ranked 165th out of 278 homes we track in Indiana for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Indiana mean across 278 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Indiana average 4.12

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

21 of 25 citations resulted from standard inspections; and 4 of 25 resulted from complaint investigations.

Breakdown of citation severity (last 4 years)
Critical health citations
0
100% better than Indiana average

Indiana average: 0.2

Serious health citations
0
100% better than Indiana average

Indiana average: 0.6

0 critical citations Indiana average: 0.2
0 serious citations Indiana average: 0.6
25 moderate citations Indiana average: 23.8
0 minor citations Indiana average: 0.4
Citations history (last 4 years)
Quality of Care moderate citation Nov 07, 2025
Infection Control moderate citation Oct 18, 2024
Corrected
Nutrition moderate citation Oct 18, 2024
Corrected
Pharmacy moderate citation Oct 18, 2024
Corrected

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 72
Employees 63
Contractors 9
Staff to resident ratio 1.64 : 1
1636264% more staff per resident than Indiana average
Indiana average ratio: 0.00 : 1 Indiana average ratio: 0.00 : 1See full Indiana ranking
Avg staff/day 25
Average shift 6.6 hours
14% worse than Indiana average
Indiana average: 7.7 hours Indiana average shift: 7.7 hoursSee full Indiana ranking
Total staff hours (quarter) 15,107

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 8 RN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 17 total: 15 full-time employees and 2 contractors. 17
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 23 total: 22 full-time employees and 1 contractor. 23
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.3 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

5.4%

817 contractor hours this quarter

Licensed Practical Nurse: 2 Respiratory Therapy Technician: 2 Medication Aide/Technician: 1 Certified Nursing Assistant: 1 Speech Language Pathologist: 1 Physical Therapy Assistant: 1 Qualified Social Worker: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant221235,48292100%6.3
Licensed Practical Nurse152172,59992100%6.8
Registered Nurse8081,4799199%6.6
Other Dietary Services Staff20298592100%7.4
Medication Aide/Technician5167998390%5.8
RN Director of Nursing3036706065%7.3
Clinical Nurse Specialist3035234549%7.3
Dietitian1015125054%10.2
Occupational Therapy Aide1014886166%8
Administrator1014356470%6.8
Speech Language Pathologist0114336470%6.8
Nurse Practitioner1012794145%6.8
Qualified Social Worker0111413639%3.9
Respiratory Therapy Technician0221184852%2.5
Physical Therapy Assistant0111003841%2.6
Mental Health Service Worker1016489%8
23 Certified Nursing Assistant
% of Days 100%
17 Licensed Practical Nurse
% of Days 100%
8 Registered Nurse
% of Days 99%
2 Other Dietary Services Staff
% of Days 100%
View All Staffing Data in South Bend

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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. 6.9
13% better than Indiana average

Indiana average: 8.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 19.7
16% worse than Indiana average

Indiana average: 17.1

Long-stay resident measures
Significantly above average Indiana avg: 4.1 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 15.2%
26% worse than Indiana average

Indiana average: 12.0%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 24.3%
In line with Indiana average

Indiana average: 24.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.3%
41% better than Indiana average

Indiana average: 3.9%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.4%
67% better than Indiana average

Indiana average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Indiana average

Indiana average: 1.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 8.9%
56% worse than Indiana average

Indiana average: 5.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 23.2%
In line with Indiana average

Indiana average: 24.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 3.9%
69% better than Indiana average

Indiana average: 12.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.6%
In line with Indiana average

Indiana average: 93.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than Indiana average

Indiana average: 95.4%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 67.1%
18% worse than Indiana average

Indiana average: 81.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Indiana average

Indiana average: 1.4%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

16% of new residents, usually for short-term rehab.

Typical stay 5 - 6 months

Private pay

5% of new residents, often for short stays.

Typical stay 43 - 44 years

Medicaid

79% of new residents, often for long-term daily care.

Typical stay 2 - 3 years

Facility Characteristics

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

Total residents 44
Medicaid
19
43.2% of residents
Private pay or other
25
56.8% of residents
Programs & Services
Residents Group

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

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.4M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.9M
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.4M Rank #260 / 268Net patient revenue — State benchmarkedThis home is ranked 260th out of 268 homes we track in Indiana. Shows this facility's net patient revenue compared to the Indiana average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.9M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$2.0M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #248 / 268Payroll costs — State benchmarkedThis home is ranked 248th out of 268 homes we track in Indiana. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Indiana average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$2.3M 67.4% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #17 / 268Payroll % of net patient revenue — State benchmarkedThis home is ranked 17th out of 268 homes we track in Indiana. Shows payroll as a percentage of net patient revenue versus the Indiana average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Indiana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.0M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$5.3M
How we calculate these figures

This home is administered by Hemmington Mwanza.

This home is owned by Milton Home Nursing Home And Rehabilitation

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 155738

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (79% of admissions), and a typical Medicaid stay runs around 2 - 3 years.

Admissions
9 total

Coverage residents most often arrive under.

Medicare 16%
Private pay 5%
Medicaid 79%
Discharges
61 total

Coverage residents most often leave under.

Medicare 11%
Private pay 28%
Medicaid 61%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near The Milton Home

Address 0.3 miles from city center Info Estimated distance in miles from South Bend's city center to The Milton Home's address, calculated via Google Maps.

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The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Indiana average is: 51.1% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
The Milton Home ★ ★ ★ ★ ★
NH
AL
HOS
PC
RC
SNF
South Bend
62
Facility 62
IN AVG 116
Rank #367 / 431
40.3%
Facility 40.3%
IN AVG 66.9%
Rank #384 / 410
-40%
4.13
Facility 4.13
IN AVG 3.44
Rank #42 / 275
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ +13%+20%
$0
Facility $0
IN AVG $31.4k
Rank #1 / 278
25
Facility 25
IN AVG 25.0
Rank #155 / 278
4.2
Facility 4.2
IN AVG 4.1
Rank #165 / 278
-25-
81
Facility 81
IN AVG 40
Rank #15 / 551
Milton Home Nursing Home And Rehabilitation
$3.4MFiscal year ending 12/2023
Facility $3.4MFiscal year ending 12/2023
IN AVG $10.5M
Rank #260 / 268
$2.3MFiscal year ending 12/2023
Facility $2.3MFiscal year ending 12/2023
IN AVG $5.2M
Rank #248 / 268
67.4%Fiscal year ending 12/2023
Facility 67.4%Fiscal year ending 12/2023
IN AVG 51.1%
Rank #17 / 268
155738
West Bend Nursing and Rehabilitation ★ ★ ★ ★ ★
NH
HOS
MC
RC
SNF
South Bend
157
Facility 157
IN AVG 116
Rank #75 / 431
41.5%
Facility 41.5%
IN AVG 66.9%
Rank #380 / 410
-38%
3.54
Facility 3.54
IN AVG 3.44
Rank #105 / 275
 ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ -1%+3%
$0
Facility $0
IN AVG $31.4k
Rank #1 / 278
31
Facility 31
IN AVG 25.0
Rank #190 / 278
6.2
Facility 6.2
IN AVG 4.1
Rank #234 / 278
-65-
68
Facility 68
IN AVG 40
Rank #81 / 551
Emily Bailey
$7.2MFiscal year ending 12/2023
Facility $7.2MFiscal year ending 12/2023
IN AVG $10.5M
Rank #188 / 268
$4.5MFiscal year ending 12/2023
Facility $4.5MFiscal year ending 12/2023
IN AVG $5.2M
Rank #139 / 268
62.9%Fiscal year ending 12/2023
Facility 62.9%Fiscal year ending 12/2023
IN AVG 51.1%
Rank #31 / 268
155355
Cardinal Nursing and Rehabilitation ★ ★ ★ ★ ★
NH
HOS
RC
SNF
South Bend
144
Facility 144
IN AVG 116
Rank #102 / 431
46.7%
Facility 46.7%
IN AVG 66.9%
Rank #360 / 410
-30%
3.21
Facility 3.21
IN AVG 3.44
Rank #150 / 275
 ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ★ +46%-7%
$0
Facility $0
IN AVG $31.4k
Rank #1 / 278
19
Facility 19
IN AVG 25.0
Rank #114 / 278
3.8
Facility 3.8
IN AVG 4.1
Rank #133 / 278
267-
75
Facility 75
IN AVG 40
Rank #43 / 551
Kathryn Lape
$7.7MFiscal year ending 12/2023
Facility $7.7MFiscal year ending 12/2023
IN AVG $10.5M
Rank #183 / 268
$4.3MFiscal year ending 12/2023
Facility $4.3MFiscal year ending 12/2023
IN AVG $5.2M
Rank #148 / 268
56.3%Fiscal year ending 12/2023
Facility 56.3%Fiscal year ending 12/2023
IN AVG 51.1%
Rank #66 / 268
155115
Wellbrooke of South Bend ★ ★ ★ ★ ☆
NH
ADC
AL
MC
SNF
South Bend
129
Facility 129
IN AVG 116
Rank #143 / 431
40.3%
Facility 40.3%
IN AVG 66.9%
Rank #384 / 410
-40%
3.72
Facility 3.72
IN AVG 3.44
Rank #82 / 275
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ +2%+8%
$0
Facility $0
IN AVG $31.4k
Rank #1 / 278
15
Facility 15
IN AVG 25.0
Rank #74 / 278
3.8
Facility 3.8
IN AVG 4.1
Rank #133 / 278
152-
44
Facility 44
IN AVG 40
Rank #249 / 551
Rayne Wise
$10.6MFiscal year ending 12/2023
Facility $10.6MFiscal year ending 12/2023
IN AVG $10.5M
Rank #114 / 268
$6.1MFiscal year ending 12/2023
Facility $6.1MFiscal year ending 12/2023
IN AVG $5.2M
Rank #77 / 268
57%Fiscal year ending 12/2023
Facility 57%Fiscal year ending 12/2023
IN AVG 51.1%
Rank #60 / 268
155824
Southfield Village Inc. ★ ★ ★ ☆ ☆
NH
AL
IL
SNF
South Bend
138
Facility 138
IN AVG 116
Rank #115 / 431
34.1%
Facility 34.1%
IN AVG 66.9%
Rank #398 / 410
-49%
3.87
Facility 3.87
IN AVG 3.44
Rank #57 / 275
 ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ +33%+12%
$0
Facility $0
IN AVG $31.4k
Rank #1 / 278
24
Facility 24
IN AVG 25.0
Rank #150 / 278
8.0
Facility 8.0
IN AVG 4.1
Rank #266 / 278
-47-
5
Facility 5
IN AVG 40
Rank #517 / 551
Southfield Village Inc
$9.3MFiscal year ending 12/2023
Facility $9.3MFiscal year ending 12/2023
IN AVG $10.5M
Rank #146 / 268
$4.1MFiscal year ending 12/2023
Facility $4.1MFiscal year ending 12/2023
IN AVG $5.2M
Rank #165 / 268
43.8%Fiscal year ending 12/2023
Facility 43.8%Fiscal year ending 12/2023
IN AVG 51.1%
Rank #198 / 268
155684
Nursing Home Explorer

Financial Assistance for
Nursing Home in Indiana

The Milton Home is located in SOUTH BEND, Indiana.
Here are the financial assistance programs available to residents in Indiana.

Get Financial aid guidance

Aged and Disabled Waiver

Indiana Medicaid A&D Waiver

Age 65+ or disabled
General Indiana 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).
IN

Requires level-of-care determination.

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

CHOICE Program

Indiana CHOICE

Age 60+
General Indiana resident, at risk of nursing home.
Income Limits ~$2,000/month varies
Asset Limits $10,000 individual
IN

Limited funding; regional variation.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Residential Care Assistance Program (RCAP)

Indiana Residential Care Assistance Program

Age 65+
General or blind, or disabled, Indiana resident, in approved facility, low-income or SSI recipient.
Income Limits (2025) ~$1,004/month including SSI
Asset Limits $2,000 (individual), $3,000 (couple).
IN

~50 facilities statewide; per diem rate set by FSSA.

Benefits
Room/board Laundry Minimal care coordination (~$20-$50/day subsidy)

Medicare Savings Program (MSP)

Indiana Medicare Savings Program

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

Three tiers; no waitlist.

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

National Family Caregiver Support Program (NFCSP) Respite

Indiana NFCSP Respite Care

Age —
General Caregivers of 60+ needing care or 55+ caregivers of others; Indiana resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
IN

16 AAAs; prioritizes low-income, rural caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Caregiver training

VA Aid and Attendance (A&A) and Housebound Benefits

Indiana VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Indiana resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
IN

High veteran demand statewide.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Frequently Asked Questions about The Milton Home

Who is the Director of Nursing at The Milton Home?

Andrea Budzien is the Director of Nursing at The Milton Home.

Who is the owner of The Milton Home?

The Milton Home is legally operated by Pulaski Memorial Hospital, and administered by Hemmington Mwanza.

Is The Milton Home in a walkable area?

The Milton Home has a walk score of 81. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of The Milton Home?

According to IN state health department records, The Milton Home's license number is 24-001141-1.

When does The Milton Home's license expire?

According to IN state health department records, The Milton Home's license expires on November 30, 2026.

What is the occupancy rate at The Milton Home?

The Milton Home's occupancy is 40%.

How long has The Milton Home been in business?

The Milton Home has been operating for approximately 1 year, based on available licensing and registration records.

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