Milan Health Care Center

52435 Infirmary Road · Milan, MO · 63556 · 6602654032

100 certified beds For profit - Corporation Chain: Reliant Care Management

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Staffing levels are well below research benchmarks for safe care.
  • Inspection results have improved across recent cycles.

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Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

RN staffing in the bottom 10% nationally

0.14 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Total nurse staffing below 3.0 hours per resident-day

1.80 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 29
Serious harm & abuse 20% 58
Staffing 20% 29
Federal penalties 15% 65
Trend 10% 79
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day1.803.48 min · 4.1 strong
RN hours / resident-day0.140.55–0.75
Weekend hours / resident-day1.81≈ weekday level
Nursing turnover / year53%median 45%
Fines (3-yr window)1 · $49,897

Inspection citations (45 in the current record)

  • Actual harm · G October 30, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E July 10, 2025 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected July 28, 2025 · Nursing and Physician Services

  • Potential for harm · F July 10, 2025 · found via complaint

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected July 28, 2025 · Nursing and Physician Services

  • Potential for harm · D May 23, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected June 21, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E May 23, 2025 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected July 28, 2025 · Nursing and Physician Services

  • Potential for harm · F May 23, 2025 · found via complaint

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected July 28, 2025 · Nursing and Physician Services

  • Potential for harm · D March 5, 2025

    Reasonably accommodate the needs and preferences of each resident.

    Corrected April 22, 2025 · Resident Rights

  • Potential for harm · E March 5, 2025

    Assess the resident when there is a significant change in condition

    Corrected April 22, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E March 5, 2025

    Ensure each resident receives an accurate assessment.

    Corrected April 22, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E March 5, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected April 22, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E March 5, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected April 22, 2025 · Quality of Life and Care

  • Potential for harm · D March 5, 2025

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected April 22, 2025 · Quality of Life and Care

  • Potential for harm · E March 5, 2025

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected April 22, 2025 · Nursing and Physician Services

  • Potential for harm · F March 5, 2025

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected April 22, 2025 · Nursing and Physician Services

  • Potential for harm · E March 5, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected April 22, 2025 · Nutrition and Dietary

  • Potential for harm · F March 5, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 22, 2025 · Nutrition and Dietary

  • Potential for harm · E March 5, 2025

    Provide and implement an infection prevention and control program.

    Corrected April 22, 2025 · Infection Control

  • Immediate jeopardy · J January 22, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 20, 2025 · Quality of Life and Care

  • Potential for harm · D October 17, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected November 15, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 17, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected November 15, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 2, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 11, 2024 · Quality of Life and Care

  • Potential for harm · D May 7, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected June 14, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 7, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected June 14, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 28, 2023 · found via complaint

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected December 15, 2023 · Resident Rights

  • Potential for harm · E June 13, 2023

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected July 20, 2023 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
January 22, 2025Fine$49,897

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265238 · certified since May 4, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.