Milford Center

700 Marvel Road · Milford, DE · 19963 · 3024223303

136 certified beds For profit - Corporation Chain: Genesis Healthcare

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $119,204 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

$119,204 in federal fines in the last 24 months

2 fines — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 30
Serious harm & abuse 20% 52
Staffing 20% 75
Federal penalties 15% 31
Trend 10% 90
Context 5% 100

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: 3 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.833.48 min · 4.1 strong
RN hours / resident-day0.820.55–0.75
Weekend hours / resident-day3.44≈ weekday level
Nursing turnover / year51%median 45%
Fines (3-yr window)3 · $176,862

Inspection citations (67 in the current record)

  • Potential for harm · D December 3, 2025 · found via complaint

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected January 19, 2026 · Resident Rights

  • Potential for harm · D December 3, 2025 · found via complaint

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

    Corrected January 19, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 3, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected January 19, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D November 17, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 5, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 17, 2025

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

    Corrected December 5, 2025 · Quality of Life and Care

  • Potential for harm · D November 17, 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 December 5, 2025 · Quality of Life and Care

  • Potential for harm · D November 17, 2025

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected December 5, 2025 · Quality of Life and Care

  • Potential for harm · E November 17, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected December 5, 2025 · Quality of Life and Care

  • Potential for harm · D November 17, 2025

    Provide or obtain dental services for each resident.

    Corrected December 5, 2025 · Quality of Life and Care

  • Potential for harm · D November 17, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected December 5, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E November 17, 2025 · found via complaint

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

    Corrected December 5, 2025 · Nutrition and Dietary

  • Immediate jeopardy · J June 26, 2025 · found via complaint

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

    Corrected June 17, 2025 · Quality of Life and Care

  • Actual harm · G November 25, 2024 · found via complaint

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

    Corrected January 9, 2025 · Quality of Life and Care

  • Actual harm · G November 25, 2024 · found via complaint

    Provide enough food/fluids to maintain a resident's health.

    Corrected January 9, 2025 · Quality of Life and Care

  • Potential for harm · E November 25, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected January 9, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 25, 2024 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected January 9, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 25, 2024

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected January 9, 2025 · Resident Rights

  • Potential for harm · D November 25, 2024

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected January 9, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E November 25, 2024

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

    Corrected January 9, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 25, 2024

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected January 9, 2025 · Pharmacy Service

  • Potential for harm · D November 25, 2024

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

    Corrected January 9, 2025 · Administration

  • Potential for harm · D November 25, 2024

    Provide or obtain dental services for each resident.

    Corrected January 9, 2025 · Quality of Life and Care

  • Potential for harm · F November 25, 2024

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

    Corrected January 9, 2025 · Nutrition and Dietary

  • Potential for harm · D November 25, 2024 · found via complaint

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected January 9, 2025 · Resident Rights

  • Potential for harm · D November 25, 2024 · found via complaint

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

    Corrected January 9, 2025 · Freedom from Abuse, Neglect, and Exploitation

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

Federal penalties

DateTypeAmount / length
June 26, 2025Fine$14,508
November 25, 2024Fine$104,696
February 27, 2024Fine$57,658

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 085010 · certified since May 30, 1969. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.