Vista Care Center of Milan

185 S Main St · Milan, OH · 44846 · 4194992576

90 certified beds For profit - Corporation Chain: Continuing Healthcare Solutions

Why this verdict

  • Carries CMS’s abuse warning icon.
  • 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).
  • Inspection results are getting worse cycle over cycle, not better.

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 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.

Total nurse staffing below 3.0 hours per resident-day

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

Score breakdown

Inspection record 30% of score 34
Serious harm & abuse 20% 44
Staffing 20% 46
Federal penalties 15% 75
Trend 10% 19
Context 5% 75

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

CMS ratings & staffing

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

Total nurse hours / resident-day2.683.48 min · 4.1 strong
RN hours / resident-day0.400.55–0.75
Weekend hours / resident-day2.34≈ weekday level
Nursing turnover / year53%median 45%
Fines (3-yr window)1 · $12,834

Inspection citations (33 in the current record)

  • Potential for harm · E September 9, 2025 · found via complaint

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

    Corrected September 25, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E September 9, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected September 25, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E September 9, 2025 · found via complaint

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

    Corrected September 25, 2025 · Quality of Life and Care

  • Potential for harm · E September 9, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected September 25, 2025 · Pharmacy Service

  • Potential for harm · D March 12, 2025 · found via complaint

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

    Corrected April 4, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 12, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected April 4, 2025 · Pharmacy Service

  • Immediate jeopardy · J October 17, 2024 · found via complaint

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

    Corrected September 27, 2024 · Quality of Life and Care

  • Actual harm · G October 17, 2024 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected November 1, 2024 · Quality of Life and Care

  • Potential for harm · D October 17, 2024

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

    Corrected November 1, 2024 · Resident Rights

  • Potential for harm · E October 17, 2024

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected November 1, 2024 · Resident Rights

  • Potential for harm · D October 17, 2024

    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

    Corrected November 1, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 17, 2024

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

    Corrected November 1, 2024 · Resident Assessment and Care Planning

  • Potential for harm · F October 17, 2024

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected November 1, 2024 · Nutrition and Dietary

  • Potential for harm · D October 17, 2024

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected November 1, 2024 · Nutrition and Dietary

  • Potential for harm · F October 17, 2024

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

    Corrected November 1, 2024 · Nutrition and Dietary

  • Potential for harm · F October 17, 2024

    Provide and implement an infection prevention and control program.

    Corrected November 1, 2024 · Infection Control

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected November 1, 2024 · Resident Rights

  • 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 1, 2024 · Freedom from Abuse, Neglect, and Exploitation

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected November 1, 2024 · Pharmacy Service

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

    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 November 1, 2024 · Pharmacy Service

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

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    Corrected November 1, 2024 · Nutrition and Dietary

  • Potential for harm · D October 17, 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 November 1, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 14, 2023 · found via complaint

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

    Corrected December 5, 2023 · Resident Rights

  • Potential for harm · D November 14, 2023 · found via complaint

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

    Corrected December 5, 2023 · Quality of Life and Care

  • Potential for harm · E August 1, 2023 · found via complaint

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected August 22, 2023 · Resident Rights

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

Federal penalties

DateTypeAmount / length
October 17, 2024Fine$12,834

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 366067 · certified since July 15, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.