GARDENS AT MILLVILLE, THE

Columbia · PA · For profit - Corporation · PRIORITY HEALTHCARE GROUP chain · 110 certified beds · CCN 395872 · MAYBROOK-P MILLVILLE OPCO LLC


GARDENS AT MILLVILLE, THE operates 110 certified beds in MILLVILLE, Pennsylvania. Its Medicare and Medicaid certification dates to 1992-04-01. It averages 101.6 residents a day.

What harm was found in the violations cited at GARDENS AT MILLVILLE, THE?

CMS lists 48 health-inspection deficiencies for GARDENS AT MILLVILLE, THE, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-06-09.

Survey dateTagDeficiencySeverity
2026-06-09F0802, F0812Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-12-05F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-12-05F0605, F0641, F0684, F0699, F0761, F0926Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Ensure each resident receives an accurate assessment. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide care or services that was trauma informed and/or culturally competent. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Have policies on smoking.D
2025-10-15F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-10-15F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2025-02-14F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-02-14F0677, F0679, F0804, F0838, F0880Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. / Provide and implement an infection prevention and control program.E
2025-02-14F0600, F0692, F0810Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide enough food/fluids to maintain a resident's health. / Provide special eating equipment and utensils for residents who need them and appropriate assistance.D
2024-08-27F0584Honor 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.E
2024-05-21F0584, F0600, F0689Honor 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2024-05-21F0554, F0880Allow residents to self-administer drugs if determined clinically appropriate. / Provide and implement an infection prevention and control program.D
2024-04-12F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K
2024-04-12F0812, F0880Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.F
2024-04-12F0584, F0688, F0755, F0806, F0835, F0838Honor 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. / 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.E
2024-04-12F0610, F0655, F0744, F0757, F0761, F0867, F0881Respond appropriately to all alleged violations. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Implement a program that monitors antibiotic use.D
2024-02-15F0584, F0602, F0925Honor 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. / Protect each resident from the wrongful use of the resident's belongings or money. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E
2024-01-12F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E
2024-01-12F0605, F0656Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D

Why was GARDENS AT MILLVILLE, THE fined?

DateTypeAmount
2024-01-12Fine$25,275

Has GARDENS AT MILLVILLE, THE had payment denied by Medicare?

Payment denial startLength in days
2024-05-1042

How is GARDENS AT MILLVILLE, THE staffed relative to the PA average?

MeasureThis facilityPA average
Total nurse staffing hours per resident per day3.233933.88823
Total nursing staff turnover (%)42.544.5
Average number of residents per day101.6104.6

Who owns GARDENS AT MILLVILLE, THE, and what chain is it in?

GARDENS AT MILLVILLE, THE is registered with CMS as For profit - Corporation, operates under the legal business name MAYBROOK-P MILLVILLE OPCO LLC and belongs to the PRIORITY HEALTHCARE GROUP chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTMAYBROOK-P OPCO HOLDINGS LLCsince 08/15/2016
5% OR GREATER INDIRECT OWNERSHIP INTERESTBL CAPITAL GROUP HOLDINGS LLC, FAIR OAKS FAMILY HOLDINGS LLC, SAMARA HOLDINGS COMPANY LLC, STRAWBERRY HILL HOLDINGS LLC, SEBBAG, GABRIELsince 01/28/2020
OPERATIONAL/MANAGERIAL CONTROLCLINICAL CONSULTING SERVICES LLC, PRIORITY CARE GROUP LLC, SUMMATION FINANCIAL SERVICES LLC, PEARLSTEIN, ROBERT, URBAN, VINCENTsince 01/01/2019
ADP OF THE SNFCLINICAL CONSULTING SERVICES LLC, MAYBROOK-P MILLVILLE PROPCO LLC, SUMMATION FINANCIAL SERVICES LLC, PEARLSTEIN, ROBERT, URBAN, VINCENTsince 04/06/2025

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