Mill Run Care Center
MILL RUN CARE CENTER in HILLIARD, OH — inspection on September 10, 2025.
Found 18 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Federal health inspectors cited MILL RUN CARE CENTER in HILLIARD, OH for a deficiency under regulatory tag F-F0550 during a standard health inspection conducted on 2025-09-10.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of MILL RUN CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-07.
Federal health inspectors cited MILL RUN CARE CENTER in HILLIARD, OH for a deficiency under regulatory tag F-F0567 during a standard health inspection conducted on 2025-09-10.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to manage his or her financial affairs.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of MILL RUN CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-07.
Federal health inspectors cited MILL RUN CARE CENTER in HILLIARD, OH for a deficiency under regulatory tag F-F0582 during a standard health inspection conducted on 2025-09-10.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of MILL RUN CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-07.
Federal health inspectors cited MILL RUN CARE CENTER in HILLIARD, OH for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-09-10.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of MILL RUN CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-07.
Federal health inspectors cited MILL RUN CARE CENTER in HILLIARD, OH for a deficiency under regulatory tag F-F0655 during a standard health inspection conducted on 2025-09-10.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of MILL RUN CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-07.
Federal health inspectors cited MILL RUN CARE CENTER in HILLIARD, OH for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-09-10.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of MILL RUN CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-07.
Federal health inspectors cited MILL RUN CARE CENTER in HILLIARD, OH for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2025-09-10.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of MILL RUN CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-07.
Federal health inspectors cited MILL RUN CARE CENTER in HILLIARD, OH for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-09-10.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Scope/Severity Level G: isolated, actual harm that is not immediate jeopardy.
Actual harm to residents was documented as a result of this deficiency.
This was one of 18 deficiencies cited during this inspection of MILL RUN CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-07.
Federal health inspectors cited MILL RUN CARE CENTER in HILLIARD, OH for a deficiency under regulatory tag F-F0686 during a standard health inspection conducted on 2025-09-10.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Scope/Severity Level G: isolated, actual harm that is not immediate jeopardy.
Actual harm to residents was documented as a result of this deficiency.
This was one of 18 deficiencies cited during this inspection of MILL RUN CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-07.
Federal health inspectors cited MILL RUN CARE CENTER in HILLIARD, OH for a deficiency under regulatory tag F-F0692 during a standard health inspection conducted on 2025-09-10.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide enough food/fluids to maintain a resident's health.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of MILL RUN CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-07.
Federal health inspectors cited MILL RUN CARE CENTER in HILLIARD, OH for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-09-10.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of MILL RUN CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-07.
Federal health inspectors cited MILL RUN CARE CENTER in HILLIARD, OH for a deficiency under regulatory tag F-F0697 during a standard health inspection conducted on 2025-09-10.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe, appropriate pain management for a resident who requires such services.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of MILL RUN CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-07.
Federal health inspectors cited MILL RUN CARE CENTER in HILLIARD, OH for a deficiency under regulatory tag F-F0756 during a standard health inspection conducted on 2025-09-10.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of MILL RUN CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-07.
Based on record review and interview the facility failed to ensure a resident was free from significant medication errors when an accurate medication reconciliation was not conducted upon the resident's return to the facility from the hospital.
This affected one (Resident #69) out of three residents reviewed for facility admissions.
The facility census was 53.
Findings Include:
Review of the medical record for Resident #69 revealed an admission date of 07/10/25, a readmission date of 08/12/25 and a discharge home date of 08/19/25.
Diagnoses included metabolic encephalopathy, acute kidney failure, heart disease, chronic diastolic heart failure (CHF), major depressive disorder and paroxysmal atrial fibrillation.
Review of the discharge Minimum Data Set (MDS) 3.0 assessment completed 08/19/25 revealed Resident #69 is cognitively intact, has active diagnoses of CHF and is receiving anticoagulant therapy.
Review of the after-visit summary for the hospital stay from 08/08/25 through 08/12/25 revealed the medication list included an order for Eliquis (anticoagulant medication) 5 mg, one tablet by mouth twice daily, with the last administration documented on 08/12/25 at 8:41 A.M.
Review of the care plan dated 08/13/25 revealed Resident #69 has altered cardiovascular status related to chronic heart failure, hypertension, atrial fibrillation and coronary artery disease.
Interventions include administering medications per physician orders, monitoring for chest pain and obtaining vital signs as needed.
Review of the physician order dated 08/15/25 at 7:01 P.M. revealed a phone order was received for Eliquis 5 mg, one tablet by mouth twice daily for atrial fibrillation.
Review of the Medication Administration Record (MAR) revealed Eliquis 5 mg by mouth twice daily for atrial fibrillation was initiated and given on 08/15/25 at 9:00 P.M.Interview on 09/04/25 at 4:16 P.M. with the Director of Nursing (DON) revealed nursing staff did not complete a thorough and accurate medication reconciliation upon the resident's readmission. As a result, Eliquis was not included in the physician orders.
The DON confirmed Eliquis was not ordered until 08/15/25, three days after the resident's return to the facility.This deficiency represents non-compliance investigated under Complaint Number
- Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
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Facility ID:
Federal health inspectors cited MILL RUN CARE CENTER in HILLIARD, OH for a deficiency under regulatory tag F-F0791 during a standard health inspection conducted on 2025-09-10.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide or obtain dental services for each resident.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of MILL RUN CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-07.
Federal health inspectors cited MILL RUN CARE CENTER in HILLIARD, OH for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-09-10.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of MILL RUN CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-07.
Federal health inspectors cited MILL RUN CARE CENTER in HILLIARD, OH for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-09-10.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of MILL RUN CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-07.
Federal health inspectors cited MILL RUN CARE CENTER in HILLIARD, OH for a deficiency under regulatory tag F-F0948 during a standard health inspection conducted on 2025-09-10.
Category: Nursing and Physician Services Deficiencies
The facility was found deficient in the following area: Ensure that paid feeding assistants have the training they need.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 18 deficiencies cited during this inspection of MILL RUN CARE CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-07.