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Complaint Investigation

Mill Run Care Center

Inspection Date: September 10, 2025
Total Violations 18
Facility ID 366142
Location HILLIARD, OH
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Inspection Findings

F-Tag F0550

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0567

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0582

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0641

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0655

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0656

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0677

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Actual Harm

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.

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F-Tag F0686

Quality of Life and Care Deficiencies
Harm Level: Actual Harm

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.

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F-Tag F0692

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0695

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0697

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0756

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0760

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0760

Ensure that residents are free from significant medication errors.

Level of Harm - Minimal harm or potential for actual harm

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

  1. 2600930. Residents Affected - Few
  2. 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

    TITLE

    (X6) DATE

    FORM CMS-2567 (02/99) Previous Versions Obsolete

    Facility ID:

    If continuation sheet

    Event ID:

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F-Tag F0791

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0812

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0948

Nursing and Physician Services Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

πŸ“‹ Inspection Summary

MILL RUN CARE CENTER in HILLIARD, OH inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in HILLIARD, OH, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from MILL RUN CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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