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Complaint Investigation

Gardens At Millville, The

October 15, 2025 · Millville, PA · 48 Haven Lane
Citations 2
CMS Rating 1/5
Beds 110
Provider ID 395872
Healthcare Facility
Gardens At Millville, The
Millville, PA  ·  View full profile →
Inspection Summary

GARDENS AT MILLVILLE, THE in MILLVILLE, PA — inspection on October 15, 2025.

Found 2 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.

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Inspection Findings

FF0689
Quality of Life and Care Deficiencies
Actual Harm

[DATE], and the resident expired (died) on [DATE], at 9:45 PM.

The findings were reviewed with the Nursing Home Administrator and Director of Nursing on [DATE], at approximately 4:00 PM. 28 Pa.

Code 211.10 (d) Resident care policies. 28 Pa.

Code 211.12 (d)(3)(5) Nursing services

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/15/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Gardens at Millville, The

48 Haven Lane Millville, PA 17846

SUMMARY STATEMENT OF DEFICIENCIES

During an interview October 15, 2025, at 4:00 PM, the Director of Nursing confirmed the above inconsistencies between the controlled drug records and medication administration records.

The above noted doses of the antianxiety medication were documented as given on the narcotic reconciliation record; however, they were not signed out as administered on the MAR. 28 Pa Code 211.12 (d)(1)(3)(5) Nursing services. 28 Pa Code 211.9 (a)(1) Pharmacy services. 28 Pa Code 211.10 (c) Resident care policies.

Facility ID:

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 MILLVILLE, PA, (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 GARDENS AT MILLVILLE, THE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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