Complaint Investigation

Gardens At Millville, The

October 15, 2025 · Millville, PA · 48 Haven Lane

Citations 2

CMS Rating 2/5

Beds 110

Provider ID 395872

Healthcare Facility

Gardens At Millville, The

Millville, PA · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

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.

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:

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

FF0755

Pharmacy Service Deficiencies

Potential for More Than Minimal Harm

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.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.