Federal inspection record · CMS data as of October 1, 2026
Milford Meadows Care Center
610 224th Street, Milford, NE · (402) 761-3230
- Certified beds
- 80
- Residents per day
- 67
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 1, 1998
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Nebraska.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nebraska homes
Milford Meadows Care Center carries 75 inspection points. That is fewer than 26% of Nebraska's 178 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Nebraska: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–31 pts
- 3★ 31–50 pts
- 2★ 50–94.25 pts
- 1★ over 94.25 pts
Bars show every rated home in Nebraska by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
23 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights5E
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor 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.
- D
Honor 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.
Nutrition and Dietary4F
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control3F
- F
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Quality of Life and Care3D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Assessment and Care Planning3D
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nursing and Physician Services2F
- F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- D
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Pharmacy Service2D
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- D
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.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2026-07-09
8 health deficiencies · 20 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2025-02-11
6 health deficiencies · 13 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2024-04-02
9 health deficiencies · 11 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 35 min of nursing staff time a day, 21 min of it from a registered nurse.
This home
3 h 35 min
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 49% of nursing staff and 43% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7 pts better | 100.0% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.1 pts better | 95.7% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.7 pts better | 1.8% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms9.7 pts worse | 14.1% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.1 pts better | 5.0% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication24.9 pts worse | 43.9% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication27.6 pts worse | 48.3% | 20.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened13.1 pts better | 3.7% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased15.1 pts better | 3.9% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.9 pts worse | 4.2% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 1.5% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.7 pts better | 19.3% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts worse | 4.6% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.3 pts better | 94.6% | 81.3% | 82.3% |
·
Who owns and runs it
21 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Aic Family Trust | Adp Of The SNF · Organization | 0% | 2 facilities |
| Aic65 Family Holdings LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Chafetz, Yisroel | Operational/Managerial Control · Individual | 0% | 16 facilities |
| Chafetz, Yisroel | Adp Of The SNF · Individual | 0% | 16 facilities |
| Cornhusker Trust | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Gopin, Brian | Adp Of The SNF · Individual | 0% | 12 facilities |
| Gopin, Laurie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Heartland Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Lbg99 Operations LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Mmcc Opco Holdings LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Mmcc Opco Holdings LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Mmcc Opco Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Mosel, Lindsey | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Mosel, Lindsey | Adp Of The SNF · Individual | 0% | 2 facilities |
| Nop Trust | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Reisman Family Trust | Adp Of The SNF · Organization | 0% | 2 facilities |
| Scrm Propco Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Scrm Propco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Treeplanter LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Weiss, Kelsey | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Weiss, Kelsey | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
44 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke14F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Provide properly protected cooking facilities.
- F
Construct fire resistant interior walls.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Install corridor and hallway doors that block smoke.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Provide properly protected cooking facilities.
- E
Install corridor and hallway doors that block smoke.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems12F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Meet requirements for the use and maintenance of medical gas equipment.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Meet requirements for the use and maintenance of medical gas equipment.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Meet requirements for the use of electrical equipment.
- E
Meet requirements for the use and maintenance of medical gas equipment.
Miscellaneous10F
- F
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
- F
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
- F
Have simulated fire drills held at unexpected times.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E
Have restrictions on the use of highly flammable decorations.
- F
Have simulated fire drills held at unexpected times.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Egress3F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Services3F
- E
Meet other general requirements that are deficient.
- F
Have properly installed electrical wiring and gas equipment.
- F
Have properly installed electrical wiring and gas equipment.
Electrical1F
- F
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Emergency Preparedness1F
- F
Implement emergency and standby power systems.
·
Other homes nearby
-
Eventide Crete
Crete, NE
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 38 min
- Fines
- $0
-
Ridgewood Rehabilitation & Care Center
Seward, NE · Vetter Senior Living
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 3 min
- Fines
- $0
-
Emerald Nursing & Rehab Lancaster LLC
Lincoln, NE · Emerald Healthcare · Special Focus
Not rated- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 28 min
- Fines
- $79,725