Milford, OH

The Laurels Of Milford

4-star overall rating with 4-star inspections with 2 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

934 State Route 28, Milford, OH

(513) 831-1770

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

136

Certified beds

Average residents

122

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Ciena Healthcare/Laurel Health Care

Operator or chain grouping

Approved since

1980-04-03

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

84 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.55

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.00

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.34

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.89

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.55

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.45

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.22

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.55

CMS adjusted RN staffing hours

Adjusted total hours

3.88

CMS adjusted total nurse staffing hours

Case-mix index

1.37

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

45%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,281

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

30.19

Composite VBP score used to determine payment impact.

Payment multiplier

0.9858

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.75

Baseline 22.51% · Performance 20.18% · Measure score 3.75 · Achievement 2.71 · Improvement 3.75

Healthcare-associated infections

0

Baseline 5.29% · Performance 8.23% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

5.90

Baseline 55.79% · Performance 39.58% · Measure score 5.90 · Achievement 5.90 · Improvement 4.74

Adjusted total nurse staffing

2.43

Baseline 2.70 hours · Performance 3.60 hours · Measure score 2.43 · Achievement 1.84 · Improvement 2.43

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.48%	10.72% 1.2 pts better	No Different than the National Rate · Eligible stays 79 · Observed rate 6.33% · Lower 95% interval 6.39%
Discharge to community	53.91%	50.57% 3.3 pts better	No Different than the National Rate · Eligible stays 76 · Observed rate 50% · Lower 95% interval 45.13%
Medicare spending per beneficiary	0.99	1.02 About the same
Drug regimen review with follow-up	81.82%	95.27% 13.5 pts worse	Numerator 45 · Denominator 55
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 55
Discharge self-care score	35.9%	53.69% 17.8 pts worse	Numerator 14 · Denominator 39
Discharge mobility score	41.03%	50.94% 9.9 pts worse	Numerator 16 · Denominator 39
Pressure ulcers or injuries, new or worsened	7.27%	2.29% 5 pts worse	Numerator 4 · Denominator 55 · Adjusted rate 7.54%
Healthcare-associated infections requiring hospitalization	8.23%	7.12% 1.1 pts worse	No Different than the National Rate · Eligible stays 48 · Observed rate 12.5% · Lower 95% interval 4.85%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 142
Staff flu vaccination coverage	35.29%	42% 6.7 pts worse	Numerator 54 · Denominator 153
Discharge function score	43.59%	56.45% 12.9 pts worse	Numerator 17 · Denominator 39
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 23 · Denominator 23
Resident COVID-19 vaccinations up to date	3.45%	25.2% 21.8 pts worse	Numerator 1 · Denominator 29

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	85.0%	92.4% 7.4 pts worse	93.4% 8.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 56.4% · Q2 87.1% · Q3 97.1% · Q4 98.2% · 4Q avg 85.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	94.5% 5.5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.4%	3.3% 0.1 pts worse	3.3% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 3.0% · Q3 3.9% · Q4 2.8% · 4Q avg 3.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	20.6%	26.1% 5.5 pts better	11.4% 9.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.0% · Q2 29.7% · Q3 16.9% · Q4 3.4% · 4Q avg 20.6%
Percentage of long-stay residents who lose too much weight	7.5%	6.2% 1.3 pts worse	5.4% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 10.5% · Q3 2.0% · Q4 7.8% · 4Q avg 7.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	33.3%	25.4% 7.9 pts worse	19.6% 13.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.0% · Q2 30.5% · Q3 37.4% · Q4 35.9% · 4Q avg 33.3%
Percentage of long-stay residents who received an antipsychotic medication	16.0%	11.5% 4.5 pts worse	16.7% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 20.6% · Q3 13.2% · Q4 11.5% · 4Q avg 16.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	10.3%	7.7% 2.6 pts worse	16.3% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 8.6% · Q3 15.1% · Q4 7.6% · 4Q avg 10.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.7%	6.2% 2.5 pts worse	14.9% 6.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 4.6% · Q3 9.8% · Q4 11.7% · 4Q avg 8.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.2% 0.2 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.2%	0.5% 0.7 pts worse	1.7% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.0% · Q3 0.0% · Q4 1.8% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	20.7%	21.7% 1 pts better	19.8% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 31.1% · Q3 13.6% · Q4 19.1% · 4Q avg 20.7%
Percentage of long-stay residents with pressure ulcers	4.1%	3.7% 0.4 pts worse	5.1% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 4.2% · Q3 4.9% · Q4 3.3% · 4Q avg 4.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	57.8%	78.1% 20.3 pts worse	81.7% 23.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 57.8% · Q2 52.2% · Q3 61.9% · Q4 59.2% · 4Q avg 57.8%
Percentage of short-stay residents who had an outpatient emergency department visit	15.2%	12.5% 2.7 pts worse	12.0% 3.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 15.2% · Observed 20.0% · Expected 14.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.7%	1.2% 0.5 pts worse	1.6% 0.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.5% · Q3 1.4% · Q4 1.5% · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	62.2%	75.6% 13.4 pts worse	79.7% 17.5 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 62.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	13.7%	25.1% 11.4 pts better	23.9% 10.2 pts better	Short Stay · 20240701-20250630 · Adjusted 13.7% · Observed 18.0% · Expected 31.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-02-15 · Fire 2023-02-15

2 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2019-12-05 · Fire 2019-12-05

8 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

3 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2018-11-01 · Fire 2018-11-01

8 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2023-02-15

K226 · Egress Deficiencies

Fire Safety

Have horizontal exits used in accordance with safety requirements.

Corrected 2023-03-30

E · Potential for more than minimal harm 2023-02-15

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2023-03-30

E · Potential for more than minimal harm 2023-02-15

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-03-30

E · Potential for more than minimal harm 2023-02-15

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-03-30

F · Potential for more than minimal harm 2019-12-05

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2020-01-15

E · Potential for more than minimal harm 2019-12-05

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2020-01-15

E · Potential for more than minimal harm 2019-12-05

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2020-01-15

E · Potential for more than minimal harm 2018-11-01

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2018-12-19

E · Potential for more than minimal harm 2018-11-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2018-12-19

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-01-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-14

D · Potential for more than minimal harm 2024-09-26

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-10-17

D · Potential for more than minimal harm 2024-04-25

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-05-17

D · Potential for more than minimal harm 2024-04-25

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-05-17

E · Potential for more than minimal harm 2023-08-21

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-09-25

D · Potential for more than minimal harm 2023-02-15

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-03-30

D · Potential for more than minimal harm 2023-02-15

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-03-30

E · Potential for more than minimal harm 2019-12-05

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2020-01-15

E · Potential for more than minimal harm 2019-12-05

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2020-01-15

D · Potential for more than minimal harm 2019-12-05

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2020-01-15

D · Potential for more than minimal harm 2019-12-05

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2020-01-15

E · Potential for more than minimal harm 2018-11-01

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2018-12-19

E · Potential for more than minimal harm 2018-11-01

F917 · Environmental Deficiencies

Health

Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.

Corrected 2018-12-19