Milan, OH

Vista Care Center Of Milan

2-star overall rating with 1-star inspections with abuse icon flag with $12,834 in total fines with 22 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

185 S Main St, Milan, OH

(419) 499-2576

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Continuing Healthcare Solutions

Operator or chain grouping

Approved since

1996-07-15

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

12 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

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

0.33

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.70

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.68

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

2.71

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.03

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.37

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.33

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.41

CMS adjusted RN staffing hours

Adjusted total hours

3.34

CMS adjusted total nurse staffing hours

Case-mix index

1.11

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

57%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,527

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

Performance score

23.38

Composite VBP score used to determine payment impact.

Payment multiplier

0.9831

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

3.56

Performance 49.12% · Measure score 3.56 · Achievement 3.56 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

1.12

Baseline 3.65 hours · Performance 3.40 hours · Measure score 1.12 · Achievement 1.12 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 21 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 10 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	0.9	1.02 0.1 pts better
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 18 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	3.16%	8.2% 5 pts worse	Numerator 3 · Denominator 95
Staff flu vaccination coverage	7.69%	42% 34.3 pts worse	Numerator 10 · Denominator 130
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.6	1.8 0.2 pts better	1.9 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.2 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.6	1.8 0.2 pts better	1.8 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.5 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	77.7%	92.4% 14.7 pts worse	93.4% 15.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 83.8% · Q2 75.3% · Q3 73.1% · Q4 78.5% · 4Q avg 77.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	92.9%	94.5% 1.6 pts worse	95.5% 2.6 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 92.9%
Percentage of long-stay residents experiencing one or more falls with major injury	1.9%	3.3% 1.4 pts better	3.3% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.2% · Q3 2.6% · Q4 2.5% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	9.7%	26.1% 16.4 pts better	11.4% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 13.0% · Q3 8.3% · Q4 12.2% · 4Q avg 9.7%
Percentage of long-stay residents who lose too much weight	5.7%	6.2% 0.5 pts better	5.4% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 9.5% · Q3 4.1% · Q4 2.7% · 4Q avg 5.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	43.8%	25.4% 18.4 pts worse	19.6% 24.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 50.6% · Q2 42.7% · Q3 40.8% · Q4 40.8% · 4Q avg 43.8%
Percentage of long-stay residents who received an antipsychotic medication	29.4%	11.5% 17.9 pts worse	16.7% 12.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.7% · Q2 26.9% · Q3 26.9% · Q4 27.6% · 4Q avg 29.4% · 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	4.1%	7.7% 3.6 pts better	16.3% 12.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 2.8% · Q3 2.5% · Q4 2.5% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	3.0%	6.2% 3.2 pts better	14.9% 11.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 4.1% · Q3 4.1% · Q4 1.3% · 4Q avg 3.0% · 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	0.0%	0.5% 0.5 pts better	1.7% 1.7 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 new or worsened bowel or bladder incontinence	16.6%	21.7% 5.1 pts better	19.8% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 19.1% · Q3 11.7% · Q4 16.4% · 4Q avg 16.6%
Percentage of long-stay residents with pressure ulcers	2.9%	3.7% 0.8 pts better	5.1% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 4.5% · Q3 2.4% · Q4 2.2% · 4Q avg 2.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	73.8%	78.1% 4.3 pts worse	81.7% 7.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 85.2% · Q2 69.0% · Q3 61.5% · Q4 80.0% · 4Q avg 73.8%
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.2% 1.2 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	25.8%	75.6% 49.8 pts worse	79.7% 53.9 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 25.8%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-17 · Fire 2024-10-17

22 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2023-01-19 · Fire 2023-01-19

5 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2019-09-26 · Fire 2019-09-26

6 health deficiencies

Top issue: Resident Rights (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-10-17

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-11-01

F · Potential for more than minimal harm 2024-10-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-01

F · Potential for more than minimal harm 2024-10-17

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-11-01

E · Potential for more than minimal harm 2024-10-17

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-11-01

E · Potential for more than minimal harm 2024-10-17

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-11-01

E · Potential for more than minimal harm 2024-10-17

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 2024-11-01

F · Potential for more than minimal harm 2023-07-31

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-08-22

F · Potential for more than minimal harm 2023-01-19

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2023-02-17

F · Potential for more than minimal harm 2023-01-19

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 2023-02-17

F · Potential for more than minimal harm 2019-09-26

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2019-12-12

E · Potential for more than minimal harm 2019-09-26

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2019-12-12

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-09-09

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 2025-09-25

E · Potential for more than minimal harm 2025-09-09

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-09-25

E · Potential for more than minimal harm 2025-09-09

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-09-25

E · Potential for more than minimal harm 2025-09-09

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 2025-09-25

D · Potential for more than minimal harm 2025-03-12

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 2025-04-04

D · Potential for more than minimal harm 2025-03-12

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 2025-04-04

J · Immediate jeopardy 2024-10-17

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-09-27

G · Actual harm 2024-10-17

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-11-01

F · Potential for more than minimal harm 2024-10-17

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-11-01

F · Potential for more than minimal harm 2024-10-17

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 2024-11-01

F · Potential for more than minimal harm 2024-10-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-01

E · Potential for more than minimal harm 2024-10-17

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-11-01

E · Potential for more than minimal harm 2024-10-17

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 2024-11-01