Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Mill Manor Care Center during CMS and state inspections, most recent first.
Failure to Monitor Psychotropic Medication Effects: Multiple residents receiving psychotropic meds, including antidepressants, an antipsychotic, a benzodiazepine, and an anxiolytic, had no documented monitoring for effectiveness or adverse reactions in progress notes or MARs. Residents had diagnoses such as depression, anxiety, dementia, Lewy body neurocognitive disorder, and Alzheimer’s disease, and staff confirmed they did not routinely document daily monitoring or have a policy with guidelines for monitoring psychotropic medication side effects or effectiveness.
Failure to Implement MRR Medication Order Change: A resident with constipation, hypothyroidism, and cognitive impairment had an MRR note directing docusate sodium 100 mg be changed to PRN, but the order remained BID and the MAR showed the medication continued twice daily. The DON confirmed the physician’s change was not followed, an LPN re-entered the medication as a BID order in error, and the facility had no policy on transcribing or following physician orders.
A facility failed to report an alleged physical abuse incident involving a cognitively impaired resident to the Ohio Department of Health. The incident occurred when an STNA witnessed another STNA smacking the resident on the head. The incident was reported internally to an LPN, who assessed the resident and attempted to notify the DON and Administrator. However, the facility did not report the incident to the state survey agency as required by policy.
A facility failed to thoroughly investigate an alleged abuse incident involving a resident with severe cognitive impairment. An STNA was accused of smacking the resident during incontinence care, but the accused STNA was not removed from duty. The investigation did not include interviews with other residents, contrary to the facility's policy.
Failure to Monitor Psychotropic Medication Effectiveness and Adverse Effects
Penalty
Summary
The facility failed to ensure residents receiving psychotropic medications were adequately monitored for effectiveness and adverse reactions. Based on medical record review, staff interview, and policy review, five of five residents reviewed for unnecessary medications had no documentation of monitoring for the effectiveness or adverse effects of their psychotropic medications. The residents reviewed included individuals with diagnoses such as major depressive disorder, anxiety, dementia, neurocognitive disorder with Lewy bodies, insomnia, and cognitive impairment. Resident #1 had diagnoses including type 2 diabetes mellitus, hypertension, GERD, Parkinson’s disease, major depressive disorder, and anxiety, and was cognitively intact with a BIMS score of 13. The resident had orders for Prozac 40 mg daily and Buspar 100 mg twice daily, and the care plan identified psychotropic medication use for depression and behavior with depressive features. Nursing progress notes and MARs from admission through discharge contained no documentation of monitoring for effectiveness or adverse effects of Prozac or Buspar. Resident #11 had diagnoses including COPD, pneumonia, hypoxemia, acute respiratory failure with hypoxia, encephalopathy, cognitive communication deficit, anxiety, neurocognitive disorder with Lewy bodies, depression, repeated falls, and cardiac arrhythmia, with a BIMS score of 11. The resident had orders for Ativan 0.5 mg in the evening and trazodone 25 mg at bedtime, but there was no documentation in progress notes or MARs of monitoring for effectiveness or adverse effects. Resident #22 had diagnoses including major depressive disorder, dementia, restlessness and agitation, anxiety disorder, cognitive communication deficit, and Alzheimer’s disease, and had orders for escitalopram 5 mg every morning and Risperdal 0.5 mg twice daily. Resident #3 had diagnoses including type 2 diabetes mellitus, depression, insomnia, and anxiety, was cognitively intact, and had an order for Zoloft 100 mg daily; the care plan noted ineffective coping skills and stated there was no monitoring of antidepressant medication effects. Resident #19 had diagnoses including disorder of the autonomic nervous system, major depressive disorder, and anxiety disorder, was cognitively impaired, and had orders for duloxetine 100 mg daily and buspirone for anxiety; the care plan included monitoring for effectiveness and side effects, but the MARs showed no documentation of such monitoring. Staff interviews confirmed the facility did not routinely monitor residents prescribed psychotropic medications for effectiveness or adverse consequences, did not document daily monitoring unless there was an issue, and had no policy regarding monitoring of psychotropic medications; the facility policy titled Psychotropic Medications contained no guidelines for monitoring side effects, adverse effects, or medication effectiveness.
Failure to Implement MRR Medication Order Change
Penalty
Summary
The facility failed to implement physician order changes identified during a medication regimen review for one resident reviewed for unnecessary medications. The resident was admitted with unspecified intestinal obstruction, constipation, and hypothyroidism, and the quarterly MDS identified the resident as cognitively impaired. A medication regimen review signed by the physician noted that docusate sodium 100 mg should be changed to as needed, but the physician orders dated afterward still showed docusate sodium 100 mg to be given one tablet by mouth twice a day. The MARs showed the resident continued to receive docusate sodium 100 mg twice daily throughout the reviewed period. During interview, the DON confirmed the physician had written to change the medication to as needed, confirmed the medication was still administered twice daily, and stated an LPN had discontinued the medication and then placed it back into the orders as a twice-daily medication in error. The DON also stated the facility did not have a policy on transcribing or following physician's orders.
Failure to Report Alleged Abuse to State Agency
Penalty
Summary
The facility failed to report an allegation of physical abuse involving a resident to the Ohio Department of Health as required. The incident involved a resident with Alzheimer's disease, anxiety disorder, and dementia, who was severely cognitively impaired and required extensive assistance for daily living activities. On the night of the incident, a State tested Nursing Assistant (STNA) witnessed another STNA smacking the resident on the head after providing incontinence care. The witnessing STNA reported the incident to a Licensed Practical Nurse (LPN), who assessed the resident and found no negative findings. The LPN attempted to notify the Director of Nursing (DON) and the Administrator via text and voicemail. Despite the internal reporting, the facility did not report the alleged abuse to the state survey agency as mandated by their policy and Ohio law. The policy requires immediate reporting of all alleged violations involving mistreatment, neglect, or abuse to the Administrator, the state survey and certification agency, and other officials. The Administrator and DON confirmed in an interview that the incident was not reported to the state survey agency, resulting in a deficiency under Complaint Number OH00155240.
Failure to Investigate Alleged Abuse Incident
Penalty
Summary
The facility failed to conduct a thorough investigation following an allegation of physical abuse involving a resident with severe cognitive impairment. The incident occurred when a State tested Nursing Assistant (STNA) was providing incontinence care to the resident, who became physically combative. Another STNA witnessed the first STNA allegedly smacking the resident on the head and reported the incident to a Licensed Practical Nurse (LPN). The LPN assessed the resident and found no negative findings, but the STNA accused of abuse was not removed from duty and continued working the same shift. The facility's investigation was incomplete as it did not include interviews with other residents who might have observed the incident or had concerns about the care provided by the accused STNA. The facility's policy on abuse, neglect, and misappropriation requires that residents be interviewed as part of the investigation process, but this step was not followed. The Director of Nursing and the Administrator confirmed that no resident interviews were conducted regarding the alleged abuse incident.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 209 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Vermilion
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Kingston Health Center Of Vermilion | 1.6 mi | ★★★★★ | 2 | 0 |
| Oak Hills Nursing Center | 6.4 mi | ★★★★★ | 4 | 0 |
| Amherst Manor Nursing Home | 6.5 mi | ★★★★★ | 0 | 0 |
| Lake Pointe Health Care | 6.8 mi | ★★★★★ | 0 | 0 |
| Anchor Lodge Nursing Home Inc | 8 mi | ★★★★★ | 10 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Mill Manor Care Center.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.