Above average — CMS composite of the measures below.
A standard survey is most likely before around November 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 Nhc Healthcare, Milan during CMS and state inspections, most recent first.
Hot water temperatures in multiple resident bathrooms were found to exceed safe limits, with readings between 120 and 138 degrees Fahrenheit. Several residents, including those with cognitive and physical impairments, had access to these elevated temperatures. Maintenance staff had increased water heater settings in response to complaints and after repairs, but did not consistently monitor or document water temperatures, leading to unsafe conditions.
The facility did not refund the trust fund account balances of two residents, both with multiple medical conditions including hemiplegia and dementia, within the required 30-day period following their deaths. The accounting bookkeeper confirmed that the funds remained unrefunded, contrary to facility policy.
Staff failed to administer the correct enteral feeding and did not properly check or document gastric residual volumes for two residents with PEG tubes. One resident received a different formula than ordered, while another had medications administered without verification of the total gastric residual volume and lacked required tube markings. The DON confirmed that staff did not follow policy for residents unable to verbalize discomfort.
Two residents with tracheostomies, both dependent on staff for care and with complex respiratory needs, were found without manual resuscitation bags at their bedsides as required. Staff confirmed that the necessary emergency equipment was not present in the residents' rooms, with resuscitation bags only available on crash carts at the nurses' station.
The facility did not ensure that daily nurse staffing information was accurately posted, as observations showed outdated staffing data displayed at both the North and South Wing nurse's stations on consecutive days. The ADON, responsible for posting this information, confirmed the postings were not current and should have been updated each morning.
A review and observation revealed that the medication refrigerator temperature log in one medication storage area was missing documentation for 13 days in a month. The DON confirmed that temperatures are required to be checked and logged daily, and acknowledged that incomplete logs prevent staff from ensuring proper storage conditions for medications.
A registered nurse failed to perform hand hygiene between glove changes and did not wear a gown while preparing TPN medications and accessing a resident's central line, despite facility policy and physician orders requiring enhanced barrier precautions for residents with indwelling medical devices.
A facility failed to secure a vacant room containing hazardous materials during renovations, leaving it accessible to residents, including those with cognitive impairments and wandering behaviors. The room contained paint, an uncovered bucket with a paint and water mixture, caulking, nails, screws, and sheetrock mud. Interviews confirmed the materials were hazardous and should not have been accessible.
Failure to Maintain Safe Hot Water Temperatures in Resident Bathrooms
Penalty
Summary
The facility failed to maintain a safe environment free from accident hazards by allowing hot water temperatures in resident bathrooms to exceed the recommended maximum of 120 degrees Fahrenheit. Water temperatures ranging from 120 to 138 degrees Fahrenheit were found in 23 out of 92 resident bathrooms. The facility's own policy, as well as documentation from their equipment management system, specified that domestic water temperatures should be kept below 120 degrees Fahrenheit to prevent burns. Despite this, multiple residents, including those who were physically and/or cognitively impaired, had access to water at unsafe temperatures in their rooms. Several residents affected by this deficiency were identified as being moderately to severely cognitively impaired, with some being dependent on staff for activities of daily living (ADLs) and others being independent with mobility. Observations and medical record reviews confirmed that these residents, including those with diagnoses such as Alzheimer's disease, dementia, and other chronic conditions, were exposed to elevated water temperatures. In some cases, residents or their family members reported that the water seemed excessively hot, and maintenance staff confirmed high readings during checks with calibrated thermometers. The maintenance supervisor acknowledged that water heaters had been set to higher temperatures in response to staff complaints about insufficiently warm water and after recent repairs by an outside vendor. The supervisor also confirmed that regular water temperature checks were only performed in one random resident room per hall each week, and there was a lack of documentation regarding when water heater settings were changed. The administrator was informed of the issue but was not provided with specific temperature readings. These actions and inactions resulted in the facility not ensuring a safe environment, as required by policy and regulatory standards.
Failure to Timely Refund Resident Trust Funds After Death
Penalty
Summary
The facility failed to refund the trust fund account balances of two residents within 30 days of their death, as required by facility policy. Policy review indicated that resident funds should be refunded as soon as all transactions are accounted for, and no later than 30 days after discharge or death. Medical record and trust fund statement reviews showed that one resident, admitted with hemiplegia, pneumonia, dysphagia, and dementia, had an account balance of $3,843.98 at the time of death, while another resident with hemiplegia, dysphagia, acute kidney failure, and dementia had a balance of $562.51 at the time of death. During an interview, the accounting bookkeeper confirmed that these funds had not yet been refunded, despite the policy requirement.
Failure to Administer Ordered Enteral Feeding and Verify Gastric Residuals for Residents with PEG Tubes
Penalty
Summary
Staff failed to provide appropriate care and services for residents with percutaneous enteral gastrostomy (PEG) tubes by not administering the correct enteral feeding as ordered and not properly checking gastric residual volumes. For one resident with diagnoses including aphasia, dysphagia, diabetes, and heart failure, the enteral feeding being administered did not match the physician's order, as confirmed by a registered nurse. This resident was dependent on staff for all care and unable to be interviewed due to cognitive impairment. For another resident with severe cognitive impairment and dependent on staff for activities of daily living, staff did not verify the total gastric residual volume before administering medications through the PEG tube. The LPN checked the residual by pulling gastric contents but did not confirm the total volume, and the PEG tube exit site lacked required markings for placement verification. The Director of Nursing confirmed that the resident could not verbalize discomfort and that staff should have verified the full gastric residual volume prior to medication administration, in accordance with facility policy.
Failure to Maintain Emergency Respiratory Equipment at Bedside for Tracheostomy Residents
Penalty
Summary
The facility failed to maintain required emergency respiratory equipment at the bedside for two residents with tracheostomies. For one resident with diagnoses including hemiplegia, tracheostomy, chronic respiratory failure, COPD, dysphagia, and heart failure, observations on two separate occasions revealed the absence of a manual resuscitation bag at the bedside, despite care plans indicating the need to monitor for complications related to the tracheostomy. Nursing staff confirmed that such equipment should be present at the bedside for residents with tracheostomies. Similarly, another resident with chronic respiratory failure, anoxic brain injury, and a tracheostomy was found to lack a manual resuscitation bag at the bedside during multiple observations. This resident was dependent on staff for ADLs, received oxygen therapy, suctioning, and tracheostomy care, and had physician orders for daily tracheostomy care and full CPR. Both nursing and respiratory therapy staff confirmed the absence of the required emergency equipment, noting that manual resuscitation bags were only available on crash carts at the nurses' station.
Failure to Post Accurate Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that the posted Daily Staffing information was accurate and up to date for two consecutive days. Observations at both the North Wing and South Wing nurse's stations on multiple occasions revealed that the staffing information displayed was for the previous day rather than the current date. Specifically, on 8/26/2025, the posted information was dated 8/25/2025, and on 8/27/2025, the posted information was dated 8/26/2025. During interviews, the Assistant Director of Nursing (ADON), who was responsible for posting the staffing information, confirmed that the postings were not current and acknowledged that the information should be updated first thing in the morning. No specific residents or patient conditions were mentioned in relation to this deficiency. These findings were based on direct observations and staff interviews, confirming that the facility did not comply with the requirement to post accurate daily nurse staffing information.
Incomplete Medication Refrigerator Temperature Log Documentation
Penalty
Summary
The facility failed to ensure that medications were properly stored in accordance with accepted professional principles, as evidenced by incomplete documentation of medication refrigerator temperatures in the South Wing. Review of the Refrigerator Temperature Log for August 2025 showed that temperature checks were not recorded for 13 out of 26 days. Direct observation confirmed missing entries on specific dates, and during an interview, the DON stated that temperatures should be checked and logged daily. The DON acknowledged that without complete temperature logs, staff could not verify that refrigerated medications were stored at the correct temperature.
Failure to Follow Enhanced Barrier Precautions During Central Line Care
Penalty
Summary
A deficiency occurred when a registered nurse failed to follow proper infection control practices during medication administration for a resident with multiple complex medical conditions, including a central line and total parenteral nutrition (TPN). The nurse did not perform hand hygiene between glove changes while preparing TPN medications and did not wear a gown when cleaning and accessing the resident's central line, despite facility policies and physician orders requiring enhanced barrier precautions (EBP) for residents with indwelling medical devices. The resident involved was moderately cognitively impaired, dependent on staff for activities of daily living, and had a care plan and physician orders specifying the use of gown and gloves during high-contact care activities due to the presence of a central line. The Director of Nursing confirmed that staff are required to wear gloves and a gown when accessing a central line under EBP and to perform hand hygiene between glove changes, which was not followed in this instance.
Unsafe Storage of Hazardous Materials in Unlocked Room
Penalty
Summary
The facility failed to ensure a safe environment for residents by leaving a vacant room on the 100 Hall unlocked and unattended during renovations. This room contained hazardous chemicals and materials, including paint, an uncovered bucket with a paint and water mixture, caulking, nails, screws, and sheetrock mud, all of which were accessible to residents. The facility's policy on the storage of hazardous chemicals mandates that such items be stored out of the reach of patients, which was not adhered to in this instance. The deficiency was particularly concerning given the presence of residents with cognitive impairments and wandering behaviors. Four residents were identified as having such behaviors, with varying degrees of cognitive impairment and mobility. Interviews with the Maintenance Assistant and the Administrator confirmed the presence of hazardous materials in the room and acknowledged that these should not be accessible to residents. The Administrator admitted that hazardous materials should not be stored in an unlocked room accessible by residents, indicating a lapse in adherence to safety protocols.
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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.
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Nursing homes near Milan
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Christian Care Center Of Medina | 9.6 mi | ★★★★★ | 2 | 0 |
| Avondale Health And Rehabilitation Center, Llc | 9.7 mi | ★★★★★ | 0 | 0 |
| W D Bill Manning Tennessee State Veterans Home | 9.8 mi | ★★★★★ | 0 | 0 |
| Trenton Health And Rehabilitation Center, Llc | 10.9 mi | ★★★★★ | 0 | 0 |
| Maplewood Health Care Center | 15.6 mi | ★★★★★ | 3 | 0 |
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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.