Mill Pond Health Campus

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

60.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 112 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 74.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 67 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.37 therapist hours per resident per day in 2026Q1 — more than 63% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 68 beds and averages 55.3 residents a day — about 81% occupied, or roughly 13 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.43 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 1.03 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.87 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.98 hrs/resident/day on weekends vs 3.61 on weekdays — 17% thinner on weekends. RN hours go from 1.04 to 1.01 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 48% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

• Potential for harm · Ecited before2026-05-14 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure proper food handling for 2 of 2 hall tray meal service observations. This had the potential to affect residents receiving hall trays during the lunch meal service. Findings include:During a lunch meal service observation (healthcare lunch trays), on 5/7/26 at 12:40 p.m., Dietary Services Assistant 18 was preparing the hall trays at her hot cart (cart used to transport food and keep it warm) and removed ice from the ice bucket with the use of an ice scoop, she placed the ice in a cup and placed the ice scoop back into the ice bucket with the ice. She placed the drink cup on a tray to be served. At 12:44 p.m. she prepared another drink for a hall tray and placed the ice scoop back into the ice bucket after she prepared the drink. At 12:45 p.m. she prepared another drink for a hall tray and placed the ice scoop back into the ice bucket after she prepared the drink. At 12:46 p.m. and 12:47 p.m., the dietary services assistant prepared more drinks for the hall trays and returned the ice scoop back into the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-14 · tag F0561 — failed to honor residents' choices — isolated
  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure a resident's preferences were met, for 1 of 2 residents reviewed for choices (Resident 18). Findings include:During an interview, on 5/7/26 at 10:47 a.m., Resident 18 indicated she used to receive 3 showers a week until she developed the need to use a shower chair. Now she was lucky if she got 2 per week. Resident 18's record was reviewed on 5/8/26 at 2:25 p.m. The profile indicated the resident's diagnoses included, but were not limited to, multiple sclerosis unspecified (a chronic neurological disorder in which the body's immune system attacks the protective covering of the nerve cells in the brain) and diabetes mellitus with hyperglycemia (too much sugar in the blood). An annual Minimum Data Set (MDS) assessment, dated 1/27/26, indicated the resident had no cognitive deficit, had no documented behaviors of refusal of care, and was dependent with her personal hygiene and bathing. An annual Life Enrichment assessment, dated 1/29/26, indicated the resident preferred showers. The assessment lacked documentation as to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-14 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation interview and record review, the facility failed to ensure the privacy of the residents was maintained for 2 of 8 observations for privacy (Residents 29 and 32). Findings include: 1. On 5/8/26 at 10:47 a.m., during an interview Resident 29 indicated the staff had come into the bathroom while she was sitting on the toilet and checked her blood pressure. She indicated she had asked them to wait, but they came in anyway and checked her blood pressure. She indicated this was embarrassing and she should have time alone to use the bathroom facilities. She indicated there were times she was getting dressed and the staff walked in without asking permission to come in and failed to knock on the door. During the resident interview, three staff members came in without knocking on the door or waiting for permission to enter. Activities Assistant 4 came in and asked about activities, Certified Nursing Aide (CNA) 3 came in and delivered water, and a third unidentified employee came in and walked to the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-14 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure discharge reporting information was communicated to the receiving healthcare facility for 1 of 4 residents reviewed for hospitalization (Resident 2). Findings include:On 5/12/26 at 2:30 p.m., the medical record of Resident 2 was reviewed. The resident was admitted to the facility on [DATE]. Diagnoses included, but was not limited to, encephalopathy (any disease, damage, or malfunction of the brain), hypertension (high blood pressure), and type 2 diabetes mellitus (a disease that occurs when your blood glucose, also called blood sugar, is too high). An admission Minimum Data (MDS) assessment, dated 4/7/26, indicated the resident had severe cognitive impairment and required maximum assistance from the staff for all care needs. The medical record indicated on 4/26/26 the resident experienced a sudden change and decline in condition. The resident was assessed and physician notified. The resident was sent to the hospital and admitted to Intensive…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-14 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure the accuracy of Minimum Data Set (MDS) assessments for 2 of 29 MDS assessments reviewed for accuracy (Residents 26 and 15). Findings include: 1. Resident 26's closed record was reviewed on [DATE] at 10:08 a.m. A significant change MDS, dated [DATE], indicated the resident had severe cognitive deficit, had a documented terminal illness, and received hospice (end of life) services. The census indicated the resident expired on [DATE]. The record lacked documentation of a death in facility MDS. The last documented MDS was the significant change MDS on [DATE]. During an interview, on [DATE] at 10:15 a.m., the MDS Coordinator indicated the death in facility MDS had been overlooked and had not been completed. The CMS (Centers for Medicare and Medicaid Services) RAI (Resident Assessment Instrument) Version 3.0 Manual, dated [DATE], indicated, .A0301: Type of Assessment.F.12. Death in Facility.Coding Tips and Special Populations.A0310E=0 for: Entry of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-14 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to ensure medication was labeled with a date opened during 1 of 3 medication cart observations.Findings include:On 5/11/26 at 2:40 p.m., during observation of medication cart with Licensed Practical Nurse (LPN) 7 observed an insulin pen containing Lantus insulin, identified as being prescribed to Resident 18 with no date opened recorded on the label.On 5/11/26 at 2:42 p.m., during an interview LPN 7 acknowledged insulin pens must have a date opened on the pen.On 5/11/26 at 2:49 p.m., the medical record of Resident 18 was reviewed. The resident was admitted to the facility on [DATE]. Diagnoses included, but were not limited to, diabetes mellitus type 2 (a disease that occurs when your blood glucose, also called blood sugar, is too high), hypertension (high blood pressure), and major depressive disorder (an illness characterized by persistent sadness and a loss of interest in activities that you normally enjoy, accompanied by an inability to carry out daily…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-14 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure accurate documentation of medication administration for 1 of 3 residents reviewed for medication administration (Residents 3), and the facility failed to ensure a written physician order was obtained to send resident to the hospital for 1 of 4 residents reviewed for hospitalizations (Resident 2).Findings include:1. During an interview, on 5/7/26 at 1:24 p.m., Resident 3 indicated the nursing staff were late administering her insulin a lot of the time and there were some days that she didn't get her insulin injections at all. During an interview, on 5/12/26 at 10:44 a.m., Resident 3 indicated it was usually the same nurse on nightshift that was late administering her medications (pills and insulin) and sometimes she didn't get her medications at all. Resident 3's record was reviewed on 5/11/26 at 11:31 a.m. The profile indicated the resident's diagnoses included, but were not limited to, type II diabetes mellitus (a chronic condition that affects…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-19 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to develop a care plan for the resident's respiratory durable medical equipment, a cough assist device and a suctioning device, for 1 of 3 residents reviewed for quality of care. (Resident B)Findings include:A clinical record review for Resident B was completed on 8/19/25 at 10:26 a.m. Diagnoses included amyotrophic lateral sclerosis (ALS) (a progressive neurodegenerative disease), dysphagia (difficulty swallowing), rheumatoid arthritis, depression, and anxiety. The resident was admitted to the facility from her home on 7/15/25 and was receiving hospice services. An admission Minimum Data Set (MDS) assessment, dated 7/21/25, indicated the resident was cognitively intact, was unable to speak, understood others and was able to be understood. The resident required substantial to maximal assistance for dressing, bed mobility, and personal hygiene. She was dependent on staff for assistance with transfer, wheelchair mobility, showering, toileting, A nursing progress note, dated 7/15/25 at 9:17 p.m., included the resident was alert…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-19 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to obtain physician's orders or the assessment for the use of a cough assist device and an airway clearance device (suctioning) for 1 of 4 residents reviewed for quality of care. (Resident B)Findings include:A clinical record review for Resident B was completed on 8/19/25 at 10:26 a.m. Diagnoses included amyotrophic lateral sclerosis (ALS) (a progressive neurodegenerative disease), dysphagia (difficulty swallowing), rheumatoid arthritis, depression, and anxiety. The resident was admitted to the facility from her home on 7/15/25 and was receiving hospice services. An admission minimum data set (MDS) assessment, dated 7/21/25, indicated the resident was cognitively intact, was unable to speak, understood others and was able to be understood. The resident required substantial to maximal assistance for dressing, bed mobility, and personal hygiene. She was dependent on staff for assistance with transfer, wheelchair mobility, showering, and toileting. A nursing progress note, dated 7/15/25 at 3:23 p.m. included the resident was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-03-07 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure a physician order was obtained for a Tubigrip (a tubular bandage that provides support for sprains, strains, swelling, and more) for 1 of 1 resident reviewed for limited range of motion (Resident 32). Findings include: During the initial pool observation, on 2/28/25 at 10:46 a.m., Resident 32 was sitting up in bed eating breakfast and a dressing was noted on the resident's left arm from her hand to up past her elbow. The resident indicated the wrap had been on her left arm for a while because she banged it on the side rail of her bed, and she was unable to use her left arm normally. Resident 32's record was reviewed on 3/3/25 at 10:18 a.m. The profile indicated the resident's diagnosis included, but were not limited to, brain mass (a cancerous or noncancerous mass or growth of abnormal cells in the brain), Alzheimer's disease with early onset (when Alzheimer's is diagnosed before the age of [AGE] years old), and edema, unspecified…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to TRILOGY HEALTH SERVICES — 123 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 46 rows in the source record cover these 34 parties — each is shown once here with every role it holds. Nothing is omitted.

21 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.0M paid to related parties — landlords or management companies under common ownership — equal to about 13% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IN