Elder Care Record

Pennsylvania › Columbia County › Millville

Gardens At Millville, The

48 Haven Lane, Millville, PA 17846

CCN 395872 · For-profit, corporation · 110 certified beds · chain Priority Healthcare Group

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Gardens At Millville, The is a For-profit, corporation nursing home in Millville, Pennsylvania, certified for 110 beds and caring for about 102 residents a day.

CMS gives it 2 of 5 stars overall, below the Pennsylvania median of 3; the health inspection rating is 2, staffing 2 and quality measures 2.

Inspectors recorded 48 health deficiencies across the three most recent survey cycles (11, 10, 27 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 43.6 per 100 beds, more than the state median of 22.2.

CMS lists 2 penalties in the period covered: fines totalling $25K and 1 payment denial.

Reported nurse staffing is 3.2 hours per resident per day (0.5 RN), close to the Pennsylvania median of 3.6; nursing staff turnover is 42.5%.

48health deficiencies, 3 survey cycles2 at actual harm or worse
$25Kfines listed by CMS2 penalties in period
3.2nurse hours per resident per daystate median 3.6
92%occupancy (residents ÷ beds)102 residents a day

Compared with county, state and nation

MeasureThis facilityColumbia Co. medianPennsylvania medianUS average
Overall star rating2333.0
Health citations, 3 cycles48482628.7
Citations per 100 beds43.643.622.226.8
Total nurse hours per resident day3.23.63.63.9
RN hours per resident day0.50.50.70.7
Nursing staff turnover42.5%45.7%44.3%45.8%
Fines listed$25,275$100,369$0—

County and state figures are medians across facilities (4 in the county, 656 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)11
Cycle 210
Cycle 327

Dark bar: this facility. Grey bar: Pennsylvania average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Dec 2025, 14 Feb 2025.

Severity mix: K ×1 G ×1 D ×20 E ×20 F ×6

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
9 Jun 2026F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.FComplaint investigation7 Jul 2026
9 Jun 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation7 Jul 2026
5 Dec 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey13 Jan 2026
5 Dec 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey13 Jan 2026
5 Dec 2025F0641Ensure each resident receives an accurate assessment.DStandard survey13 Jan 2026
5 Dec 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey13 Jan 2026
5 Dec 2025F0699Provide care or services that was trauma informed and/or culturally competent.DStandard survey13 Jan 2026
5 Dec 2025F0761Ensure 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.DStandard survey13 Jan 2026
5 Dec 2025F0926Have policies on smoking.DStandard survey13 Jan 2026
15 Oct 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation11 Nov 2025
15 Oct 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation11 Nov 2025
14 Feb 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey25 Mar 2025
14 Feb 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey25 Mar 2025
14 Feb 2025F0679Provide activities to meet all resident's needs.EStandard survey25 Mar 2025
14 Feb 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey25 Mar 2025
14 Feb 2025F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.EStandard survey25 Mar 2025
14 Feb 2025F0880Provide and implement an infection prevention and control program.EStandard survey25 Mar 2025
14 Feb 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard survey25 Mar 2025
14 Feb 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey25 Mar 2025
14 Feb 2025F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard survey25 Mar 2025
27 Aug 2024F0584Honor 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.EComplaint investigation17 Sep 2024
21 May 2024F0584Honor 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.EComplaint investigation21 Jun 2024
21 May 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint investigation21 Jun 2024
21 May 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation21 Jun 2024
21 May 2024F0554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint investigation21 Jun 2024
21 May 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation21 Jun 2024
12 Apr 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KStandard survey21 Jun 2024
12 Apr 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey21 May 2024
12 Apr 2024F0880Provide and implement an infection prevention and control program.FStandard survey21 Jun 2024
12 Apr 2024F0584Honor 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.EStandard survey21 Jun 2024
12 Apr 2024F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.EStandard survey21 May 2024
12 Apr 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey21 May 2024
12 Apr 2024F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EStandard survey21 May 2024
12 Apr 2024F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.EStandard survey21 May 2024
12 Apr 2024F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.EStandard survey21 May 2024
12 Apr 2024F0610Respond appropriately to all alleged violations.DStandard survey21 May 2024
12 Apr 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey21 May 2024
12 Apr 2024F0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard survey21 May 2024
12 Apr 2024F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey21 May 2024
12 Apr 2024F0761Ensure 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.DStandard survey21 May 2024
12 Apr 2024F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard survey21 May 2024
12 Apr 2024F0881Implement a program that monitors antibiotic use.DStandard survey21 May 2024
15 Feb 2024F0584Honor 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.EComplaint investigation21 Jun 2024
15 Feb 2024F0602Protect each resident from the wrongful use of the resident's belongings or money.EComplaint investigation12 Apr 2024
15 Feb 2024F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint investigation12 Apr 2024
12 Jan 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EComplaint investigation15 Feb 2024
12 Jan 2024F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DComplaint investigation15 Feb 2024
12 Jan 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation15 Feb 2024

Penalties

DateTypeAmountDetail
12 Jan 2024Payment denial—42 days
12 Jan 2024Fine$25,275

Staffing

Total nursing3.23 h
Nurse aides1.86 h
LPN0.87 h
RN0.5 h
Weekend total2.9 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Pennsylvania average. Turnover: nursing staff 42.5%, RNs 33.3%; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityPennsylvania medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay26.0%15.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.9%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay9.2%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.2%2.9%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay3.6%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay20.4%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.9%4.5%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay24.4%17.2%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Maybrook-P Millville Opco Llc. Chain: Priority Healthcare Group (12 facilities).

OrganisationRole in the CMS recordInterestSince
Maybrook-P Opco Holdings LLC5% or greater direct ownership interest100%08/15/2016
Bl Capital Group Holdings LLC5% or greater indirect ownership interest24%01/28/2020
Samara Holdings Company LLC5% or greater indirect ownership interest10%01/28/2020
Strawberry Hill Holdings LLC5% or greater indirect ownership interest10%01/28/2020
Clinical Consulting Services LLCOperational/managerial controlNOT APPLICABLE01/01/2019
Priority Care Group LLCOperational/managerial controlNOT APPLICABLE01/01/2019
Summation Financial Services LLCOperational/managerial controlNOT APPLICABLE01/01/2019
Clinical Consulting Services LLCAdp of the snfNOT APPLICABLE07/01/2025
Maybrook-P Millville Propco LLCAdp of the snfNOT APPLICABLE08/15/2016
Summation Financial Services LLCAdp of the snfNOT APPLICABLE07/01/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Columbia County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Gardens At Orangeville, TheOrangeville1193324336.1—16 Jun 2026
Sunset Ridge Rehabilitation and Nursing CenterBloomsburg663343350.0$100K23 Jan 2026
Glen Brook Rehabilitation and Healthcare CenterBerwick2402235121.3$261K27 Feb 2026

All 4 facilities in Columbia County

Questions and answers

How many deficiencies has Gardens At Millville, The been cited for?

48 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Pennsylvania median is 26 per facility.

Has Gardens At Millville, The been fined?

Yes. CMS lists fines totalling $25K in the period covered, plus 1 payment denial.

How does staffing at Gardens At Millville, The compare?

Reported total nurse staffing is 3.2 hours per resident per day against a Pennsylvania median of 3.6 and a national average of 3.9.

Who operates Gardens At Millville, The?

It is part of the Priority Healthcare Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Maybrook-P Opco Holdings LLC, Bl Capital Group Holdings LLC and Samara Holdings Company LLC. Individual owners and managers are not listed on this site.

When was Gardens At Millville, The last inspected?

The most recent survey or investigation in the CMS record is dated 9 Jun 2026; the most recent standard health survey was 5 Dec 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.