With a score of 12/100, Mill Creek Center For Nursing And Rehabilitation ranks in the bottom tier of North Carolina nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing at Mill Creek Center For Nursing And Rehabilitation is near the national average, with 3.44 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 45 deficiencies at Mill Creek Center For Nursing And Rehabilitation, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and .
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.44 | 3.8 | Average |
| Registered Nurses (RN) | 0.56 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.01 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.87 | 2.4 | Below Average |
| Weekend Total Nursing | 2.93 | 3.8 | Below Average |
| Weekend RN Hours | 0.30 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0578 Severity EHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, andApr 13, 2025 · Resident Rights Deficiencies
- Tag 0883 Severity EDevelop and implement policies and procedures for flu and pneumonia vaccinations.Apr 13, 2025 · Infection Control Deficiencies
- Tag 0554 Severity DAllow residents to self-administer drugs if determined clinically appropriate.Apr 13, 2025 · Resident Rights Deficiencies
- Tag 0558 Severity DReasonably accommodate the needs and preferences of each resident.Apr 13, 2025 · Resident Rights Deficiencies
- Tag 0583 Severity DKeep residents' personal and medical records private and confidential.Apr 13, 2025 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 10.0% | 4.5% | Worse |
| Falls with major injury | 3.6% | 3.0% | Worse |
| On antipsychotic medication | 24.1% | 14.5% | Worse |
| Urinary tract infections | 1.3% | 2.5% | Better |
| ADL decline (daily activities) | 31.4% | 14.0% | Worse |
| Excessive weight loss | 9.8% | 7.5% | Worse |
| New/worsened incontinence | 29.8% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $29,876
How This Grade Was Calculated
This facility's grade of F is based on a score of 12 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 1★ → 3 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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