Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Milford Meadows Care Center

Milford, NE · 80 certified beds · Last Life Safety survey July 9, 2026

CMS Certification Number 285232 · first certified September 1998

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

New ownershipOwnership changed February 17, 2026 (change of ownership)from SUNRISE COUNTRY INC

Citations on file

CMS's current file

Life Safety surveys

CMS's current file

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within NE

44 citations — more than 96% of the 180 certified nursing homes in NE. Compared within NE rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in CMS's current file.

The latest survey found 20 citations; the earlier surveys on file averaged 12. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens July 2027 — about 8 months from now. This facility’s last Life Safety survey was July 2026. Facilities in NE are typically surveyed 12–15 months after the last one (median 13), measured over 277 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured

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5 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 44 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

E-0041

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 44 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0584 Honor 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.

How that compares

Citations in CMS's current file

Compared with the median facility in NE, and nationally. Surveyors differ markedly between states, so the NE figure is the meaningful one.

Citations in CMS's current file, compared
Measure	Citations
This facility	44
Median facility in NE	15
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
April 2, 2024	11
February 11, 2025	13
July 9, 2026	20

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0712	Have simulated fire drills held at unexpected times.	3	2026-07-09
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	3	2026-07-09
K-0363	Install corridor and hallway doors that block smoke.	3	2026-07-09
K-0922	Meet requirements for the use and maintenance of medical gas equipment.	3	2026-07-09
K-0920	Ensure proper usage of power strips and extension cords.	2	2026-07-09
K-0324	Provide properly protected cooking facilities.	2	2026-07-09
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	2	2026-07-09
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	2	2026-07-09

What the citations cover

Citations by CMS category

Smoke Deficiencies 14
Gas, Vacuum, and Electrical Systems Deficiencies 12
Miscellaneous Deficiencies 10
Services Deficiencies 3
Other 5

Citations by CMS category
Category	Citations
Smoke Deficiencies	14
Gas, Vacuum, and Electrical Systems Deficiencies	12
Miscellaneous Deficiencies	10
Services Deficiencies	3
Egress Deficiencies	3
Electrical Deficiencies	1
Emergency Preparedness Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

July 9, 2026 — 20 citations

Citations issued on July 9, 2026
Tag	What the surveyor checks	Status
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (September 9, 2026)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (August 21, 2026)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (August 21, 2026)
K-0331	Construct fire resistant interior walls.	Deficient, Provider has date of correction (August 21, 2026)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (September 9, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (August 21, 2026)
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	Deficient, Provider has date of correction (August 21, 2026)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (August 21, 2026)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (August 21, 2026)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (September 9, 2026)
K-0500	Meet other general requirements that are deficient.	Deficient, Provider has date of correction (August 21, 2026)
K-0700	Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.	Deficient, Provider has date of correction (August 21, 2026)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (August 21, 2026)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (August 21, 2026)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (August 21, 2026)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (September 9, 2026)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (September 9, 2026)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (August 21, 2026)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (August 21, 2026)
K-0922	Meet requirements for the use and maintenance of medical gas equipment.	Deficient, Provider has date of correction (August 21, 2026)

February 11, 2025 — 13 citations

Citations issued on February 11, 2025
Tag	What the surveyor checks	Status
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (March 28, 2025)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (March 28, 2025)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (March 28, 2025)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (March 28, 2025)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (March 28, 2025)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (March 28, 2025)
K-0700	Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.	Deficient, Provider has date of correction (March 28, 2025)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (March 28, 2025)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (March 28, 2025)
K-0753	Have restrictions on the use of highly flammable decorations.	Deficient, Provider has date of correction (March 28, 2025)
K-0901	Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.	Deficient, Provider has date of correction (March 28, 2025)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (March 28, 2025)
K-0922	Meet requirements for the use and maintenance of medical gas equipment.	Deficient, Provider has date of correction (March 28, 2025)

April 2, 2024 — 11 citations

Citations issued on April 2, 2024
Tag	What the surveyor checks	Status
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (May 17, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (May 17, 2024)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (May 17, 2024)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (May 17, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (May 17, 2024)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (May 17, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (May 17, 2024)
K-0919	Meet requirements for the use of electrical equipment.	Deficient, Provider has date of correction (May 17, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (May 17, 2024)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (May 17, 2024)
K-0922	Meet requirements for the use and maintenance of medical gas equipment.	Deficient, Provider has date of correction (May 17, 2024)

Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.