Milton Rehabilitation and Nursing Center
743 Mahoning Street, Milton, PA 17847 · Northumberlnd County · 138 certified beds · avg 124 residents/day · certified since Mar 1, 1983
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (38)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 15, 2026 | E · Potential for harm, repeated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Mar 28, 2025 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint |
| Nov 6, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Nov 6, 2024 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Nov 6, 2024 | E · Potential for harm, repeated | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Nov 6, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Nov 6, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Nov 6, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Nov 6, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Nov 6, 2024 | D · Potential for harm, one-off | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| Nov 6, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Dec 15, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Dec 15, 2023 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Dec 15, 2023 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Dec 15, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 15, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Dec 15, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Dec 15, 2023 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Dec 15, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Dec 15, 2023 | D · Potential for harm, one-off | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| Dec 15, 2023 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. |
| Dec 15, 2023 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Dec 15, 2023 | D · Potential for harm, one-off | The facility did not bring in qualified outside professionals to provide a required service when it didn't have a qualified professional on staff. |
| Dec 15, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Dec 15, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Jan 10, 2023 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jan 10, 2023 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jan 10, 2023 | E · Potential for harm, repeated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Jan 10, 2023 | E · Potential for harm, repeated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jan 10, 2023 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Jan 10, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jan 10, 2023 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jan 10, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jan 10, 2023 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Jan 10, 2023 | D · Potential for harm, one-off | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Jan 10, 2023 | D · Potential for harm, one-off | The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. |
| Jan 10, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 10, 2023 | B · Minimal risk, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (14 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 27 | 0 | E |
| 2024 | 9 | 0 | F |
| 2025 | 1 | 0 | D |
| 2026 | 1 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Pennsylvania avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.17 | 3.94 | 3.95 | bottom 20% in Pennsylvania; bottom 20% in the U.S. |
| Registered Nurse hours | 0.43 | 0.80 | 0.69 | bottom 14% in Pennsylvania; bottom 28% in the U.S. |
| Weekend total nurse staffing | 2.96 | 3.58 | 3.50 | bottom 25% in Pennsylvania; bottom 29% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.36 | 0.56 | 0.48 | bottom 36% in Pennsylvania; bottom 44% in the U.S. |
| Total nursing staff turnover (%) | 50.9 | 44.5 | 45.8 | bottom 31% in Pennsylvania; bottom 35% in the U.S. |
| RN turnover (%) | 40.0 | 39.9 | 42.9 | bottom 48% in Pennsylvania; top 46% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.37, RN 0.46, weekend 3.15. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 4/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Kuster, Leslie | Individual | 5% or Greater Indirect Ownership Interest | 60% | 06/01/2025 |
| Bleier, Jonathan | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Bleier, Sorah | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Crestview 360 Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Crestview 720 Trust | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Epstein, Joel | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2025 |
| Epstein, Joel | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Focus Health Network LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Kuster, Leslie | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2025 |
| Kuster, Leslie | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Kuster, Leslie | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Pa8 Master Tenant LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/08/2025 |
| Passi, Vikas | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2025 |
| Passi, Vikas | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Passi, Vikas | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Wagner, Amy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2025 |
| Wagner, Amy | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Wagner, Amy | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do residents get dental care here — is there a dentist who visits, and how are appointments arranged?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Buffalo Valley Lutheran Villag | 4.8 mi | Lewisburg, PA | ★★★☆☆ | 3/5 | |
| Oak Glen Healthcare and Rehabilitation Center | 4.8 mi | Lewisburg, PA | ★★☆☆☆ | 2/5 | |
| Watsontown Rehabilitation and Nursing Center | 5.6 mi | Watsontown, PA | ★★☆☆☆ | 2/5 | |
| Nottingham Village | 7.4 mi | Northumberland, PA | ★★★☆☆ | 3/5 | |
| Sunbury Skilled Nursing and Rehabilitation Center | 10.8 mi | Sunbury, PA | ★★★☆☆ | 3/5 | |
| Nursing and Rehabilitation at the Mansion | 10.9 mi | Sunbury, PA | ★★★☆☆ | 3/5 | |
| Manor at Penn Village, the | 13.1 mi | Selinsgrove, PA | ★★☆☆☆ | 2/5 | |
| Emmanuel Center for Nursing | 13.6 mi | Danville, PA | ★★☆☆☆ | 2/5 | abuse |
| Grandview Nursing and Rehabilitation | 14.0 mi | Danville, PA | —/5 | SFF | |
| Muncy Place | 14.1 mi | Muncy, PA | ★★★☆☆ | 3/5 | |
| Gardens at Millville, the | 17.9 mi | Millville, PA | ★★☆☆☆ | 2/5 | |
| Wecare at Sycamore Rehabilitation and Nursing Cent | 18.0 mi | Montoursville, PA | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 395570.