Senior CareScorecard

Nursing home · Milan, MO

Milan Health Care Center

52435 Infirmary Road, Milan, MO 63556 · 100 certified beds · for profit ownership · part of Reliant Care Management

Medicare & MedicaidFined $49,897 in 3 yearsMedicare abuse icon
Medicare overall rating1 / 5Much below averageChillicothe area 2.0 · Missouri 2.51 · U.S. 2.99
1/5Health inspections Much below average
1/5Staffing Much below average
3/5Quality measures Average
2/5Short-stay (rehab) quality Below average
3/5Long-stay quality Average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on Oct 30, 2025, when they cited 1 problem from a complaint investigation. The most common area was freedom from abuse, neglect, and exploitation (1 citation). 1 citation was rated as causing actual harm or immediate jeopardy to residents. All have been marked corrected. At its most recent standard inspection (Mar 5, 2025) it had 12 citations, compared with an average of 10.1 for Chillicothe-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 2.01 hours per resident per day here, 41% less than the Missouri average (3.43) and 48% less than the U.S. average (3.86). Registered nurses account for 0.19 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 59% over the past year, 3 points higher than Missouri (56%) and 13 points higher than the U.S. (46%).

How Milan Health Care Center compares

This home's latest CMS figures next to the averages for Chillicothe-area homes (20), Missouri (487) and the U.S. (14,680).

This homeChillicothe areaMissouriU.S.
Total nurse hours per resident per day2.013.283.433.86
Registered nurse hours per resident per day0.190.430.460.68
Weekend nurse hours per resident per day1.792.883.013.42
Nursing staff turnover (past year)59%56%56%46%
Registered nurse turnover (past year)—47%48%43%
Citations at the most recent standard inspection1210.111.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

Oct 30, 20251complaint · 1 harm-level citation
Jul 10, 20252complaint
May 23, 20253complaint
Mar 5, 202511standard
Jan 22, 20251complaint · 1 harm-level citation
Oct 17, 20242complaint
Oct 2, 20241complaint
May 7, 20242complaint
Nov 28, 20231complaint
Jun 13, 202318standard
Oct 9, 20193standard

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 40 of 45 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Oct 30, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from abuse, neglect, and exploitation · complaint
G actual harmPast Non-Compliance
Jul 10, 2025Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and physician services · complaint
FDeficient, Provider has date of correction
Jul 10, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and physician services · complaint
EDeficient, Provider has date of correction
May 23, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
May 23, 2025Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and physician services · complaint
FDeficient, Provider has date of correction
May 23, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and physician services · complaint
EDeficient, Provider has date of correction
Mar 5, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of life and care
EDeficient, Provider has date of correction
Mar 5, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and dietary
EDeficient, Provider has date of correction
Mar 5, 2025Provide and implement an infection prevention and control program.
Infection control
EDeficient, Provider has date of correction
Mar 5, 2025Reasonably accommodate the needs and preferences of each resident.
Resident rights
DDeficient, Provider has date of correction
Mar 5, 2025Provide 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.
Quality of life and care
DDeficient, Provider has date of correction
Mar 5, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident assessment and care planning
EDeficient, Provider has date of correction
Mar 5, 2025Ensure each resident receives an accurate assessment.
Resident assessment and care planning
EDeficient, Provider has date of correction
Mar 5, 2025Assess the resident when there is a significant change in condition
Resident assessment and care planning
EDeficient, Provider has date of correction
Mar 5, 2025Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and physician services
FDeficient, Provider has date of correction
Mar 5, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Mar 5, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and physician services
EDeficient, Provider has date of correction
Jan 22, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care · complaint
J immediate jeopardyDeficient, Provider has date of correction
Oct 17, 2024Respond appropriately to all alleged violations.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Oct 17, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Oct 2, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care · complaint
DPast Non-Compliance
May 7, 2024Respond appropriately to all alleged violations.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
May 7, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Nov 28, 2023Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident rights · complaint
DDeficient, Provider has date of correction
Jun 13, 2023Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and dietary
EDeficient, Provider has date of correction
Jun 13, 2023Provide or get specialized rehabilitative services as required for a resident.
Quality of life and care
DDeficient, Provider has date of correction
Jun 13, 2023Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of life and care
DDeficient, Provider has date of correction
Jun 13, 2023Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
DDeficient, Provider has date of correction
Jun 13, 2023Ensure each resident receives an accurate assessment.
Resident assessment and care planning
DDeficient, Provider has date of correction
Jun 13, 2023Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Nutrition and dietary
EDeficient, Provider has date of correction
Jun 13, 2023Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and dietary
EDeficient, Provider has date of correction
Jun 13, 2023Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and dietary
FDeficient, Provider has date of correction
Jun 13, 2023Ensure that residents are free from significant medication errors.
Pharmacy service
EDeficient, Provider has date of correction
Jun 13, 2023Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Nursing and physician services
EDeficient, Provider has date of correction
Jun 13, 2023Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident assessment and care planning
EDeficient, Provider has date of correction
Jun 13, 2023Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident rights
EDeficient, Provider has date of correction
Jun 13, 2023Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from abuse, neglect, and exploitation
EDeficient, Provider has date of correction
Jun 13, 2023Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident rights
EDeficient, Provider has date of correction
Jun 13, 2023Provide and implement an infection prevention and control program.
Infection control
FDeficient, Provider has date of correction
Jun 13, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction

Fines and penalties

DateTypeAmount
Jan 22, 2025Fine$49,897

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Questions about Milan Health Care Center

Answers computed from CMS data for this facility.

What is Milan Health Care Center's Medicare rating?

Medicare rates Milan Health Care Center 1 out of 5 stars overall (much below average). The average for Chillicothe-area nursing homes is 2.0, for Missouri 2.51 and for the U.S. 2.99.

How did Milan Health Care Center do on its last inspection?

Inspectors' most recent visit in the CMS data was on Oct 30, 2025, when they cited 1 problem from a complaint investigation. The most common area was freedom from abuse, neglect, and exploitation (1 citation). 1 citation was rated as causing actual harm or immediate jeopardy to residents. All have been marked corrected. At its most recent standard inspection (Mar 5, 2025) it had 12 citations, compared with an average of 10.1 for Chillicothe-area homes, 11.4 in Missouri and 9.2 nationally.

Has Milan Health Care Center been fined?

Yes. CMS reports 1 fine totaling $49,897 in the past three years.

Does Milan Health Care Center accept Medicaid?

Milan Health Care Center is certified for both Medicare and Medicaid. Call (660) 265-4032 to ask whether a Medicaid bed is open.

Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.