Milcrest Nursing Center
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 46 Google reviews
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What this means for your family
While the facility is physically modern and offers effective physical therapy, the recurring reports of severe understaffing and failure to communicate medical emergencies are significant red flags. If you choose this facility, ensure you have a clear, documented plan for how the staff will communicate changes in health status and verify their current staffing ratios during off-hours.
Google Reviews
Google Reviews
46 reviews on Google“MILCREST NURSING CENTER (also referred to as Monarch Nursing and Rehab) presents a highly polarized experience for families. While some reviewers praise the facility's cleanliness, modern environment, and effective physical therapy, a significant number of families report critical failures in communication, medication management, and patient safety, including instances of delayed medical intervention and neglect.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical and occupational therapy
- Clean, modern, and well-maintained facility
- Some staff members described as caring and professional
Concerns
- Severe understaffing leading to neglect (mentioned by 7 reviewers)
- Poor communication and lack of responsiveness from administration (mentioned by 4 reviewers)
- Delayed or missed medication and medical care (mentioned by 3 reviewers)
- Patient falls and lack of safety monitoring (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 53 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given that physical and occupational therapy are noted as strengths here, how do you integrate those services into a resident's daily routine?
- 2I noticed some concerns regarding communication; what is your standard process for keeping families updated on their loved one's health status?
- 3With the current staffing levels, what specific protocols are in place to ensure consistent monitoring and timely assistance for residents who are at risk of falls?
- 4Could you walk me through your medication management process to ensure that doses are administered accurately and on time?
- 5How does your team handle urgent medical needs or changes in condition during evening and weekend hours?
- 6What opportunities are available for residents to socialize and participate in activities outside of their medical care schedule?
Personalized based on this facility's data
Key Review Excerpts
“The Nurses, and the aids here are in my opinion, the best of the best. I hope that I NEVER have to go to a facility again, but if I do, it will be Monarch skilled nursing and rehab.”
“My grandma has been at Monarch for a couple of months now and she has consistently received her medications late which has resulted in her becoming extremely agitated. She has had two confirmed falls where staff has walked in on her on the floor and two suspected falls.”
“Severely understaffed which resulted in poor patient care & monitoring. Not notifying me that my mom was much worse & should be in the hospital instead I got there to find her condition deteriorating quickly.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
7
measures
2
measures
Residents on anti-anxiety or sleep medication
Residents vaccinated for the flu
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed complaint reports against this facility, including serious concerns about resident neglect, abuse reporting failures, and emergency care issues in 2024. The facility shows persistent problems across multiple areas, particularly care planning deficiencies appearing in all five surveys, along with recurring issues in medication management, resident rights, and quality of care. While the facility corrects most deficiencies when cited, the pattern of repeated violations suggests ongoing quality challenges families should carefully consider.
Apr 23, 2026Complaint1
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Feb 25, 2026Complaint1
Resident Rights Deficiencies
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.
Apr 10, 2025Routine13
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Give residents a notice of rights, rules, services and charges.
Jun 13, 2024Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Aug 23, 2023Complaint3
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service Deficiencies
Ensure 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.
May 26, 2022Routine10
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Federal Penalties
Fine
Jun 13, 2024
$68,006
Ownership & Operations
Who Operates This Facility
Milcrest Nursing Center
for profit
Chain Affiliation
Country Club Rehabilitation Campus
7 facilities nationwide
Chain avg rating: 3.1/5 · Rank 3 of 7
Ownership & Management
Owners
Harris, Janet
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
46 reviews from families & visitors
Official Website
Visit monarchskilledrehab.com
Medicare data downloads
Original nursing home datasets
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