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Public Record

Northern Dauphin Nursing and Rehabilitation Center

Nursing HomeMillersburg, PACMS 395428
44 citations on record

From CMS

Facility profile

CMS overall rating
2 / 5

*CMS Five-Star

Certified beds
194

*CMS

Avg. residents per day
162.3

*CMS

Inspection record

On record from CMS

Citations on record
44

*CMS

Inspections on file
12

*CMS

Last inspection
2025-12-23

*CMS

Citations

44 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0658Generalpotential for harm

    Ensure services provided by the nursing facility meet professional standards of quality.

  • 0600Seriousactual harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • 0791Generalpotential for harm

    Provide or obtain dental services for each resident.

  • 0887Generalpotential for harm

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

  • 0677Generalpotential for harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • 0684Generalpotential for harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • 0756Generalpotential for harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • 0692Generalpotential for harm

    Provide enough food/fluids to maintain a resident's health.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0686Generalpotential for harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • 0689Generalpotential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0725Generalpotential for harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  • 0770Generalpotential for harm

    Provide timely, quality laboratory services/tests to meet the needs of residents.

  • 0583Generalpotential for harm

    Keep residents' personal and medical records private and confidential.

  • 0695Generalpotential for harm

    Provide safe and appropriate respiratory care for a resident when needed.

  • 0657Generalpotential for harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • 0688Generalpotential for harm

    Provide 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.

  • 0689Generalpotential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0692Generalpotential for harm

    Provide enough food/fluids to maintain a resident's health.

  • 0554Generalpotential for harm

    Allow residents to self-administer drugs if determined clinically appropriate.

  • 0625Generalpotential for harm

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

  • 0686Generalpotential for harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • 0658Generalpotential for harm

    Ensure services provided by the nursing facility meet professional standards of quality.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0684Generalpotential for harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • 0836Generalpotential for harm

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

  • 0684Generalpotential for harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • 0689Seriousimmediate jeopardy

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0836Generalpotential for harm

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

  • 0657Generalpotential for harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • 0756Generalpotential for harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0584Generalpotential for harm

    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.

  • 0641Generalpotential for harm

    Ensure each resident receives an accurate assessment.

  • 0908Generalpotential for harm

    Keep all essential equipment working safely.

  • 0658Generalpotential for harm

    Ensure services provided by the nursing facility meet professional standards of quality.

  • 0676Generalpotential for harm

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

  • 0684Generalpotential for harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • 0688Generalpotential for harm

    Provide 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.

  • 0686Generalpotential for harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • 0684Generalpotential for harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • 0609Generalpotential for harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

  • Inspection1 deficiency

    395428 12/23/2025 Northern Dauphin Nursing and Rehabilitation Center 990 Medical Road Millersburg, PA 17061 F 0658 Ensure services provided by the nursing facility meet professional standards of quality. Level of Harm - Minimal harm or potential for actual harm Based on facility policy…

    Read full statement of deficiencies
  • Inspection1 deficiency

    395428 10/22/2025 Northern Dauphin Nursing and Rehabilitation Center 990 Medical Road Millersburg, PA 17061 F 0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Level of Harm - Actual harm Residents Affected…

    Read full statement of deficiencies
  • Inspection7 deficiencies

    395428 06/12/2025 Northern Dauphin Nursing and Rehabilitation Center 990 Medical Road Millersburg, PA 17061 F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm Based on facility…

    Read full statement of deficiencies
  • Inspection1 deficiency

    395428 05/06/2025 Northern Dauphin Nursing and Rehabilitation Center 990 Medical Road Millersburg, PA 17061 F 0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. Level of Harm - Minimal harm or potential for actual harm Based on clinical record review and…

    Read full statement of deficiencies
  • Inspection3 deficiencies

    395428 12/10/2024 Northern Dauphin Nursing and Rehabilitation Center 990 Medical Road Millersburg, PA 17061 F 0689 Level of Harm - Minimal harm or potential for actual harm Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent…

    Read full statement of deficiencies
  • Inspection1 deficiency

    395428 10/30/2024 Northern Dauphin Nursing and Rehabilitation Center 990 Medical Road Millersburg, PA 17061 F 0583 Keep residents' personal and medical records private and confidential. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO…

    Read full statement of deficiencies
  • Inspection13 deficiencies

    395428 07/11/2024 Northern Dauphin Nursing and Rehabilitation Center 990 Medical Road Millersburg, PA 17061 F 0554 Allow residents to self-administer drugs if determined clinically appropriate. Level of Harm - Minimal harm or potential for actual harm Based on facility policy review…

    Read full statement of deficiencies
  • Inspection1 deficiency

    395428 04/19/2024 Northern Dauphin Nursing and Rehabilitation Center 990 Medical Road Millersburg, PA 17061 F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm Based on clinical record…

    Read full statement of deficiencies
  • Inspection2 deficiencies
    Read full statement of deficiencies
  • Inspection11 deficiencies
    Read full statement of deficiencies

Showing the 10 most recent inspections. 2 earlier inspections are also on record.

FAQ

Questions and answers

What is Northern Dauphin Nursing and Rehabilitation Center?
Northern Dauphin Nursing and Rehabilitation Center is a Medicare- and Medicaid-certified nursing home in Millersburg, PA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 395428.
What is the CMS rating for Northern Dauphin Nursing and Rehabilitation Center?
Northern Dauphin Nursing and Rehabilitation Center has a CMS overall rating of 2 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Northern Dauphin Nursing and Rehabilitation Center have?
Northern Dauphin Nursing and Rehabilitation Center is certified for 194 beds. It serves an average of 162.3 residents per day.
How many citations does Northern Dauphin Nursing and Rehabilitation Center have?
Northern Dauphin Nursing and Rehabilitation Center has 44 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Northern Dauphin Nursing and Rehabilitation Center last inspected?
Northern Dauphin Nursing and Rehabilitation Center was last inspected on December 23, 2025. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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