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CARE ONE AT MILLBURY

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CARE ONE AT MILLBURY is a for profit - limited liability company facility in MILLBURY, MA with 154 certified beds and a 2-star overall CMS rating. The facility has 35 deficiency records on file. Total penalties: $83K.

312 MILLBURY AVENUE, MILLBURY, MA 01527

Phone: 5087930088

Overall Rating

2/5

Health Inspection

2/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
225720
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
154
Residents
145
In Hospital
No
County
Worcester
Last Inspection
Apr 25, 2025

Staffing Data

RN Hours
0.41 (nat'l avg: 0.68)
LPN Hours
1.23
CNA Hours
1.97
Total Nursing Hours
3.62 (nat'l avg: 3.89)
PT Hours
0.09
Nursing Turnover
34.4%
RN Turnover
25.0%

What the CMS Record Reveals About CARE ONE AT MILLBURY

CARE ONE AT MILLBURY operates 154 certified beds in MILLBURY, MA with approximately 145 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (3★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 35 deficiency records from recent surveys, of which 5 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $83K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.62 total nursing hours per resident day (national average 3.89), with RN coverage at 0.41 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, CARE ONE AT MILLBURY falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 34.4%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (35 most recent)

G — Isolated - Actual harm Nov 19, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 17, 2025

D — Isolated - Minimal harm Apr 25, 2025 Tag: 0887

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.

Category: Infection Control Deficiencies

Corrected: Jun 2, 2025

D — Isolated - Minimal harm Apr 25, 2025 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Jun 2, 2025

D — Isolated - Minimal harm Apr 25, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 2, 2025

E — Pattern - Minimal harm Apr 25, 2025 Tag: 0865

Have a plan that describes the process for conducting QAPI and QAA activities.

Category: Administration Deficiencies

Corrected: Jun 2, 2025

D — Isolated - Minimal harm Apr 25, 2025 Tag: 0808

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 2, 2025

D — Isolated - Minimal harm Apr 25, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 2, 2025

E — Pattern - Minimal harm Apr 25, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jun 2, 2025

G — Isolated - Actual harm Apr 25, 2025 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 2, 2025

D — Isolated - Minimal harm Apr 25, 2025 Tag: 0694

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 2, 2025

D — Isolated - Minimal harm Apr 25, 2025 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 2, 2025

D — Isolated - Minimal harm Apr 25, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 2, 2025

D — Isolated - Minimal harm Apr 25, 2025 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 2, 2025

D — Isolated - Minimal harm Apr 25, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 2, 2025

G — Isolated - Actual harm Apr 25, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Jun 2, 2025

D — Isolated - Minimal harm Apr 25, 2025 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: Jun 2, 2025

G — Isolated - Actual harm Apr 3, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Jan 30, 2024

D — Isolated - Minimal harm Feb 2, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 18, 2024

D — Isolated - Minimal harm Feb 2, 2024 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Mar 18, 2024

D — Isolated - Minimal harm Feb 2, 2024 Tag: 0685

Assist a resident in gaining access to vision and hearing services.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 18, 2024

D — Isolated - Minimal harm Feb 2, 2024 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 18, 2024

D — Isolated - Minimal harm Feb 2, 2024 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 18, 2024

D — Isolated - Minimal harm Feb 2, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 18, 2024

D — Isolated - Minimal harm Feb 2, 2024 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 18, 2024

D — Isolated - Minimal harm Feb 2, 2024 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 18, 2024

E — Pattern - Minimal harm Aug 16, 2022 Tag: 0886

Perform COVID19 testing on residents and staff.

Category: Infection Control Deficiencies

Corrected: Sep 19, 2022

E — Pattern - Minimal harm Aug 16, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 19, 2022

D — Isolated - Minimal harm Aug 16, 2022 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 19, 2022

D — Isolated - Minimal harm Aug 16, 2022 Tag: 0756

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

Category: Pharmacy Service Deficiencies

Corrected: Sep 19, 2022

G — Isolated - Actual harm Aug 16, 2022 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 19, 2022

D — Isolated - Minimal harm Aug 16, 2022 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 19, 2022

D — Isolated - Minimal harm Aug 16, 2022 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 19, 2022

D — Isolated - Minimal harm Aug 16, 2022 Tag: 0625

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.

Category: Resident Rights Deficiencies

Corrected: Sep 19, 2022

D — Isolated - Minimal harm Aug 16, 2022 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Sep 19, 2022

D — Isolated - Minimal harm Aug 16, 2022 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Sep 19, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 20.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.9% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.2% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.3% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 9.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.7% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.5% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 94.4% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.2% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 21.1% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 17.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 90.3% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 84.8% No
Percentage of long-stay residents with pressure ulcers Long Stay 2.2% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 31.6% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 8.1% Yes

Penalty History 2 penalties totaling $83K

Date Type Amount
Apr 25, 2025 Fine $72K
Feb 2, 2024 Fine $11K

Frequently Asked Questions

What is the overall CMS rating for CARE ONE AT MILLBURY?
CARE ONE AT MILLBURY has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (3★), and quality measures (4★).
What are the staffing levels at CARE ONE AT MILLBURY?
CARE ONE AT MILLBURY reports 3.62 total nursing hours per resident day (national average: 3.89). RN hours are 0.41 per resident day (national average: 0.68). Nursing staff turnover is 34.4%.
How many beds does CARE ONE AT MILLBURY have?
CARE ONE AT MILLBURY has 154 certified beds with approximately 145 residents. The facility is located at 312 MILLBURY AVENUE, MILLBURY, MA 01527.
Does CARE ONE AT MILLBURY have any deficiencies on record?
Yes, CARE ONE AT MILLBURY has 35 deficiencies on record from recent inspections. Of these, 5 are classified as causing actual harm or jeopardy.
Has CARE ONE AT MILLBURY received any fines or penalties?
Yes, CARE ONE AT MILLBURY has received 2 penalties totaling $83K.
Who owns CARE ONE AT MILLBURY?
CARE ONE AT MILLBURY is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was CARE ONE AT MILLBURY last inspected?
The most recent health inspection for CARE ONE AT MILLBURY was on Apr 25, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for CARE ONE AT MILLBURY?
CARE ONE AT MILLBURY is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial