PlainNursing
2026 data Public-data reference. official source

MILLBRAE CARE CENTER

Open-data reference.

MILLBRAE CARE CENTER is a for profit - limited liability company facility in MILLBRAE, CA with 140 certified beds and a 2-star overall CMS rating. The facility has 50 deficiency records on file. Total penalties: $7K.

33 MATEO AVENUE, MILLBRAE, CA 94030

Phone: 6506895784

Overall Rating

2/5

Health Inspection

2/5

Staffing

3/5

Quality Measures

2/5

Long-Stay Quality

3/5

Facility Information

Provider Number
056122
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
140
Residents
128
In Hospital
No
County
San Mateo
Last Inspection
Oct 17, 2024

Staffing Data

RN Hours
0.50 (nat'l avg: 0.68)
LPN Hours
0.93
CNA Hours
1.83
Total Nursing Hours
3.26 (nat'l avg: 3.89)
PT Hours
0.05
Nursing Turnover
37.6%
RN Turnover
40.0%

What the CMS Record Reveals About MILLBRAE CARE CENTER

MILLBRAE CARE CENTER operates 140 certified beds in MILLBRAE, CA with approximately 128 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 (2★). 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 50 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $7K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.26 total nursing hours per resident day (national average 3.89), with RN coverage at 0.50 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, MILLBRAE CARE CENTER 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 37.6%, 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 (50 most recent)

E — Pattern - Minimal harm Jun 4, 2025 Tag: 0745

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 2, 2025

D — Isolated - Minimal harm May 19, 2025 Tag: 0557

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Category: Resident Rights Deficiencies

Corrected: Jul 2, 2025

E — Pattern - Minimal harm Oct 17, 2024 Tag: 0926

Have policies on smoking.

Category: Environmental Deficiencies

Corrected: Nov 17, 2024

B — Pattern - No harm Oct 17, 2024 Tag: 0911

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

Category: Environmental Deficiencies

Corrected: Nov 17, 2024

E — Pattern - Minimal harm Oct 17, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 17, 2024

D — Isolated - Minimal harm Oct 17, 2024 Tag: 0770

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

Category: Administration Deficiencies

Corrected: Nov 17, 2024

D — Isolated - Minimal harm Oct 17, 2024 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: Nov 17, 2024

D — Isolated - Minimal harm Oct 17, 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: Nov 17, 2024

D — Isolated - Minimal harm Oct 17, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 17, 2024

D — Isolated - Minimal harm Oct 17, 2024 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 17, 2024

E — Pattern - Minimal harm Aug 5, 2024 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Sep 5, 2024

D — Isolated - Minimal harm Jun 7, 2024 Tag: 0745

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 5, 2024

D — Isolated - Minimal harm Apr 11, 2024 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: May 10, 2024

D — Isolated - Minimal harm Apr 11, 2024 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 10, 2024

E — Pattern - Minimal harm Jan 11, 2024 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Mar 21, 2024

F — Widespread - Minimal harm Jan 11, 2024 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Mar 21, 2024

D — Isolated - Minimal harm Jan 11, 2024 Tag: 0911

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

Category: Environmental Deficiencies

Corrected: Mar 21, 2024

F — Widespread - Minimal harm Jan 11, 2024 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Mar 21, 2024

D — Isolated - Minimal harm Jan 11, 2024 Tag: 0825

Provide or get specialized rehabilitative services as required for a resident.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 21, 2024

G — Isolated - Actual harm Jan 11, 2024 Tag: 0692

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 21, 2024

F — Widespread - Minimal harm Jan 11, 2024 Tag: 0688

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.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 21, 2024

D — Isolated - Minimal harm Jan 11, 2024 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 21, 2024

D — Isolated - Minimal harm Jan 11, 2024 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 21, 2024

D — Isolated - Minimal harm Jan 11, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Mar 21, 2024

D — Isolated - Minimal harm Jan 11, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Mar 21, 2024

E — Pattern - Minimal harm Jan 3, 2024 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: Mar 18, 2024

E — Pattern - Minimal harm Jan 3, 2024 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 18, 2024

D — Isolated - Minimal harm Aug 24, 2023 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 28, 2023

D — Isolated - Minimal harm Aug 24, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 28, 2023

D — Isolated - Minimal harm Aug 2, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 18, 2023

D — Isolated - Minimal harm Jul 19, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 28, 2023

D — Isolated - Minimal harm Jun 28, 2023 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Aug 2, 2023

D — Isolated - Minimal harm Apr 13, 2023 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 28, 2023

D — Isolated - Minimal harm Apr 13, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 28, 2023

D — Isolated - Minimal harm Mar 30, 2023 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 8, 2023

D — Isolated - Minimal harm Feb 16, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 3, 2023

D — Isolated - Minimal harm Feb 15, 2023 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 27, 2023

D — Isolated - Minimal harm Feb 15, 2023 Tag: 0585

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Category: Resident Rights Deficiencies

Corrected: Mar 31, 2023

E — Pattern - Minimal harm Feb 14, 2023 Tag: 0940

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Category: Administration Deficiencies

Corrected: Mar 29, 2023

D — Isolated - Minimal harm Feb 14, 2023 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Mar 29, 2023

D — Isolated - Minimal harm Feb 14, 2023 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 29, 2023

D — Isolated - Minimal harm Feb 14, 2023 Tag: 0557

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Category: Resident Rights Deficiencies

Corrected: Mar 29, 2023

D — Isolated - Minimal harm Feb 14, 2023 Tag: 0554

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

Category: Resident Rights Deficiencies

Corrected: Mar 29, 2023

D — Isolated - Minimal harm Dec 3, 2021 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Jan 28, 2022

E — Pattern - Minimal harm Dec 3, 2021 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 10, 2022

D — Isolated - Minimal harm Dec 3, 2021 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: Jan 28, 2022

D — Isolated - Minimal harm Dec 3, 2021 Tag: 0804

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 28, 2022

E — Pattern - Minimal harm Dec 3, 2021 Tag: 0803

Ensure 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.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 28, 2022

E — Pattern - Minimal harm Dec 3, 2021 Tag: 0802

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 10, 2022

E — Pattern - Minimal harm Dec 3, 2021 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Mar 10, 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 19.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.1% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.1% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.8% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.8% 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 1.1% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 79.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 69.6% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 18.1% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 4.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 87.4% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 56.2% No
Percentage of long-stay residents with pressure ulcers Long Stay 5.3% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 19.3% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 13.7% Yes

Penalty History 1 penalties totaling $7K

Date Type Amount
Jan 3, 2024 Fine $7K

Frequently Asked Questions

What is the overall CMS rating for MILLBRAE CARE CENTER?
MILLBRAE CARE CENTER has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (3★), and quality measures (2★).
What are the staffing levels at MILLBRAE CARE CENTER?
MILLBRAE CARE CENTER reports 3.26 total nursing hours per resident day (national average: 3.89). RN hours are 0.50 per resident day (national average: 0.68). Nursing staff turnover is 37.6%.
How many beds does MILLBRAE CARE CENTER have?
MILLBRAE CARE CENTER has 140 certified beds with approximately 128 residents. The facility is located at 33 MATEO AVENUE, MILLBRAE, CA 94030.
Does MILLBRAE CARE CENTER have any deficiencies on record?
Yes, MILLBRAE CARE CENTER has 50 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has MILLBRAE CARE CENTER received any fines or penalties?
Yes, MILLBRAE CARE CENTER has received 1 penalties totaling $7K.
Who owns MILLBRAE CARE CENTER?
MILLBRAE CARE CENTER is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was MILLBRAE CARE CENTER last inspected?
The most recent health inspection for MILLBRAE CARE CENTER was on Oct 17, 2024. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for MILLBRAE CARE CENTER?
MILLBRAE CARE CENTER 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