CARE ONE AT MILLBURY
312 MILLBURY AVENUE, MILLBURY, MA 01527 · CCN 225720
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 154
- Avg residents/day
- 145.4
- Phone
- 5087930088
Inspection history vs Massachusetts & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Massachusetts avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-04-25 | 16 | 8.9 | 9.5 | +7.1 worse |
| 2 | 2024-02-02 | 9 | 10.0 | 9.8 | -1.0 better |
| 3 | 2022-08-16 | 10 | 12.7 | 9.3 | -2.7 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 6 |
| Resident assessment and care planning | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 2 |
| Pharmacy service | 1 |
| Administration | 1 |
| Infection control | 3 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.62 | 34.4% |
| RN staffing (reported) | 0.41 | 25.0% |
| Total nurse staffing (adjusted) | 3.33 | — |
Fines & penalties
- Total fines
- $82,700
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- CAREONE
- Facilities in chain
- 37
- Chain avg overall
- 3.40 / 5
Inspection citations (35)5 actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-19 · Health · corrected 2025-12-17
Actual harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-04-25 · Health · corrected 2025-06-02
Potential for more than minimal harm
- GF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-04-25 · Health · corrected 2025-06-02
Actual harm
- DF0641Ensure each resident receives an accurate assessment.2025-04-25 · Health · corrected 2025-06-02
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-25 · Health · corrected 2025-06-02
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-25 · Health · corrected 2025-06-02
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-04-25 · Health · corrected 2025-06-02
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-04-25 · Health · corrected 2025-06-02
Potential for more than minimal harm
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2025-04-25 · Health · corrected 2025-06-02
Actual harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-04-25 · Health · corrected 2025-06-02
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-04-25 · Health · corrected 2025-06-02
Potential for more than minimal harm
- DF0808Ensure 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.2025-04-25 · Health · corrected 2025-06-02
Potential for more than minimal harm
- EF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-04-25 · Health · corrected 2025-06-02
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-04-25 · Health · corrected 2025-06-02
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-04-25 · Health · corrected 2025-06-02
Potential for more than minimal harm
- DF0887Educate 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.2025-04-25 · Health · corrected 2025-06-02
Potential for more than minimal harm
- GF0760Ensure that residents are free from significant medication errors.2024-04-03 · Health · corrected 2024-01-30
Actual harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-02-02 · Health · corrected 2024-03-18
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-02-02 · Health · corrected 2024-03-18
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-02 · Health · corrected 2024-03-18
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-02 · Health · corrected 2024-03-18
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-02 · Health · corrected 2024-03-18
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2024-02-02 · Health · corrected 2024-03-18
Potential for more than minimal harm
- DF0758Implement 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.2024-02-02 · Health · corrected 2024-03-18
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-02-02 · Health · corrected 2024-03-18
Potential for more than minimal harm
- DF0578Honor 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.2022-08-16 · Health · corrected 2022-09-19
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-08-16 · Health · corrected 2022-09-19
Potential for more than minimal harm
- DF0625Notify 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.2022-08-16 · Health · corrected 2022-09-19
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-08-16 · Health · corrected 2022-09-19
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-08-16 · Health · corrected 2022-09-19
Potential for more than minimal harm
- GF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-08-16 · Health · corrected 2022-09-19
Actual harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-08-16 · Health · corrected 2022-09-19
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-08-16 · Health · corrected 2022-09-19
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-08-16 · Health · corrected 2022-09-19
Potential for more than minimal harm
- EF0886Perform COVID19 testing on residents and staff.2022-08-16 · Health · corrected 2022-09-19
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| THCI OF MASSACHUSETTS, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2003-07-01 |
| CARE REALTY, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2002-04-30 |
| DES 2009 FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-12-01 |
| STRAUS, DANIEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2003-07-01 |
| STRAUS, MOSHAEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2003-07-01 |
| HEALTHBRIDGE MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2003-07-01 |
| BARUCH, DAVID | Individual | CORPORATE OFFICER | — | 2021-12-01 |
| BARUCH, DAVID | Individual | W-2 MANAGING EMPLOYEE | — | 2021-12-01 |
Other facilities in MILLBURY
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.