CARE ONE AT MILLBURY
State inspectors recorded 4 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2025-11-19 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-04-25 — ACTUAL HARM (tag F0697, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe, appropriate pain management for a resident who requires such services.
2025-04-25 — ACTUAL HARM (tag F0580, severity G)
Resident Rights Deficiencies · correction not recorded in CMS data
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2024-04-03 — ACTUAL HARM (tag F0760, severity G)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
2022-08-16 — ACTUAL HARM (tag F0698, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Staffing, from payroll records
Nursing hours / resident / day
3.27
state median 3.36
Weekend staffing gap
−5%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.33
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
46%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
3 enforcement action(s), totaling $95,138 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-11-19 | Fine | $12,438 |
| 2025-04-25 | Fine | $72,173 |
| 2024-02-02 | Fine | $10,527 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the CAREONE chain.
Other facilities under the same ownership, with their CMS overall ratings:
- RIVER GLEN HEALTH CARE CENTER (SOUTHBURY, CT) —
- CARE ONE AT LOWELL (LOWELL, MA) —
- CARE ONE AT HOLYOKE (HOLYOKE, MA) —
- CARE ONE AT NORTHAMPTON (NORTHAMPTON, MA) —
- CARE ONE AT NEWTON (NEWTON, MA) —
- CARE ONE AT ESSEX PARK (BEVERLY, MA) —
- CARE ONE AT LEXINGTON (LEXINGTON, MA) —
- CARE ONE AT REDSTONE (EAST LONGMEADOW, MA) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-14 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-03-17 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2025-11-19 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-04-25 | F0561 | Resident Rights Deficiencies | D | not recorded |
| 2025-04-25 | F0580 | Resident Rights Deficiencies | G | not recorded |
| 2025-04-25 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-04-25 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-04-25 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-04-25 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-04-25 | F0694 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-04-25 | F0697 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-04-25 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-04-25 | F0804 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2025-04-25 | F0808 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2025-04-25 | F0865 | Administration Deficiencies | E | not recorded |
| 2025-04-25 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-04-25 | F0883 | Infection Control Deficiencies | D | not recorded |
| 2025-04-25 | F0887 | Infection Control Deficiencies | D | not recorded |
| 2024-04-03 | F0760 | Pharmacy Service Deficiencies | G | not recorded |
| 2024-02-02 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-02-02 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-02-02 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-02-02 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-02-02 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-02 | F0685 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-02 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-02-02 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-08-16 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2022-08-16 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2022-08-16 | F0625 | Resident Rights Deficiencies | D | not recorded |
| 2022-08-16 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-08-16 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-08-16 | F0698 | Quality of Life and Care Deficiencies | G | not recorded |
| 2022-08-16 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2022-08-16 | F0812 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2022-08-16 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2022-08-16 | F0886 | Infection Control Deficiencies | E | not recorded |