Massachusetts › Worcester County › Millbury
Care One At Millbury
312 Millbury Avenue, Millbury, MA 01527
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Care One At Millbury, in Millbury, Massachusetts, is certified for 154 beds under for-profit, limited liability company ownership and belongs to the Careone chain.
CMS gives it 1 of 5 stars overall, below the Massachusetts median of 3; the health inspection rating is 1, staffing 2 and quality measures 4.
Inspectors recorded 37 health deficiencies across the three most recent survey cycles (18, 8, 11 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 24.0 per 100 beds, about the same as the state median of 21.7.
CMS lists 3 penalties in the period covered: fines totalling $95K.
Reported nurse staffing is 3.6 hours per resident per day (0.5 RN), close to the Massachusetts median of 3.7; nursing staff turnover is 45.7%.
Compared with county, state and nation
| Measure | This facility | Worcester Co. median | Massachusetts median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 37 | 27 | 27 | 28.7 |
| Citations per 100 beds | 24.0 | 20.7 | 21.7 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.7 | 3.7 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.6 | 0.7 |
| Nursing staff turnover | 45.7% | 38.6% | 37.7% | 45.8% |
| Fines listed | $95,138 | $0 | $0 | — |
County and state figures are medians across facilities (50 in the county, 341 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Massachusetts average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Apr 2025, 2 Feb 2024.
Severity mix: G ×5 D ×28 E ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 14 May 2026 | F0761 | 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. | D | Complaint investigation | 29 May 2026 |
| 17 Mar 2026 | F0578 | 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. | D | Complaint investigation | 7 Mar 2026 |
| 19 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 17 Dec 2025 |
| 25 Apr 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Standard survey | 2 Jun 2025 |
| 25 Apr 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 2 Jun 2025 |
| 25 Apr 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 2 Jun 2025 |
| 25 Apr 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Standard survey | 2 Jun 2025 |
| 25 Apr 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 2 Jun 2025 |
| 25 Apr 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 2 Jun 2025 |
| 25 Apr 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 2 Jun 2025 |
| 25 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 2 Jun 2025 |
| 25 Apr 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 2 Jun 2025 |
| 25 Apr 2025 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 2 Jun 2025 |
| 25 Apr 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 2 Jun 2025 |
| 25 Apr 2025 | F0808 | 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. | D | Standard survey | 2 Jun 2025 |
| 25 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 2 Jun 2025 |
| 25 Apr 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 2 Jun 2025 |
| 25 Apr 2025 | F0887 | 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. | D | Standard survey | 2 Jun 2025 |
| 3 Apr 2024 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 30 Jan 2024 |
| 2 Feb 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 18 Mar 2024 |
| 2 Feb 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 18 Mar 2024 |
| 2 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 18 Mar 2024 |
| 2 Feb 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 18 Mar 2024 |
| 2 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 18 Mar 2024 |
| 2 Feb 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 18 Mar 2024 |
| 2 Feb 2024 | F0758 | 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. | D | Standard survey | 18 Mar 2024 |
| 2 Feb 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 18 Mar 2024 |
| 16 Aug 2022 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | G | Standard survey | 19 Sep 2022 |
| 16 Aug 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 19 Sep 2022 |
| 16 Aug 2022 | F0886 | Perform COVID19 testing on residents and staff. | E | Standard survey | 19 Sep 2022 |
| 16 Aug 2022 | F0578 | 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. | D | Standard survey | 19 Sep 2022 |
| 16 Aug 2022 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 19 Sep 2022 |
| 16 Aug 2022 | F0625 | 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. | D | Standard survey | 19 Sep 2022 |
| 16 Aug 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 19 Sep 2022 |
| 16 Aug 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 19 Sep 2022 |
| 16 Aug 2022 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 19 Sep 2022 |
| 16 Aug 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 19 Sep 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 19 Nov 2025 | Fine | $12,438 | |
| 25 Apr 2025 | Fine | $72,173 | |
| 2 Feb 2024 | Fine | $10,527 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Massachusetts average. Turnover: nursing staff 45.7%, RNs 45.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Massachusetts median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.7% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.6% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.2% | 14.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.2% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.3% | 19.6% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: 312 Millbury Avenue Operating Company, Llc. Chain: Careone (37 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Thci of Massachusetts, LLC | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 07/01/2003 |
| Care Realty, LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 04/30/2002 |
| Des-I 2016 Grat | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 12/01/2021 |
| Healthbridge Management LLC | Operational/managerial control | NOT APPLICABLE | 07/01/2003 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Worcester County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Beaumont Rehab & Skilled Nursing Ctr - Northboro | Northborough | 96 | 5 | 4 | 3 | 16 | 16.7 | — | 23 Jun 2025 |
| Holy Trinity Eastern Orthodox N & R Center | Worcester | 113 | 5 | 5 | 4 | 9 | 8.0 | — | 6 Jan 2026 |
| Lutheran Rehabilitation and Skilled Care Center | Worcester | 150 | 5 | 5 | 4 | 0 | 0.0 | — | — |
| Lydia Taft House | Uxbridge | 53 | 5 | 5 | 5 | 7 | 13.2 | — | 3 May 2023 |
| Quaboag Rehabilitation & Skilled Care Facility | West Brookfield | 166 | 5 | 5 | 4 | 8 | 4.8 | — | 5 Nov 2024 |
| River Terrace Rehabilitation and Healthcare Ctr | Lancaster | 82 | 5 | 5 | 2 | 2 | 2.4 | $9K | 5 May 2025 |
| West Side House LTC Facility | Worcester | 91 | 5 | 5 | 4 | 13 | 14.3 | — | 30 Dec 2024 |
| Whittier Westborough Transitional Care Unit | Westborough | 19 | 5 | 4 | 5 | 6 | 31.6 | — | 2 May 2025 |
All 50 facilities in Worcester County
Questions and answers
How many deficiencies has Care One At Millbury been cited for?
37 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Massachusetts median is 27 per facility.
Has Care One At Millbury been fined?
Yes. CMS lists fines totalling $95K in the period covered.
How does staffing at Care One At Millbury compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Massachusetts median of 3.7 and a national average of 3.9.
Who operates Care One At Millbury?
It is part of the Careone chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Thci of Massachusetts, LLC, Care Realty, LLC and Des-I 2016 Grat. Individual owners and managers are not listed on this site.
When was Care One At Millbury last inspected?
The most recent survey or investigation in the CMS record is dated 14 May 2026; the most recent standard health survey was 25 Apr 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.