Elder Care Record

Massachusetts › Norfolk County › Randolph

Care One At Randolph

49 Thomas Patten Drive, Randolph, MA 02368

CCN 225356 · For-profit, limited liability company · 168 certified beds · chain Careone

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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 Randolph is a For-profit, limited liability company nursing home in Randolph, Massachusetts, certified for 168 beds and caring for about 142 residents a day.

CMS gives it 1 of 5 stars overall, below the Massachusetts median of 3; the health inspection rating is 1, staffing 3 and quality measures 3.

Inspectors recorded 60 health deficiencies across the three most recent survey cycles (21, 22, 17 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 35.7 per 100 beds, more than the state median of 21.7.

CMS lists no fines or payment denials against the facility in the period covered.

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 23.3%.

60health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS0 penalties in period
3.6nurse hours per resident per daystate median 3.7
84%occupancy (residents ÷ beds)142 residents a day

Compared with county, state and nation

MeasureThis facilityNorfolk Co. medianMassachusetts medianUS average
Overall star rating1333.0
Health citations, 3 cycles60292728.7
Citations per 100 beds35.722.621.726.8
Total nurse hours per resident day3.63.83.73.9
RN hours per resident day0.50.60.60.7
Nursing staff turnover23.3%31.4%37.7%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (33 in the county, 341 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)21
Cycle 222
Cycle 317

Dark bar: this facility. Grey bar: Massachusetts average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 Aug 2025, 15 Aug 2024.

Severity mix: G ×1 D ×37 E ×19 F ×2 B ×1

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
14 Aug 2025F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard survey22 Sep 2025
14 Aug 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EStandard survey22 Sep 2025
14 Aug 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesEStandard survey22 Sep 2025
14 Aug 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey22 Sep 2025
14 Aug 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey22 Sep 2025
14 Aug 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey22 Sep 2025
14 Aug 2025F0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.EStandard survey22 Sep 2025
14 Aug 2025F0761Ensure 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.EStandard survey22 Sep 2025
14 Aug 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey22 Sep 2025
14 Aug 2025F0880Provide and implement an infection prevention and control program.EStandard survey22 Sep 2025
14 Aug 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard survey22 Sep 2025
14 Aug 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey22 Sep 2025
14 Aug 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey22 Sep 2025
14 Aug 2025F0585Honor 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.DStandard survey22 Sep 2025
14 Aug 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey22 Sep 2025
14 Aug 2025F0687Provide appropriate foot care.DStandard survey22 Sep 2025
14 Aug 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey22 Sep 2025
14 Aug 2025F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard survey22 Sep 2025
14 Aug 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey22 Sep 2025
14 Aug 2025F0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DStandard survey22 Sep 2025
14 Aug 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.BStandard survey22 Sep 2025
27 May 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint investigation30 Jun 2025
27 May 2025F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation30 Jun 2025
27 May 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint investigation23 Jun 2025
20 Mar 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation14 Apr 2025
4 Dec 2024F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FComplaint investigation13 Jan 2025
4 Dec 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation13 Jan 2025
4 Dec 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation13 Jan 2025
9 Oct 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation18 Nov 2024
9 Oct 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation18 Nov 2024
9 Oct 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation4 Oct 2024
9 Oct 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation4 Oct 2024
15 Aug 2024F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EStandard survey23 Sep 2024
15 Aug 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey23 Sep 2024
15 Aug 2024F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EStandard survey23 Sep 2024
15 Aug 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey23 Sep 2024
15 Aug 2024F0880Provide and implement an infection prevention and control program.EStandard survey23 Sep 2024
15 Aug 2024F0578Honor 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.DStandard survey23 Sep 2024
15 Aug 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey23 Sep 2024
15 Aug 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey23 Sep 2024
15 Aug 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey23 Sep 2024
15 Aug 2024F0675Honor each resident's preferences, choices, values and beliefs.DStandard survey23 Sep 2024
15 Aug 2024F0692Provide enough food/fluids to maintain a resident's health.DStandard survey23 Sep 2024
29 May 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint investigation2 Jul 2024
29 May 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation28 Jun 2024
24 May 2023F0688Provide 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.GStandard survey21 Jun 2023
24 May 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey26 Jun 2023
24 May 2023F0761Ensure 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.EStandard survey13 Jul 2023
24 May 2023F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey26 Jun 2023
24 May 2023F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey21 Jun 2023
24 May 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey21 Jun 2023
24 May 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey21 Jun 2023
24 May 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey21 Jun 2023
24 May 2023F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey21 Jun 2023
24 May 2023F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard survey21 Jun 2023
24 May 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey21 Jun 2023
24 May 2023F0759Ensure medication error rates are not 5 percent or greater.DStandard survey21 Jun 2023
24 May 2023F0760Ensure that residents are free from significant medication errors.DStandard survey21 Jun 2023
24 May 2023F0880Provide and implement an infection prevention and control program.DStandard survey21 Jun 2023
24 May 2023F0908Keep all essential equipment working safely.DStandard survey26 Jun 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.56 h
Nurse aides1.94 h
LPN1.17 h
RN0.45 h
Weekend total3.29 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Massachusetts average. Turnover: nursing staff 23.3%, RNs 40.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMassachusetts medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay15.7%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.8%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.2%1.5%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.7%3.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.9%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay15.5%14.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.7%3.8%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay20.7%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: 49 Thomas Patten Drive Operating Company, Llc. Chain: Careone (37 facilities).

OrganisationRole in the CMS recordInterestSince
Thci of Massachusetts, LLC5% or greater direct ownership interestNO PERCENTAGE PROVIDED07/01/2003
Care Realty, LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED04/30/2002
Des-I 2016 Grat5% or greater indirect ownership interestNO PERCENTAGE PROVIDED12/01/2021
Healthbridge Management LLCOperational/managerial controlNOT APPLICABLE07/01/2003

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 Norfolk County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Alliance Health At BraintreeBraintree10155444.0—25 Jul 2024
Copley At Stoughton Nursing Care CenterStoughton1235352217.9—14 Jan 2026
Dwyer HomeWeymouth5055448.0—12 Dec 2023
Ellis Nursing Home (the)Norwood1915432714.1$57K14 May 2026
John Scott House Nursing & Rehabilitation CenterBraintree1385442417.4—15 Jan 2026
Newbridge On the Charles Skilled Nursing FacilityDedham4855412.1—13 May 2026
South Cove Manor Nursing & Rehabilitation CenterQuincy1415541611.3—31 Jul 2024
Thomas Upham HouseMedfield425451126.2—20 Nov 2025

All 33 facilities in Norfolk County

Questions and answers

How many deficiencies has Care One At Randolph been cited for?

60 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Massachusetts median is 27 per facility.

Has Care One At Randolph been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Care One At Randolph 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 Randolph?

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 Randolph last inspected?

The most recent survey or investigation in the CMS record is dated 14 Aug 2025; the most recent standard health survey was 14 Aug 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.