California › San Mateo County › Millbrae
Millbrae Care Center
33 Mateo Avenue, Millbrae, CA 94030
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.
Millbrae Care Center, in Millbrae, California, is certified for 140 beds under for-profit, limited liability company ownership.
CMS gives it 2 of 5 stars overall, below the California median of 3; the health inspection rating is 2, staffing 3 and quality measures 2.
Inspectors recorded 60 health deficiencies across the three most recent survey cycles (17, 11, 32 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 42.9 per 100 beds, about the same as the state median of 51.1.
CMS lists 1 penalty in the period covered: fines totalling $7K.
Reported nurse staffing is 3.2 hours per resident per day (0.4 RN), below the California median of 4.2; nursing staff turnover is 31.7%.
Compared with county, state and nation
| Measure | This facility | San Mateo Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 60 | 43 | 44 | 28.7 |
| Citations per 100 beds | 42.9 | 32.8 | 51.1 | 26.8 |
| Total nurse hours per resident day | 3.2 | 4.4 | 4.2 | 3.9 |
| RN hours per resident day | 0.4 | 0.7 | 0.5 | 0.7 |
| Nursing staff turnover | 31.7% | 34.1% | 36.4% | 45.8% |
| Fines listed | $7,045 | $0 | $0 | — |
County and state figures are medians across facilities (14 in the county, 1165 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: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 8 May 2026, 17 Oct 2024.
Severity mix: G ×2 D ×34 E ×19 F ×4 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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 25 Jun 2026 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | Complaint investigation | Deficient, Provider has no plan of correction |
| 25 Jun 2026 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Complaint investigation | Deficient, Provider has no plan of correction |
| 8 May 2026 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | F | Standard survey | 5 Jun 2026 |
| 8 May 2026 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 5 Jun 2026 |
| 8 May 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 5 Jun 2026 |
| 8 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. | E | Standard survey | 5 Jun 2026 |
| 8 May 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 5 Jun 2026 |
| 8 May 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 5 Jun 2026 |
| 8 May 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 5 Jun 2026 |
| 8 May 2026 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 5 Jun 2026 |
| 8 May 2026 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 5 Jun 2026 |
| 8 May 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 5 Jun 2026 |
| 8 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 5 Jun 2026 |
| 8 May 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 5 Jun 2026 |
| 8 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 5 Jun 2026 |
| 28 Jan 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 5 Mar 2026 |
| 28 Jan 2026 | 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 | Complaint investigation | 5 Mar 2026 |
| 4 Jun 2025 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | Complaint investigation | 2 Jul 2025 |
| 19 May 2025 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 2 Jul 2025 |
| 17 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 17 Nov 2024 |
| 17 Oct 2024 | F0926 | Have policies on smoking. | E | Standard survey | 17 Nov 2024 |
| 17 Oct 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 17 Nov 2024 |
| 17 Oct 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 17 Nov 2024 |
| 17 Oct 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 17 Nov 2024 |
| 17 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 17 Nov 2024 |
| 17 Oct 2024 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 17 Nov 2024 |
| 17 Oct 2024 | F0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B | Standard survey | 17 Nov 2024 |
| 5 Aug 2024 | F0726 | 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. | E | Complaint investigation | 5 Sep 2024 |
| 7 Jun 2024 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint investigation | 5 Jul 2024 |
| 11 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 10 May 2024 |
| 11 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 10 May 2024 |
| 11 Jan 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint investigation | 21 Mar 2024 |
| 11 Jan 2024 | F0688 | 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. | F | Complaint investigation | 21 Mar 2024 |
| 11 Jan 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Complaint investigation | 21 Mar 2024 |
| 11 Jan 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | F | Complaint investigation | 21 Mar 2024 |
| 11 Jan 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 21 Mar 2024 |
| 11 Jan 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 21 Mar 2024 |
| 11 Jan 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 21 Mar 2024 |
| 11 Jan 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 21 Mar 2024 |
| 11 Jan 2024 | F0637 | Assess the resident when there is a significant change in condition | D | Complaint investigation | 21 Mar 2024 |
| 11 Jan 2024 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint investigation | 21 Mar 2024 |
| 11 Jan 2024 | F0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | D | Complaint investigation | 21 Mar 2024 |
| 3 Jan 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 18 Mar 2024 |
| 3 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 18 Mar 2024 |
| 24 Aug 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 28 Sep 2023 |
| 24 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 28 Sep 2023 |
| 2 Aug 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 18 Aug 2023 |
| 3 Dec 2021 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 28 Jan 2022 |
| 3 Dec 2021 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 28 Jan 2022 |
| 3 Dec 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 28 Jan 2022 |
| 3 Dec 2021 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 10 Mar 2022 |
| 3 Dec 2021 | 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. | E | Standard survey | 10 Mar 2022 |
| 3 Dec 2021 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard survey | 10 Mar 2022 |
| 3 Dec 2021 | F0803 | 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. | E | Standard survey | 28 Jan 2022 |
| 3 Dec 2021 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Mar 2022 |
| 3 Dec 2021 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 10 Mar 2022 |
| 3 Dec 2021 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 10 Mar 2022 |
| 3 Dec 2021 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 28 Jan 2022 |
| 3 Dec 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 28 Jan 2022 |
| 3 Dec 2021 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 28 Jan 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 3 Jan 2024 | Fine | $7,045 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 31.7%, RNs 31.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.9% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.2% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.1% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.8% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.3% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.0% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.5% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.3% | 9.1% | 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: Millbrae Care Center Llc.
No organisations are listed in the CMS ownership record for this facility.
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 San Mateo County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Belmont Healthcare Center | Belmont | 74 | 5 | 5 | 3 | 21 | 28.4 | — | 22 Jun 2026 |
| Brookside Skilled Nursing Hospital | San Mateo | 96 | 5 | 4 | 5 | 22 | 22.9 | — | 16 Apr 2026 |
| Devonshire Oaks Nursing Center | Redwood City | 38 | 5 | 4 | 4 | 28 | 73.7 | — | 17 Jan 2025 |
| Golden Heights Healthcare | Daly City | 102 | 5 | 4 | 5 | 46 | 45.1 | — | 4 Aug 2025 |
| Linda Mar Care Center | Pacifica | 59 | 5 | 4 | 4 | 17 | 28.8 | — | 27 Jan 2025 |
| Pacifica Nursing and Rehabilitation Center | Pacifica | 68 | 5 | 5 | 5 | 6 | 8.8 | — | 22 Nov 2024 |
| The Sequoias | Portola Valley | 43 | 5 | 5 | 4 | 20 | 46.5 | $13K | 7 Aug 2025 |
| Atherton Park Post-Acute | Menlo Park | 160 | 4 | 3 | 3 | 49 | 30.6 | — | 16 Apr 2026 |
All 14 facilities in San Mateo County
Questions and answers
How many deficiencies has Millbrae Care Center been cited for?
60 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Millbrae Care Center been fined?
Yes. CMS lists fines totalling $7K in the period covered.
How does staffing at Millbrae Care Center compare?
Reported total nurse staffing is 3.2 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Millbrae Care Center?
Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Millbrae Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 25 Jun 2026; the most recent standard health survey was 8 May 2026.
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.