CARE ONE AT MILLBURY

CCN 225720 · 312 MILLBURY AVENUE OPERATING COMPANY, LLC · For profit - Limited Liability company · CAREONE chain · 154 certified beds · Worcester · MA


CARE ONE AT MILLBURY is a 154-bed nursing home in MILLBURY, Massachusetts. CMS has certified it for Medicare and Medicaid since 1997-01-23. It averages 144.0 residents a day.

What harm was found in the violations cited at CARE ONE AT MILLBURY?

CMS lists 37 health-inspection deficiencies for CARE ONE AT MILLBURY since 2022-08-16, 27 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-05-14.

Survey dateTagDeficiencySeverity
2026-05-14F0761Ensure 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
2026-03-17F0578Honor 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
2025-11-19F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-04-25F0580, F0697Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide safe, appropriate pain management for a resident who requires such services.G
2025-04-25F0755, F0865Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Have a plan that describes the process for conducting QAPI and QAA activities.E
2025-04-25F0561, F0641, F0677, F0684, F0690, F0694, F0804, F0808, F0880, F0883, F0887Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Ensure each resident receives an accurate assessment. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / 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. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / 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
2024-04-03F0760Ensure that residents are free from significant medication errors.G
2024-02-02F0644, F0655, F0656, F0657, F0677, F0685, F0758, F0842Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Assist a resident in gaining access to vision and hearing services. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2022-08-16F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.G
2022-08-16F0880, F0886Provide and implement an infection prevention and control program. / Perform COVID19 testing on residents and staff.E
2022-08-16F0578, F0623, F0625, F0656, F0695, F0756, F0812Honor 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. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D

Why was CARE ONE AT MILLBURY fined 3 times?

DateTypeAmount
2025-11-19Fine$12,438
2025-04-25Fine$72,173
2024-02-02Fine$10,527

How is CARE ONE AT MILLBURY staffed relative to the MA average?

MeasureThis facilityMA average
Total nurse staffing hours per resident per day3.640883.86193
Total nursing staff turnover (%)45.738.2
Average number of residents per day144.098.5

Who owns CARE ONE AT MILLBURY, and what chain is it in?

CARE ONE AT MILLBURY is registered with CMS as For profit - Limited Liability company, operates under the legal business name 312 MILLBURY AVENUE OPERATING COMPANY, LLC and belongs to the CAREONE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTTHCI OF MASSACHUSETTS, LLCsince 07/01/2003
5% OR GREATER INDIRECT OWNERSHIP INTERESTCARE REALTY, LLC, DES-I 2016 GRAT, STRAUS, DANIEL, STRAUS, MOSHAELsince 04/30/2002
W-2 MANAGING EMPLOYEEBARUCH, DAVIDsince 12/01/2021
CORPORATE OFFICERBARUCH, DAVIDsince 12/01/2021
OPERATIONAL/MANAGERIAL CONTROLHEALTHBRIDGE MANAGEMENT LLCsince 07/01/2003

Were you or a family member harmed at CARE ONE AT MILLBURY?