Care One at Millbury

312 Millbury Avenue, Millbury, MA 01527 · (978) 870-3397
For profit - Limited Liability company · 154 certified beds

Care One at Millbury has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in April 2025, found 15 citations, 2 for actual harm or immediate jeopardy (the Massachusetts average is 6.8). It was fined 3 times in the last three years, $95,328 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on April 25, 2025 found 15 citations. What an inspection citation means

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.April 25, 2025 · F0580 · Level of harm: Actual harm · Residents affected: Few
• Provide safe, appropriate pain management for a resident who requires such services.April 25, 2025 · F0697 · Level of harm: Actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.April 25, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Have a plan that describes the process for conducting QAPI and QAA activities.April 25, 2025 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.April 25, 2025 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives an accurate assessment.April 25, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.April 25, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.April 25, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.April 25, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide for the safe, appropriate administration of IV fluids for a resident when needed.April 25, 2025 · F0694 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.April 25, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.April 25, 2025 · F0808 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.April 25, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement policies and procedures for flu and pneumonia vaccinations.April 25, 2025 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.April 25, 2025 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 4 citations.

• 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.May 14, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.March 17, 2026 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 19, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.April 3, 2024 · F0760 · Level of harm: Actual harm · Residents affected: Few

Fines and payment denials

• Fine of $12,628November 19, 2025
• Fine of $72,173April 25, 2025
• Fine of $10,527February 2, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home