Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 225720

Care One At Millbury

35 federal citations on record , and 2 federal enforcement actions totaling $82,700.

Record summary

Federal record · Q1 2026
35
Total citations
25
Last 3 years
5
Actual harm+
2
Federal penalties
$82,700
Total fines
2
Overall ★ rating

Most common violation categories here

Quality of Care10 Care Planning7 Resident Rights5 Infection Control5 Medication & Pharmacy4

Most common F-tags at this facility

F6772 F8802 F6562 F6891 F5611

Citation history

35 on record
SurveyF-TagViolationSeveritySource
Nov 19, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Apr 25, 2025F887Educate 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.DStandard
Apr 25, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Apr 25, 2025F880Provide and implement an infection prevention and control program.DStandard
Apr 25, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.EStandard
Apr 25, 2025F808Ensure 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.DStandard
Apr 25, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard
Apr 25, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Apr 25, 2025F697Provide safe, appropriate pain management for a resident who requires such services.GStandard
Apr 25, 2025F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
Apr 25, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Apr 25, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Apr 25, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Apr 25, 2025F641Ensure each resident receives an accurate assessment.DStandard
Apr 25, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GStandard
Apr 25, 2025F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Apr 3, 2024F760Ensure that residents are free from significant medication errors.GComplaint
Feb 2, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Feb 2, 2024F758Implement 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.DStandard
Feb 2, 2024F685Assist a resident in gaining access to vision and hearing services.DStandard
Feb 2, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Feb 2, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Feb 2, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Feb 2, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Feb 2, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Aug 16, 2022F886Perform COVID19 testing on residents and staff.EStandard
Aug 16, 2022F880Provide and implement an infection prevention and control program.EStandard
Aug 16, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Aug 16, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Aug 16, 2022F698Provide safe, appropriate dialysis care/services for a resident who requires such services.GStandard
Aug 16, 2022F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Aug 16, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Aug 16, 2022F625Notify 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.DStandard
Aug 16, 2022F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Aug 16, 2022F578Honor 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

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $82,700 .

DateTypeFinePayment denial
Apr 25, 2025Fine$72,173—
Feb 2, 2024Fine$10,527—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

Concerned about care at Care One At Millbury?

An attorney who focuses on nursing-home abuse and neglect can review the facility's record with you — citation patterns, scope/severity levels, complaint-driven findings — and tell you whether the law recognizes what happened.

  • Consultation is free and confidential
  • You pay nothing unless there is a recovery
  • Your note is shared only with vetted plaintiff attorneys
Free · Confidential · Nationwide network
Free Consultation Request
Tell us about your family's situation
A plaintiff attorney will review your note and respond within one business day.