Facility profile · CCN 056122
Millbrae Care Center
63 federal citations on record , and 1 federal enforcement actions totaling $7,045.
Record summary
Federal record · Q1 202663
Total citations
32
Last 3 years
2
Actual harm+
1
Federal penalties
$7,045
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
63 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jun 4, 2025 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | Complaint |
| May 19, 2025 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint |
| Oct 17, 2024 | F926 | Have policies on smoking. | E | Standard |
| Oct 17, 2024 | F911 | 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 |
| Oct 17, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Oct 17, 2024 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard |
| Oct 17, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Oct 17, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Oct 17, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Oct 17, 2024 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard |
| Aug 5, 2024 | F726 | 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 |
| Jun 7, 2024 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint |
| Apr 11, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Apr 11, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jan 11, 2024 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint |
| Jan 11, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | F | Complaint |
| Jan 11, 2024 | F911 | 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 |
| Jan 11, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Complaint |
| Jan 11, 2024 | F825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint |
| Jan 11, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint |
| Jan 11, 2024 | F688 | 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 |
| Jan 11, 2024 | F637 | Assess the resident when there is a significant change in condition | D | Complaint |
| Jan 11, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jan 11, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Jan 11, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Jan 3, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint |
| Jan 3, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint |
| Aug 24, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Aug 24, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Aug 2, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Jul 19, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Jun 28, 2023 | F583 | Keep residents' personal and medical records private and confidential. | D | Complaint |
| Apr 13, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Apr 13, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Mar 30, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Dec 3, 2021 | F908 | Keep all essential equipment working safely. | D | Standard |
| Dec 3, 2021 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Dec 3, 2021 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Dec 3, 2021 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard |
| Dec 3, 2021 | F803 | 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 |
| Dec 3, 2021 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard |
| Dec 3, 2021 | F761 | 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 |
| Dec 3, 2021 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Dec 3, 2021 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Dec 3, 2021 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Dec 3, 2021 | F692 | Provide enough food/fluids to maintain a resident's health. | G | Standard |
| Dec 3, 2021 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Dec 3, 2021 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Jul 25, 2019 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard |
| Jul 25, 2019 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jul 25, 2019 | F840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | D | Standard |
| Jul 25, 2019 | F836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | F | Standard |
| Jul 25, 2019 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jul 25, 2019 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Jul 25, 2019 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard |
| Jul 25, 2019 | F732 | Post nurse staffing information every day. | D | Standard |
| Jul 25, 2019 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard |
| Jul 25, 2019 | F688 | 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. | D | Standard |
| Jul 25, 2019 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Jul 25, 2019 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jul 25, 2019 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard |
| Jul 25, 2019 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard |
| Jul 25, 2019 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $7,045 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jan 3, 2024 | Fine | $7,045 | — |
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.
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