Nursing HomeInspections

Care One at Randolph

Nursing home in Randolph, MA

Medicare & Medicaid certified1★ overall (CMS)

Call (781) 831-0354Send a messageMap ↗

Public-record details

Address
49 Thomas Patten Drive, Randolph, MA 02368
Phone
(781) 831-0354
Listed under
For-profit, No fines in 3 years
Medicare CCN
225356
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
168
Average residents per day
142
Ownership
For-profit, limited Liability company
Legal business name
49 Thomas Patten Drive Operating Company, LLC
Chain
Careone (37 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 1, 1989
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 225356. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 14, 2025. CMS lists 60 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 24, 2023 to Aug 14, 2025): 13 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Aug 14, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		B
Potential for minimal harm, pattern
Aug 14, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 14, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 14, 2025Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 14, 2025Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Aug 14, 2025Provide appropriate foot care.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 14, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 14, 2025Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 14, 2025Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Aug 14, 2025Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Administration		D
Potential for more than minimal harm, isolated
Aug 14, 2025Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights		E
Potential for more than minimal harm, pattern
Aug 14, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 60. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.56 hours
Registered nurse (RN) time per resident per day
0.45 hours
Nurse aide time per resident per day
1.94 hours
Total nurse staffing on weekends
3.29 hours
Nursing staff turnover (yearly)
23%
RN turnover (yearly)
40%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.