Nursing HomeInspections

Care One at Millbury

Nursing home in Millbury, MA

Medicare & Medicaid certified1★ overall (CMS)

Call (978) 870-3397Send a messageMap ↗

Public-record details

Address
312 Millbury Avenue, Millbury, MA 01527
Phone
(978) 870-3397
Listed under
For-profit
Medicare CCN
225720
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
154
Average residents per day
144
Ownership
For-profit, limited Liability company
Legal business name
312 Millbury Avenue Operating Company, LLC
Chain
Careone (37 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 23, 1997
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 225720. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 25, 2025. CMS lists 37 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 16, 2022 to May 14, 2026): 4 from complaint inspections, 5 at the “actual harm” level or higher.

InspectionCitationSeverity
May 14, 2026Ensure 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…
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 17, 2026Honor 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…
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 19, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Apr 25, 2025Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights		D
Potential for more than minimal harm, isolated
Apr 25, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Apr 25, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 25, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 25, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 25, 2025Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 25, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Apr 25, 2025Ensure 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.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Apr 25, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 37. 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 3 fines totalling $95,138 in the last three years.

Nov 19, 2025Fine: $12,438
Apr 25, 2025Fine: $72,173
Feb 2, 2024Fine: $10,527

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
3.64 hours
Registered nurse (RN) time per resident per day
0.53 hours
Nurse aide time per resident per day
2.10 hours
Total nurse staffing on weekends
3.34 hours
Nursing staff turnover (yearly)
46%
RN turnover (yearly)
45%
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.