Federal inspection record · CMS data as of October 1, 2026
Brush Hill Care Center
1200 Brush Hill Road, Milton, MA · (617) 333-0600
- Certified beds
- 160
- Residents per day
- 143
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 29, 1983
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Massachusetts.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Massachusetts homes
Brush Hill Care Center carries 57 inspection points. That is fewer than 31% of Massachusetts's 339 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Massachusetts: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–6 pts
- 4★ 6–24 pts
- 3★ 24–41 pts
- 2★ 41–76 pts
- 1★ over 76 pts
Bars show every rated home in Massachusetts by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
60 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
G
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care16E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide activities to meet all resident's needs.
- E
Provide enough food/fluids to maintain a resident's health.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care or services that was trauma informed and/or culturally competent.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- E
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide activities to meet all resident's needs.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide appropriate foot care.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Resident Assessment and Care Planning8E
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Pharmacy Service6E
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
Implement 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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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
Ensure medication error rates are not 5 percent or greater.
- D
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.
Resident Rights6F
- D
Reasonably accommodate the needs and preferences of each resident.
- F
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- B
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Nutrition and Dietary5F
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Freedom from Abuse, Neglect, and Exploitation5D
- C
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Respond appropriately to all alleged violations.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Infection Control4F
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- E
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
- D
Provide and implement an infection prevention and control program.
Administration3F
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- F
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- F
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Environmental3F
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
- D
Keep all essential equipment working safely.
Nursing and Physician Services1B
- B
Post nurse staffing information every day.
Inspection history
2025-11-21
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2024-09-25
22 health deficiencies · 18 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2023-07-17
34 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (12 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 34 min of nursing staff time a day, 29 min of it from a registered nurse.
This home
3 h 34 min
Massachusetts average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 45% of nursing staff and 54% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$3,418 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-01-30 | Fine | $3,418 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.6 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.1 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine33.3 pts worse | 59.6% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.2 pts worse | 87.3% | 93.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts better | 2.2% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms16 pts better | 1.4% | 17.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.6 pts better | 3.4% | 5.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.7 pts better | 12.8% | 19.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.7 pts better | 15.8% | 21.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts worse | 0.4% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.1 pts worse | 16.0% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.8 pts worse | 22.6% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.2% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.6 pts worse | 3.3% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.1 pts better | 19.3% | 20.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.3 pts better | 2.9% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine61.9 pts worse | 17.0% | 78.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.6 pts worse | 16.4% | 11.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts worse | 1.8% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine58.7 pts worse | 19.4% | 78.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.1 pts better | 23.6% | 25.7% | 23.4% |
·
Who owns and runs it
4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Klein, Gershon | 5% Or Greater Direct Ownership Interest · Individual | 0% | 2 facilities |
| Klein, Gershon | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Klein, Tibor | 5% Or Greater Direct Ownership Interest · Individual | 0% | 2 facilities |
| Milton Hc Operating LLC | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
·
Fire safety
23 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7E
- D
Install an approved automatic sprinkler system.
- E
Have an enclosure around a vertical opening shaft.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
Emergency Preparedness4E
- E
Establish policies and procedures including evacuation.
- E
Establish emergency prep training and testing.
- E
Implement emergency and standby power systems.
- D
List the names and contact information of those in the facility.
Egress4F
- D
Install emergency lighting that can last at least 1 1/2 hours.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- F
Have correct number of accessible exits for each story.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- E
Provide a written emergency evacuation plan.
- C
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems3E
- E
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the installation and maintenance of electrical systems.
- D
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Services2D
- D
Have properly installed electrical wiring and gas equipment.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
·
Other homes nearby
-
Care Village at West Roxbury
West Roxbury, MA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 27 min
- Fines
- $3,418
-
Care Village at Mattapan
Mattapan, MA
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 28 min
- Fines
- $13,065
-
German Center for Extended Care
Boston, MA · Chelsea Jewish Lifecare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 48 min
- Fines
- $0