16 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Millbury, MA
2-star overall rating with 2-star inspections with $82,700 in total fines with 16 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
312 Millbury Avenue, Millbury, MA
(508) 793-0088
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
154
Certified beds
Average residents
145
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Careone
Operator or chain grouping
Approved since
1997-01-23
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
37 facilities
Chain averages 3 overall / 3 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.41
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.23
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
1.97
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
3.62
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.65
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.34
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.20
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.38
CMS adjusted RN staffing hours
Adjusted total hours
3.33
CMS adjusted total nurse staffing hours
Case-mix index
1.49
Higher values indicate more complex resident acuity
RN turnover
25%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
34%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Program rank
7,505
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.57
Composite VBP score used to determine payment impact.
Payment multiplier
0.9855
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.62
Baseline 20.89% · Performance 20.68% · Measure score 1.62 · Achievement 1.62 · Improvement 0.05
Healthcare-associated infections
0.76
Baseline 4.46% · Performance 7.61% · Measure score 0.76 · Achievement 0.76 · Improvement 0
Total nurse turnover
6.98
Baseline 60.13% · Performance 35.16% · Measure score 6.98 · Achievement 6.98 · Improvement 6.58
Adjusted total nurse staffing
2.47
Baseline 3.59 hours · Performance 3.78 hours · Measure score 2.47 · Achievement 2.47 · Improvement 0.37
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.67% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 398 · Observed rate 9.8% · Lower 95% interval 7.63% |
| Discharge to community | 65.87% |
50.57%
15.3 pts better
|
Better than the National Rate · Eligible stays 388 · Observed rate 57.99% · Lower 95% interval 60.25% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 99.18% |
95.27%
3.9 pts better
|
Numerator 241 · Denominator 243 |
| Falls with major injury | 1.23% |
0.77%
0.5 pts worse
|
Numerator 3 · Denominator 243 |
| Discharge self-care score | 63.58% |
53.69%
9.9 pts better
|
Numerator 110 · Denominator 173 |
| Discharge mobility score | 46.24% |
50.94%
4.7 pts worse
|
Numerator 80 · Denominator 173 |
| Pressure ulcers or injuries, new or worsened | 0.82% |
2.29%
1.5 pts better
|
Numerator 2 · Denominator 243 · Adjusted rate 0.74% |
| Healthcare-associated infections requiring hospitalization | 7.61% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 239 · Observed rate 8.37% · Lower 95% interval 5.05% |
| Staff COVID-19 vaccination coverage | 12% |
8.2%
3.8 pts better
|
Numerator 27 · Denominator 225 |
| Staff flu vaccination coverage | 46.48% |
42%
4.5 pts better
|
Numerator 119 · Denominator 256 |
| Discharge function score | 51.45% |
56.45%
5 pts worse
|
Numerator 89 · Denominator 173 |
| Transfer of health information to provider | 98.15% |
95.95%
2.2 pts better
|
Numerator 53 · Denominator 54 |
| Transfer of health information to patient | 98.61% |
96.28%
2.3 pts better
|
Numerator 142 · Denominator 144 |
| Resident COVID-19 vaccinations up to date | 11.45% |
25.2%
13.8 pts worse
|
Numerator 15 · Denominator 131 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.2 |
1.9
0.3 pts worse
|
1.9
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.5 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.5
0.3 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.2 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
92.2%
7.3 pts better
|
93.4%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.0% · Q2 99.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.3% |
94.8%
4.5 pts worse
|
95.5%
5.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.7% |
3.5%
0.8 pts better
|
3.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 2.0% · Q3 2.9% · Q4 1.9% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 9.4% |
12.0%
2.6 pts better
|
11.4%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 9.6% · Q3 12.2% · Q4 14.6% · 4Q avg 9.4% |
| Percentage of long-stay residents who lose too much weight | 8.9% |
5.2%
3.7 pts worse
|
5.4%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 7.1% · Q3 6.1% · Q4 6.9% · 4Q avg 8.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.8% |
19.2%
1.4 pts better
|
19.6%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 17.1% · Q3 18.6% · Q4 16.7% · 4Q avg 17.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.1% |
22.5%
14.4 pts better
|
16.7%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 7.9% · Q3 8.8% · Q4 8.9% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 21.1% |
17.7%
3.4 pts worse
|
16.3%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 38.1% · Q3 12.4% · Q4 12.8% · 4Q avg 21.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.9% |
17.6%
3.3 pts worse
|
14.9%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.2% · Q2 15.8% · Q3 20.2% · Q4 11.4% · 4Q avg 20.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
1.0%
0.2 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 1.0% · Q3 1.0% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
2.0%
0.7 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.2% · Q3 1.0% · Q4 1.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.6% |
21.7%
9.9 pts worse
|
19.8%
11.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.9% · Q2 25.7% · Q3 37.9% · Q4 25.8% · 4Q avg 31.6% |
| Percentage of long-stay residents with pressure ulcers | 2.2% |
4.6%
2.4 pts better
|
5.1%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 1.3% · Q3 1.3% · Q4 2.1% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.4% |
77.1%
17.3 pts better
|
81.7%
12.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 87.5% · Q2 94.1% · Q3 98.5% · Q4 98.6% · 4Q avg 94.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.1% |
11.8%
0.3 pts worse
|
12.0%
0.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.1% · Observed 12.5% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.3%
1.1 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.0% · Q3 0.0% · Q4 0.5% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 84.8% |
77.7%
7.1 pts better
|
79.7%
5.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 84.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.9% |
25.8%
4.1 pts worse
|
23.9%
6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.9% · Observed 30.7% · Expected 24.5% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (6 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Resident Assessment and Care Planning (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Rights (3 deficiencies)
9 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Fire safety
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2025-06-09
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2025-06-09
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-06-09
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-06-09
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-06-09
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-06-09
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-09
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-06-09
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-06-09
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-06-09
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-06-09
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-06-09
Fire Safety
Meet other general requirements that are deficient.
Corrected 2022-10-06
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-10-06
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-10-06
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2022-10-06
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2022-10-06
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-10-06
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-10-06
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-10-06
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-10-06
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-17
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-06-02
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-06-02
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-06-02
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2025-06-02
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-06-02
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-06-02
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-06-02
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-02
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-06-02
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2025-06-02
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-06-02
Health
Ensure 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.
Corrected 2025-06-02
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-02
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-06-02
Health
Educate 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.
Corrected 2025-06-02
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-01-30
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-03-18
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-03-18
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-18
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-03-18
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-18
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-03-18
Health
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.
Corrected 2024-03-18
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-03-18
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-09-19
Health
Provide and implement an infection prevention and control program.
Corrected 2022-09-19
Health
Perform COVID19 testing on residents and staff.
Corrected 2022-09-19
Health
Honor 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.
Corrected 2022-09-19
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-09-19
Health
Notify 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.
Corrected 2022-09-19
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-09-19
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-09-19
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-09-19
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-09-19
Penalties and ownership
Fine · fine $72,173
Fine
Fine · fine $10,527
Fine
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
Nearby options
Worcester, MA
3-star overall rating with 3-star inspections with $13,095 in total fines with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Worcester, MA
1-star overall rating with 1-star inspections with $122,646 in total fines with 11 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Worcester, MA
2-star overall rating with 2-star inspections with $81,776 in total fines with 10 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
Jump out