Randolph, MA

Care One At Randolph

1-star overall rating with 1-star inspections with $21,229 in total fines with 25 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

49 Thomas Patten Drive, Randolph, MA

(781) 831-0354

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

168

Certified beds

Average residents

134

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Careone

Operator or chain grouping

Approved since

1989-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.59

Registered nurse staffing

LPN hours / resident day

1.13

Licensed practical nurse staffing

Aide hours / resident day

2.11

Nurse aide staffing

Weekend hours

3.46

Weekend nurse staffing

RN turnover

55%

Annual RN turnover

Total nurse turnover

32%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.9	1.9 About the same	1.9 About the same	Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days	2.5	1.5 1 pts worse	1.8 0.7 pts worse	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	39.1%	92.2% 53.1 pts worse	93.4% 54.3 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	56.0%	94.8% 38.8 pts worse	95.5% 39.5 pts worse	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	3.1%	3.5% 0.4 pts better	3.3% 0.2 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	10.2%	12.0% 1.8 pts better	11.4% 1.2 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	6.4%	5.2% 1.2 pts worse	5.4% 1 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	16.3%	19.2% 2.9 pts better	19.6% 3.3 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	23.2%	22.5% 0.7 pts worse	16.7% 6.5 pts worse	Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened	23.8%	17.7% 6.1 pts worse	16.3% 7.5 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	17.4%	17.6% 0.2 pts better	14.9% 2.5 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.5%	1.0% 0.5 pts worse	1.0% 0.5 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	1.2%	2.0% 0.8 pts better	1.7% 0.5 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	20.7%	21.7% 1 pts better	19.8% 0.9 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	3.8%	4.6% 0.8 pts better	5.1% 1.3 pts better	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	35.0%	77.1% 42.1 pts worse	81.7% 46.7 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	12.3%	11.8% 0.5 pts worse	12.0% 0.3 pts worse	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	2.3%	1.3% 1 pts worse	1.6% 0.7 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	37.9%	77.7% 39.8 pts worse	79.7% 41.8 pts worse	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.1%	25.8% 0.7 pts better	23.9% 1.2 pts worse	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-14 · Fire 2025-08-14

25 health deficiencies

Top issue: Resident Rights (9 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-08-15 · Fire 2024-08-15

20 health deficiencies

Top issue: Resident Assessment and Care Planning (7 deficiencies)

9 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Cycle 3 Health 2023-05-24 · Fire 2023-05-24

17 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-14

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-09-30

F · Potential for more than minimal harm 2025-08-14

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-09-30

F · Potential for more than minimal harm 2025-08-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-09-30

F · Potential for more than minimal harm 2025-08-14

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-14

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-14

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-14

K907 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure medical gas and vacuum systems have documented maintenance programs.

Corrected 2025-09-30

E · Potential for more than minimal harm 2024-08-15

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-10-31

E · Potential for more than minimal harm 2024-08-15

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-10-31

E · Potential for more than minimal harm 2024-08-15

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-10-31

E · Potential for more than minimal harm 2024-08-15

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-10-31

D · Potential for more than minimal harm 2024-08-15

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2024-10-31

D · Potential for more than minimal harm 2024-08-15

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-10-31

D · Potential for more than minimal harm 2024-08-15

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-10-31

D · Potential for more than minimal harm 2024-08-15

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2024-10-31

D · Potential for more than minimal harm 2024-08-15

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2024-10-31

E · Potential for more than minimal harm 2023-05-24

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-06-05

D · Potential for more than minimal harm 2023-05-24

K352 · Smoke Deficiencies

Fire Safety

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2023-07-16

D · Potential for more than minimal harm 2023-05-24

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-07-16

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-08-14

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2025-09-22

E · Potential for more than minimal harm 2025-08-14

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-09-22

E · Potential for more than minimal harm 2025-08-14

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-09-22

E · Potential for more than minimal harm 2025-08-14

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-09-22

E · Potential for more than minimal harm 2025-08-14

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-09-22

E · Potential for more than minimal harm 2025-08-14

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-09-22

E · Potential for more than minimal harm 2025-08-14

F712 · Nursing and Physician Services Deficiencies

Health

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Corrected 2025-09-22

E · Potential for more than minimal harm 2025-08-14

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-09-22

E · Potential for more than minimal harm 2025-08-14

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-09-22

E · Potential for more than minimal harm 2025-08-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-22

E · Potential for more than minimal harm 2025-08-14

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-14

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-14

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-14

F585 · Resident Rights Deficiencies

Health

Honor 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.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-14

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-14

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-14

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-14

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-14

F756 · Pharmacy Service Deficiencies

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 2025-09-22

D · Potential for more than minimal harm 2025-08-14

F773 · Administration Deficiencies

Health

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Corrected 2025-09-22

B · Minimal harm 2025-08-14

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-05-27

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-05-27

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-05-27

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-06-23

D · Potential for more than minimal harm 2025-03-20

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-04-14

F · Potential for more than minimal harm 2024-12-04

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-01-13

D · Potential for more than minimal harm 2024-12-04

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-01-13

D · Potential for more than minimal harm 2024-12-04

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-01-13

D · Potential for more than minimal harm 2024-10-09

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-11-18

D · Potential for more than minimal harm 2024-10-09

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-11-18

D · Potential for more than minimal harm 2024-10-09

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-10-04

D · Potential for more than minimal harm 2024-10-09

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-10-04

E · Potential for more than minimal harm 2024-08-15

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-09-23

E · Potential for more than minimal harm 2024-08-15

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-09-23

E · Potential for more than minimal harm 2024-08-15

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-09-23

E · Potential for more than minimal harm 2024-08-15

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-09-23

E · Potential for more than minimal harm 2024-08-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-23

D · Potential for more than minimal harm 2024-08-15

F578 · Resident Rights Deficiencies

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 2024-09-23

D · Potential for more than minimal harm 2024-08-15

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-09-23

D · Potential for more than minimal harm 2024-08-15

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-09-23

D · Potential for more than minimal harm 2024-08-15

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-09-23

D · Potential for more than minimal harm 2024-08-15

F675 · Quality of Life and Care Deficiencies

Health

Honor each resident's preferences, choices, values and beliefs.

Corrected 2024-09-23

D · Potential for more than minimal harm 2024-08-15

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-09-23

E · Potential for more than minimal harm 2024-05-29

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-07-02

D · Potential for more than minimal harm 2024-05-29

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-06-28

G · Actual harm 2023-05-24

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2023-06-21

F · Potential for more than minimal harm 2023-05-24

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-06-26

E · Potential for more than minimal harm 2023-05-24

F761 · Pharmacy Service Deficiencies

Health

Corrected 2023-07-13

E · Potential for more than minimal harm 2023-05-24

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-06-26

D · Potential for more than minimal harm 2023-05-24

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2023-06-21

D · Potential for more than minimal harm 2023-05-24

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-06-21

D · Potential for more than minimal harm 2023-05-24

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-06-21

D · Potential for more than minimal harm 2023-05-24

F690 · Quality of Life and Care Deficiencies

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 2023-06-21

D · Potential for more than minimal harm 2023-05-24

F693 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2023-06-21

D · Potential for more than minimal harm 2023-05-24

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2023-06-21

D · Potential for more than minimal harm 2023-05-24

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-06-21

D · Potential for more than minimal harm 2023-05-24

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-06-21

D · Potential for more than minimal harm 2023-05-24

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-06-21

D · Potential for more than minimal harm 2023-05-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-06-21

D · Potential for more than minimal harm 2023-05-24

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2023-06-26

G · Actual harm 2023-03-06

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-04-18

E · Potential for more than minimal harm 2023-03-06

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-04-18

Penalties and ownership

What sits behind the stars

$21,229 2023-05-24

Fine

Fine · fine $21,229

Fine

Ownership

Baruch, David

Corporate Officer · Individual

0% 37 facilities 2021-12-01

Baruch, David

W-2 Managing Employee · Individual

0% 37 facilities 2021-12-01

Care Realty, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 20 facilities 2002-04-30

Des 2009 Family Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 18 facilities 2021-12-01

Healthbridge Management LLC

Operational/Managerial Control · Organization

0% 35 facilities 2003-07-01

Straus, Daniel

5% Or Greater Indirect Ownership Interest · Individual

0% 37 facilities 2003-07-01

Thci Of Massachusetts, LLC

5% Or Greater Direct Ownership Interest · Organization

0% 15 facilities 2003-07-01

Nearby options

Other facilities in reach

Copley At Stoughton Nursing Care Center

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5-star overall rating with 4-star inspections with $10,517 in total fines with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

Overall: 5 / 5
Health: 4 / 5
Staffing: 5 / 5
Fines: $10,517

Blue Hills Health And Rehabilitation Center

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2-star overall rating with 2-star inspections with abuse icon flag with $12,735 in total fines with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

Overall: 2 / 5
Health: 2 / 5
Staffing: 2 / 5
Fines: $12,735

Affinity Healthcare

Braintree, MA

2-star overall rating with 2-star inspections with $27,648 in total fines with 8 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall: 2 / 5
Health: 2 / 5
Staffing: 4 / 5
Fines: $27,648

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Supporting pages

City page

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County

Norfolk County

County ranking page for nearby alternatives.

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Chain

Careone

Chain page for the operating group.

37 facilities