Milford, MA

Oc Milford Gardens LLC

1-star overall rating with 1-star inspections with $148,051 in total fines with 18 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

10 Veterans Memorial Drive, Milford, MA

(508) 473-6414

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

135

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Azure Healthcare

Operator or chain grouping

Approved since

1992-10-16

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

6 facilities

Chain averages 1 overall / 1 health / 2 staffing / 2 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.48

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

0.98

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.70

Nurse aide staffing · state 2.26 · national 2.35

Total nurse hours

3.15

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.45

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

2.84

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.34

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.51

CMS adjusted RN staffing hours

Adjusted total hours

3.37

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

9,807

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

22.46

Composite VBP score used to determine payment impact.

Payment multiplier

0.9829

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 22.87% · Performance 25.16% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

5.23

Baseline 8.28% · Performance 6.40% · Measure score 5.23 · Achievement 4.80 · Improvement 5.23

Total nurse turnover

1.39

Baseline 52.81% · Performance 58.00% · Measure score 1.39 · Achievement 1.39 · Improvement 0

Adjusted total nurse staffing

2.37

Baseline 3.60 hours · Performance 3.75 hours · Measure score 2.37 · Achievement 2.37 · Improvement 0.21

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.18%	10.72% 0.5 pts worse	No Different than the National Rate · Eligible stays 234 · Observed rate 11.97% · Lower 95% interval 7.48%
Discharge to community	49.23%	50.57% 1.3 pts worse	No Different than the National Rate · Eligible stays 211 · Observed rate 43.13% · Lower 95% interval 42.14%
Medicare spending per beneficiary	0.88	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 182 · Denominator 182
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 182
Discharge self-care score	58.93%	53.69% 5.2 pts better	Numerator 66 · Denominator 112
Discharge mobility score	58.93%	50.94% 8 pts better	Numerator 66 · Denominator 112
Pressure ulcers or injuries, new or worsened	1.1%	2.29% 1.2 pts better	Numerator 2 · Denominator 182 · Adjusted rate 1.09%
Healthcare-associated infections requiring hospitalization	6.4%	7.12% 0.7 pts better	No Different than the National Rate · Eligible stays 136 · Observed rate 5.88% · Lower 95% interval 4.12%
Staff COVID-19 vaccination coverage	21.25%	8.2% 13.1 pts better	Numerator 17 · Denominator 80
Staff flu vaccination coverage	57.52%	42% 15.5 pts better	Numerator 65 · Denominator 113
Discharge function score	56.25%	56.45% 0.2 pts worse	Numerator 63 · Denominator 112
Transfer of health information to provider	98.15%	95.95% 2.2 pts better	Numerator 53 · Denominator 54
Transfer of health information to patient	94.51%	96.28% 1.8 pts worse	Numerator 86 · Denominator 91
Resident COVID-19 vaccinations up to date	21.98%	25.2% 3.2 pts worse	Numerator 20 · Denominator 91

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.4	1.9 0.5 pts worse	1.9 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.3 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.9	1.5 0.6 pts better	1.8 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.3%	92.2% 7.1 pts better	93.4% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.6% · Q3 98.7% · Q4 100.0% · 4Q avg 99.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	90.0%	94.8% 4.8 pts worse	95.5% 5.5 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 90.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.7%	3.5% 1.8 pts better	3.3% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 2.6% · Q4 1.4% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	3.4%	12.0% 8.6 pts better	11.4% 8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 8.7% · Q4 3.3% · 4Q avg 3.4%
Percentage of long-stay residents who lose too much weight	9.7%	5.2% 4.5 pts worse	5.4% 4.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 16.2% · Q3 9.4% · Q4 6.7% · 4Q avg 9.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	17.9%	19.2% 1.3 pts better	19.6% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.7% · Q2 19.7% · Q3 14.9% · Q4 17.2% · 4Q avg 17.9%
Percentage of long-stay residents who received an antipsychotic medication	13.0%	22.5% 9.5 pts better	16.7% 3.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 14.0% · Q3 10.6% · Q4 15.2% · 4Q avg 13.0% · 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	19.1%	17.7% 1.4 pts worse	16.3% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 10.9% · Q3 30.8% · Q4 17.7% · 4Q avg 19.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	17.0%	17.6% 0.6 pts better	14.9% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 16.9% · Q3 15.4% · Q4 22.6% · 4Q avg 17.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.6%	1.0% 0.4 pts better	1.0% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 0.0% · Q4 1.2% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.4%	2.0% 0.6 pts better	1.7% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 5.5% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	28.5%	21.7% 6.8 pts worse	19.8% 8.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.7% · Q2 34.4% · Q3 27.9% · Q4 18.9% · 4Q avg 28.5%
Percentage of long-stay residents with pressure ulcers	6.0%	4.6% 1.4 pts worse	5.1% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 7.9% · Q3 5.8% · Q4 1.4% · 4Q avg 6.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.7%	77.1% 21.6 pts better	81.7% 17 pts better	Short Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 100.0% · Q3 100.0% · Q4 95.3% · 4Q avg 98.7%
Percentage of short-stay residents who had an outpatient emergency department visit	10.7%	11.8% 1.1 pts better	12.0% 1.3 pts better	Short Stay · 20240701-20250630 · Adjusted 10.7% · Observed 10.5% · Expected 11.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.1%	1.3% 0.2 pts better	1.6% 0.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 1.5% · Q4 2.2% · 4Q avg 1.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	97.8%	77.7% 20.1 pts better	79.7% 18.1 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 97.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	38.9%	25.8% 13.1 pts worse	23.9% 15 pts worse	Short Stay · 20240701-20250630 · Adjusted 38.9% · Observed 39.5% · Expected 24.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-09 · Fire 2024-12-09

18 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2023-09-07 · Fire 2023-09-07

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2021-06-03 · Fire 2021-06-03

9 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-12-09

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2025-01-20

E · Potential for more than minimal harm 2024-12-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-01-20

D · Potential for more than minimal harm 2024-12-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-20

D · Potential for more than minimal harm 2024-12-09

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-01-20

F · Potential for more than minimal harm 2023-09-07

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-09-26

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-13

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2026-02-07

D · Potential for more than minimal harm 2026-01-13

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-02-07

D · Potential for more than minimal harm 2026-01-13

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2026-02-07

H · Actual harm 2024-12-09

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-02

G · Actual harm 2024-12-09

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 2025-01-02

G · Actual harm 2024-12-09

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-01-02

E · Potential for more than minimal harm 2024-12-09

F565 · Resident Rights Deficiencies

Health

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

Corrected 2025-01-02

E · Potential for more than minimal harm 2024-12-09

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 2025-01-02

E · Potential for more than minimal harm 2024-12-09

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 2025-01-02

E · Potential for more than minimal harm 2024-12-09

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 2025-02-06

E · Potential for more than minimal harm 2024-12-09

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 2025-01-02

E · Potential for more than minimal harm 2024-12-09

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 2025-01-02

D · Potential for more than minimal harm 2024-12-09

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 2025-01-02

D · Potential for more than minimal harm 2024-12-09

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-01-02

D · Potential for more than minimal harm 2024-12-09

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-02-05

D · Potential for more than minimal harm 2024-12-09

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 2025-02-05

D · Potential for more than minimal harm 2024-12-09

F758 · Pharmacy Service Deficiencies

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 2025-02-05

D · Potential for more than minimal harm 2024-12-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-02

D · Potential for more than minimal harm 2023-09-07