Mill Brook Rehabilitation And Healthcare Center faces challenges in its CMS ratings, earning a D grade with a score of 47/100. The facility ranks in the 42th percentile among Massachusetts nursing homes, suggesting significant room for improvement.
Staffing levels are a potential concern at Mill Brook Rehabilitation And Healthcare Center, with 3.15 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent inspections identified 44 deficiencies at Mill Brook Rehabilitation And Healthcare Center. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.15 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.37 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.84 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.94 | 2.4 | Below Average |
| Weekend Total Nursing | 2.66 | 3.8 | Below Average |
| Weekend RN Hours | 0.17 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0756 Severity EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in develoAug 27, 2025 · Pharmacy Service Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Aug 27, 2025 · Nutrition and Dietary Deficiencies
- Tag 0658 Severity DEnsure services provided by the nursing facility meet professional standards of quality.Aug 27, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Aug 27, 2025 · Quality of Life and Care Deficiencies
- Tag 0686 Severity DProvide appropriate pressure ulcer care and prevent new ulcers from developing.Aug 27, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.8% | 4.5% | Better |
| Falls with major injury | 3.7% | 3.0% | Worse |
| On antipsychotic medication | 16.5% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 19.1% | 14.0% | Worse |
| Excessive weight loss | 6.5% | 7.5% | Better |
| New/worsened incontinence | 33.1% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of D is based on a score of 47 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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