Brush Hill Care Center
1200 Brush Hill Road · Milton, MA · 02186 · 6173330600
160 certified beds For profit - Limited Liability company
Why this verdict
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.98 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.56 | 0.55–0.75 |
| Weekend hours / resident-day | 3.58 | ≈ weekday level |
| Nursing turnover / year | 56% | median 45% |
| Fines (3-yr window) | 2 · $196,683 |
Inspection citations (60 in the current record)
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Potential for harm · D November 21, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected December 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 2, 2025 · Quality of Life and Care
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Potential for harm · D November 21, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected November 22, 2025 · Pharmacy Service
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Potential for harm · D November 21, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 2, 2025 · Nutrition and Dietary
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Potential for harm · D September 25, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected November 4, 2024 · Resident Rights
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Potential for harm · E September 25, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 25, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · E September 25, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · E September 25, 2024
Provide activities to meet all resident's needs.
Corrected November 4, 2024 · Quality of Life and Care
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Potential for harm · D September 25, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 4, 2024 · Quality of Life and Care
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Potential for harm · E September 25, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected November 4, 2024 · Quality of Life and Care
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Potential for harm · E September 25, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected November 4, 2024 · Quality of Life and Care
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Potential for harm · D September 25, 2024
Provide care or services that was trauma informed and/or culturally competent.
Corrected November 4, 2024 · Quality of Life and Care
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Potential for harm · D September 25, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected November 4, 2024 · Pharmacy Service
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Potential for harm · E September 25, 2024
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 November 4, 2024 · Pharmacy Service
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Potential for harm · D September 25, 2024
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 November 4, 2024 · Pharmacy Service
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Potential for harm · E September 25, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 4, 2024 · Nutrition and Dietary
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Potential for harm · E September 25, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 4, 2024 · Nutrition and Dietary
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Potential for harm · F September 25, 2024
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected November 18, 2024 · Administration
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Potential for harm · F September 25, 2024
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.
Corrected November 4, 2024 · Administration
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Potential for harm · D September 25, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · E September 25, 2024
Provide and implement an infection prevention and control program.
Corrected November 4, 2024 · Infection Control
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Potential for harm · E September 25, 2024
Implement a program that monitors antibiotic use.
Corrected November 4, 2024 · Infection Control
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Potential for harm · F September 25, 2024
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected November 18, 2024 · Infection Control
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Potential for harm · F September 25, 2024
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected November 18, 2024 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 30, 2024 | Fine | $3,418 |
| July 17, 2023 | Fine | $193,265 |
| July 17, 2023 | Payment Denial | 115 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225274 · certified since November 29, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.