Care One at Randolph

49 Thomas Patten Drive · Randolph, MA · 02368 · 7818310354

168 certified beds For profit - Limited Liability company Chain: Careone

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar; CMS rates its health inspections "much below average". That rule is part of the published method.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 37
Serious harm & abuse 20% 94
Staffing 20% 75
Federal penalties 15% 100
Trend 10% 62
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.793.48 min · 4.1 strong
RN hours / resident-day0.610.55–0.75
Weekend hours / resident-day3.46≈ weekday level
Nursing turnover / year32%median 45%
Fines (3-yr window)none

Inspection citations (60 in the current record)

  • Potential for harm · D August 14, 2025

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

    Corrected September 22, 2025 · Resident Rights

  • Potential for harm · D August 14, 2025

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

    Corrected September 22, 2025 · Resident Rights

  • Potential for harm · E August 14, 2025

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

    Corrected September 22, 2025 · Resident Rights

  • Potential for harm · E August 14, 2025

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

    Corrected September 22, 2025 · Resident Rights

  • Potential for harm · D August 14, 2025

    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 September 22, 2025 · Resident Rights

  • Potential for harm · D August 14, 2025

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

    Corrected September 22, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E August 14, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected September 22, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E August 14, 2025

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

    Corrected September 22, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E August 14, 2025

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

    Corrected September 22, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E August 14, 2025

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

    Corrected September 22, 2025 · Quality of Life and Care

  • Potential for harm · D August 14, 2025

    Provide appropriate foot care.

    Corrected September 22, 2025 · Quality of Life and Care

  • Potential for harm · D August 14, 2025

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

    Corrected September 22, 2025 · Quality of Life and Care

  • Potential for harm · E August 14, 2025

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

    Corrected September 22, 2025 · Nursing and Physician Services

  • Potential for harm · D August 14, 2025

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

    Corrected September 22, 2025 · Quality of Life and Care

  • Potential for harm · D August 14, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected September 22, 2025 · Pharmacy Service

  • Potential for harm · E August 14, 2025

    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 September 22, 2025 · Pharmacy Service

  • Potential for harm · D August 14, 2025

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

    Corrected September 22, 2025 · Administration

  • Potential for harm · E August 14, 2025

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

    Corrected September 22, 2025 · Nutrition and Dietary

  • Potential for harm · E August 14, 2025

    Provide and implement an infection prevention and control program.

    Corrected September 22, 2025 · Infection Control

  • Potential for harm · E August 14, 2025

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

    Corrected September 22, 2025 · Infection Control

  • No harm found · B August 14, 2025

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

    Corrected September 22, 2025 · Resident Rights

  • Potential for harm · D May 27, 2025 · found via complaint

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

    Corrected June 30, 2025 · Resident Rights

  • Potential for harm · D May 27, 2025 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected June 30, 2025 · Resident Rights

  • Potential for harm · D May 27, 2025 · found via complaint

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

    Corrected June 23, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 20, 2025 · found via complaint

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

    Corrected April 14, 2025 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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 225356 · certified since June 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.