Millbrae Care Center
33 Mateo Avenue · Millbrae, CA · 94030 · 6506895784
140 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
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 | 3.19 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.41 | 0.55–0.75 |
| Weekend hours / resident-day | 2.81 | ≈ weekday level |
| Nursing turnover / year | 33% | median 45% |
| Fines (3-yr window) | 1 · $7,045 |
Inspection citations (62 in the current record)
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Potential for harm · D January 28, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 5, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 28, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 5, 2026 · Resident Assessment and Care Planning
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Potential for harm · E June 4, 2025 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected July 2, 2025 · Quality of Life and Care
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Potential for harm · D May 19, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected July 2, 2025 · Resident Rights
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Potential for harm · D October 17, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected November 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 17, 2024
Ensure each resident receives an accurate assessment.
Corrected November 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 17, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected November 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 17, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 17, 2024 · Quality of Life and Care
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Potential for harm · D October 17, 2024
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected November 17, 2024 · Administration
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Potential for harm · E October 17, 2024
Provide and implement an infection prevention and control program.
Corrected November 17, 2024 · Infection Control
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Potential for harm · E October 17, 2024
Have policies on smoking.
Corrected November 17, 2024 · Environmental
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No harm found · B October 17, 2024
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Corrected November 17, 2024 · Environmental
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Potential for harm · E August 5, 2024 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected September 5, 2024 · Nursing and Physician Services
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Potential for harm · D June 7, 2024 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected July 5, 2024 · Quality of Life and Care
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Potential for harm · D April 11, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 11, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 10, 2024 · Quality of Life and Care
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Actual harm · G January 11, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected March 21, 2024 · Quality of Life and Care
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Potential for harm · D January 11, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 21, 2024 · Resident Rights
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Potential for harm · D January 11, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected March 21, 2024 · Resident Rights
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Potential for harm · D January 11, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 11, 2024 · found via complaint
Assess the resident when there is a significant change in condition
Corrected March 21, 2024 · Resident Assessment and Care Planning
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Potential for harm · F January 11, 2024 · found via complaint
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 March 21, 2024 · Quality of Life and Care
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Potential for harm · D January 11, 2024 · found via complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected March 21, 2024 · Quality of Life and Care
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Potential for harm · F January 11, 2024 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected March 21, 2024 · Administration
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Potential for harm · D January 11, 2024 · found via complaint
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Corrected March 21, 2024 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 3, 2024 | Fine | $7,045 |
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 056122 · certified since October 24, 1969. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.