Oc Milford Gardens LLC
10 Veterans Memorial Drive · Milford, MA · 01757 · 5084736414
135 certified beds For profit - Individual Chain: Azure Healthcare
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
$148,051 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
100% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
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: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.34 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.52 | 0.55–0.75 |
| Weekend hours / resident-day | 3.08 | ≈ weekday level |
| Nursing turnover / year | 100% | median 45% |
| Fines (3-yr window) | 1 · $148,051 |
Inspection citations (25 in the current record)
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Potential for harm · E March 4, 2026
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected March 27, 2026 · Resident Rights
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Potential for harm · E March 4, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 4, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 27, 2026 · Quality of Life and Care
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Potential for harm · E March 4, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 27, 2026 · Quality of Life and Care
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Potential for harm · D March 4, 2026
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected March 27, 2026 · Quality of Life and Care
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Potential for harm · D March 4, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 13, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected February 7, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 13, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 7, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 13, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 7, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G December 9, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 2, 2025 · Resident Rights
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Actual harm · H December 9, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 2, 2025 · Quality of Life and Care
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Actual harm · G December 9, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 2, 2025 · Quality of Life and Care
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Potential for harm · D December 9, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 2, 2025 · Resident Rights
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Potential for harm · E December 9, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected January 2, 2025 · Resident Rights
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Potential for harm · E December 9, 2024
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 January 2, 2025 · Resident Rights
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Potential for harm · D December 9, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected January 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 9, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 5, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 9, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 5, 2025 · Quality of Life and Care
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Potential for harm · E December 9, 2024
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 January 2, 2025 · Quality of Life and Care
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Potential for harm · E December 9, 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 February 6, 2025 · Pharmacy Service
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Potential for harm · D December 9, 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 February 5, 2025 · Pharmacy Service
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Potential for harm · E December 9, 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 January 2, 2025 · Pharmacy Service
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Potential for harm · E December 9, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 2, 2025 · Nutrition and Dietary
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Potential for harm · D December 9, 2024
Provide and implement an infection prevention and control program.
Corrected January 2, 2025 · Infection Control
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Potential for harm · D September 7, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 20, 2023 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 9, 2024 | Fine | $148,051 |
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 225562 · certified since October 16, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.