Millbrae Care Center

• Have approved installation, maintenance and testing program for fire alarm systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 22, 2026

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 7, 2026

• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 7, 2026

• Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 5, 2026

• Assure that each resident’s assessment is updated at least once every 3 months.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 5, 2026

• Keep aisles, corridors, and exits free of obstruction in case of emergency.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 7, 2026

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 5, 2026

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 5, 2026

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 5, 2026

• Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 7, 2026

• Provide properly protected cooking facilities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 7, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 5, 2026

• Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 5, 2026

• Assess the resident when there is a significant change in condition

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 5, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 5, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 5, 2026

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 5, 2026

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 5, 2026

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 5, 2026

• Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 12, 2026

• Inspect, test, and maintain automatic sprinkler systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 12, 2026

• Install a fire alarm system that can be heard throughout the facility.

  Severity C of L: potential for minimal harm, widespreadCorrected Jun 7, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 5, 2026

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 5, 2026

• Provide medically-related social services to help each resident achieve the highest possible quality of life.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jul 2, 2025

• Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 2, 2025

• Have properly located and lighted "Exit" signs.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 22, 2024

• Inspect, test, and maintain automatic sprinkler systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 22, 2024

• Have approved installation, maintenance and testing program for fire alarm systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 16, 2024

• Ensure proper usage of power strips and extension cords.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 22, 2024

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 17, 2024

• Have policies on smoking.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 17, 2024

• Use approved construction type or materials.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 22, 2024

• Properly provide smoke detection systems in areas open to corridors.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 16, 2024

• Install corridor and hallway doors that block smoke.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 22, 2024

• Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 17, 2024

• Ensure each resident receives an accurate assessment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 17, 2024

• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 17, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 17, 2024

• Provide timely, quality laboratory services/tests to meet the needs of residents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 17, 2024

• Install emergency lighting that can last at least 1 1/2 hours.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 22, 2024

• Properly select, install, inspect, or maintain portable fire extinguishes.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 22, 2024

• Install smoke barrier doors that can resist smoke for at least 20 minutes.

  Severity C of L: potential for minimal harm, widespreadCorrected Dec 16, 2024

• Properly install and monitor supervisory attachments on automatic sprinkler systems.

  Severity C of L: potential for minimal harm, widespreadCorrected Dec 16, 2024

• Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

  Severity B of L: potential for minimal harm, patternCorrected Nov 17, 2024

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 5, 2024

• Provide medically-related social services to help each resident achieve the highest possible quality of life.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 5, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 10, 2024

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 10, 2024

• Provide enough food/fluids to maintain a resident's health.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Mar 21, 2024

• Make sure that a working call system is available in each resident's bathroom and bathing area.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Mar 21, 2024

• 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.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Mar 21, 2024

• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Mar 21, 2024

• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Mar 21, 2024

• Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 21, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 21, 2024

• Reasonably accommodate the needs and preferences of each resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 21, 2024

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 21, 2024

• Assess the resident when there is a significant change in condition

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 21, 2024

• Provide or get specialized rehabilitative services as required for a resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 21, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Mar 18, 2024

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Mar 18, 2024

• Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 28, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 28, 2023

• Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 18, 2023

• Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 28, 2023

• Provide enough food/fluids to maintain a resident's health.

  Severity G of L: actual harm, isolatedCorrected Jan 28, 2022

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 21, 2021

• Have simulated fire drills held at unexpected times.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 21, 2021

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 10, 2022

• Ensure medication error rates are not 5 percent or greater.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 10, 2022

• Ensure proper usage of power strips and extension cords.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 21, 2021

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 28, 2022

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 10, 2022

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 28, 2022

• Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 28, 2022

• Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 10, 2022

• Keep all essential equipment working safely.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 28, 2022

• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 28, 2022

• Ensure that residents are free from significant medication errors.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 10, 2022

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 10, 2022

• Meet requirements for the use of electrical equipment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 21, 2021

• Inspect, test, and maintain automatic sprinkler systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 21, 2021

• Install corridor and hallway doors that block smoke.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 21, 2021

• Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 21, 2021

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 28, 2022

• List the names and contact information of those in the facility.

  Severity C of L: potential for minimal harm, widespreadCorrected Dec 21, 2021

Millbrae Care Center offers Skilled Nursing / Long Term Care.

Millbrae Care Center is located at 33 Mateo Avenue in Millbrae, California.

Reviews for Millbrae Care Center are sharply divided: several reviewers report serious neglect concerns such as dehydration, infrequent brief changes, and understaffing, while other reviewers single out specific nurses for exceptional, attentive care. One reviewer also praised the physical therapy program for aiding recovery after an injury.

Millbrae Care Center had 14 government inspection visits in the last three years, with 87 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page, or contact Millbrae Care Center directly, to arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.