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.

Red flags

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 54
Serious harm & abuse 20% 82
Staffing 20% 70
Federal penalties 15% 23
Trend 10% 92
Context 5% 100

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-day3.983.48 min · 4.1 strong
RN hours / resident-day0.560.55–0.75
Weekend hours / resident-day3.58≈ weekday level
Nursing turnover / year56%median 45%
Fines (3-yr window)2 · $196,683

Inspection citations (60 in the current record)

  • 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

  • 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

  • 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

  • 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

  • Potential for harm · D September 25, 2024

    Reasonably accommodate the needs and preferences of each resident.

    Corrected November 4, 2024 · Resident Rights

  • 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

  • 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

  • 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

  • Potential for harm · E September 25, 2024

    Provide activities to meet all resident's needs.

    Corrected November 4, 2024 · Quality of Life and Care

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • Potential for harm · E September 25, 2024

    Provide and implement an infection prevention and control program.

    Corrected November 4, 2024 · Infection Control

  • Potential for harm · E September 25, 2024

    Implement a program that monitors antibiotic use.

    Corrected November 4, 2024 · Infection Control

  • 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

  • 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

DateTypeAmount / length
January 30, 2024Fine$3,418
July 17, 2023Fine$193,265
July 17, 2023Payment Denial115 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.