The home failed to provide enough food and fluids to keep residents healthy. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
Nursing home report
MILLBRAE CARE CENTER
MILLBRAE, CA · Medicare-certified · 140 beds
In good standing
For-profit
2 of 5 overall
Millbrae Care Center has a 2 out of 5 overall rating, with 2-star health inspection and quality ratings and 3-star staffing. Reported nurse staffing is 3.19 hours per resident per day, below the federal benchmark of 4.1, and there were $0 fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.1941 hrs/resident/day
Quality measures
Last inspection: January 28, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1941.
Staffing detail
- Registered nurses
- 0.41
- Licensed practical nurses
- 1.00
- Nurse aides
- 1.79
- Weekend nursing
- 2.81
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 35%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
9.7%10.3%Worsening
Residents with a fall causing major injury
0.9%1.9%Worsening
Residents with pressure ulcers (bedsores)
8.4%3.6%Improving
Residents with a urinary tract infection
1.8%0%Improving
Residents who lost too much weight
2.8%4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
22.1%11.9%Improving
Residents whose ability to walk got worse
20.1%7.2%Improving
Long-stay residents on antianxiety or sleep medication
4.5%4.9%No change
Short-stay residents newly given an antipsychotic
0%2.5%Worsening
Residents with a long-term catheter
3.3%2.2%Improving
Residents with new or worsening incontinence
17.9%14.4%Improving
Residents with depressive symptoms
0%1.1%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—87.4%—
Long-stay residents given the pneumonia vaccine
70.1%71.3%Improving
Short-stay residents given the seasonal flu vaccine
—56.2%—
Short-stay residents given the pneumonia vaccine
63.6%69.1%Improving
What the inspectors found
The home failed to provide appropriate care to help a resident maintain or improve movement and mobility. Cited January 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 688 — 42 CFR §483.25(c) — S/S: F
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited January 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: F
The nursing home failed to ensure a working call system was available in each resident’s bathroom and bathing area. Cited January 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 919 — 42 CFR §483.90 — S/S: F
The home failed to ensure it was properly licensed and following all required laws, rules, and professional standards. Cited July 2019 — widespread issue, potential for harm.
View the original federal record
F-Tag 836 — 42 CFR §483.70(a) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $7,045 in total fines.
- $7,045
Federal fine
Jan 3, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 133.3 residents on an average day (95% of 140 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 56 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.