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 Skilled Care
Registered name: MILLBRAE CARE CENTER
MILLBRAE, CA · Medicare-certified · 140 beds
In good standing
For-profit
Data as of July 1, 2026
2 of 5 overall
Millbrae Skilled Care has an overall 2 out of 5 stars, with 2-star health inspection and quality ratings and 3-star staffing. Reported nurse staffing is 3.20 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.1977 hrs/resident/day
Quality measures
Last inspection: May 8, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1977.
Staffing detail
- Registered nurses
- 0.39
- Licensed practical nurses
- 1.03
- Nurse aides
- 1.78
- Weekend nursing
- 2.77
Hours per resident per day.
Total staff turnover: 32%
Registered nurse turnover: 31%
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
16.9%11.5%Improving
Residents with a fall causing major injury
0.9%2.7%Worsening
Residents with pressure ulcers (bedsores)
3.9%3.8%No change
Residents with a urinary tract infection
2.7%0.9%Improving
Residents who lost too much weight
0.9%1.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15.9%27.2%Worsening
Residents whose ability to walk got worse
15.5%25.8%Worsening
Long-stay residents on antianxiety or sleep medication
2.8%2.9%No change
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
2.4%2%No change
Residents with new or worsening incontinence
17.7%19.1%Worsening
Residents with depressive symptoms
1.1%0%Improving
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
89.1%80.4%Worsening
Short-stay residents given the seasonal flu vaccine
—56.2%—
Short-stay residents given the pneumonia vaccine
74.7%69.3%Worsening
What the inspectors found
The nursing home failed to encode each resident’s assessment data and send it to the state on time. Cited May 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 640 — 42 CFR §483.20 — S/S: F
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
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
- 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
Recent ownership change · Jul 1, 2019
Now operated by Millbrae Care Center, previously Millbrae Skilled Care.
- Ownership
- For profit - Limited Liability company
- Occupancy
- 135.9 residents on an average day (97% 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.