The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2024 — limited pattern, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: H
Nursing home report
OC Milford Gardens LLC
MILFORD, MA · Medicare-certified · 135 beds
Needs attention
For-profitChain member
1 of 5 overall
OC Milford Gardens LLC in Milford, MA has a 1-star overall rating, with 1-star health inspection and staffing ratings and a 3-star quality measures rating. It also has 3.34 nurse staffing hours per resident per day versus the 4.1 federal benchmark, $148,051 in fines over the last 24 months, and a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.3354 hrs/resident/day
Quality measures
Last inspection: March 4, 2026Penalties, last 24 months: $148,051recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3354.
Staffing detail
- Registered nurses
- 0.52
- Licensed practical nurses
- 0.92
- Nurse aides
- 1.90
- Weekend nursing
- 3.08
Hours per resident per day.
Total staff turnover: 100%
Registered nurse turnover: 100%
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
12.5%19.6%Worsening
Residents with a fall causing major injury
1.4%1.3%No change
Residents with pressure ulcers (bedsores)
7.9%3.4%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
16.2%8.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.9%18.8%Worsening
Residents whose ability to walk got worse
10.9%20.4%Worsening
Long-stay residents on antianxiety or sleep medication
19.7%23.6%Worsening
Short-stay residents newly given an antipsychotic
1.1%2%Worsening
Residents with a long-term catheter
1.2%1%No change
Residents with new or worsening incontinence
34.4%27%Improving
Residents with depressive symptoms
1.5%1.4%No change
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
—90%—
Long-stay residents given the pneumonia vaccine
98.6%96.2%Worsening
Short-stay residents given the seasonal flu vaccine
—97.8%—
Short-stay residents given the pneumonia vaccine
100%78.8%Worsening
What the inspectors found
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited December 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited December 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to protect residents’ right to organize and take part in resident and family groups. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 565 — 42 CFR §483.10 — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $148,051 was recorded.
- INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $148,051 in total fines.
- $148,051
Federal fine
Dec 9, 2024
Operator & ownership
- Ownership
- For profit - Individual
- Chain
- Part of AZURE HEALTHCARE · 6 homes · 1.3 stars avg
- Occupancy
- 108.9 residents on an average day (81% of 135 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 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.