All citations for Millbrae Care Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Millbrae Care Center

Last standard health inspection on record

May 8, 2026

Showing 1 to 25 of 38 citations

  1. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of January 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 21, 2024).

  2. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of December 3, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 28, 2022).

  3. No harm, with potential for more than minimal harm

    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.

    Widespread (many residents). CMS level F.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of January 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 21, 2024).

  4. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0867, Administration Deficiencies. Inspection of January 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 21, 2024).

  5. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0919, Environmental Deficiencies. Inspection of January 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 21, 2024).

  6. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of December 3, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2021).

  7. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 3, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2021).

  8. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of August 5, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

  9. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0921, Environmental Deficiencies. Inspection of January 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 21, 2024).

  10. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 3, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 18, 2024).

  11. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of January 3, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 18, 2024).

  12. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of December 3, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 28, 2022).

  13. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of December 3, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 28, 2022).

  14. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of December 3, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2022).

  15. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of December 3, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2022).

  16. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0802, Nutrition and Dietary Deficiencies. Inspection of December 3, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2022).

  17. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of December 3, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 28, 2022).

  18. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of December 3, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2022).

  19. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 3, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2021).

  20. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0745, Quality of Life and Care Deficiencies. Inspection of June 7, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 5, 2024).

  21. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 10, 2024).

  22. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of April 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 10, 2024).

  23. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of January 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 21, 2024).

  24. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of January 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 21, 2024).

  25. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 21, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.