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Nursing HomeMedicaid Investigative

Care One at Brookline

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

99 Park Street, Coolidge Corner South Side · Brookline, MA 02146120 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 219 Google reviews

5
4
3
2
1
Care One at Brookline Nursing Home in Brookline, MA — Street View
Street View

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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • High RN turnover (53%)

Below average in MA · Below recommended RN staffing · Above average staffing · Low staff turnover (stable workforce) · Below chain average · No penalties on record

Source: Medicare data

What this means for your family

This facility is highly effective for short-term physical and occupational therapy, but families should exercise extreme caution regarding nursing care. If you choose this facility, ensure you have a family member present frequently, especially during the night shift, to monitor hygiene and responsiveness to call bells.

Google Reviews

Google Reviews

219 reviews on Google
CareOne at Brookline receives highly polarized feedback, with many families praising the facility's cleanliness and the effectiveness of its physical and occupational therapy teams. However, a significant number of reviewers report serious concerns regarding neglect, poor communication, and inadequate staffing, particularly during the night shift. Families should be aware that while many report positive rehab outcomes, there is a recurring pattern of complaints regarding basic hygiene and responsiveness to patient needs.

Quality Themes

Tap a score for details
Food4.0Staff5.0Clean8.0Activities7.0Meds3.0Memory2.0Comms2.0ValueN/A

Strengths

  • Highly effective physical and occupational therapy teams
  • Clean and well-maintained facility
  • Professional and attentive daytime nursing staff
  • Welcoming and helpful administrative leadership

Concerns

  • Neglect and lack of responsiveness to call bells, especially at night (mentioned by 12 reviewers)
  • Poor communication with family members regarding patient status (mentioned by 8 reviewers)
  • Inadequate hygiene care for patients unable to assist themselves (mentioned by 7 reviewers)
  • Disorganized or unsafe discharge planning (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

2344.0'19(1)2.03.5'21(4)3.92.7'23(17)3.53.1'25(14)4.9'26(68)

Distribution · 144 analyzed

5
100
4
7
3
3
2
7
1
27
64 reviews posted between Mar 24, 2026Apr 1, 2026 · 63 were 5-star
40 reviews posted between Mar 29, 2026Apr 1, 2026 · 39 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given that the facility has a 2-star CMS health inspection rating, what specific steps have been taken recently to improve clinical oversight and address the recent state violations?
  • 2I noticed that communication is a top priority for families; what is your formal process for updating us on my loved one’s health status and any changes in their care plan?
  • 3Since responsiveness to call bells is critical for peace of mind, how do you monitor staff availability and response times, particularly during the overnight shift?
  • 4For residents who require assistance with daily hygiene, can you walk me through your routine for ensuring consistent and dignified personal care?
  • 5I see that your administrative team is very active in responding to feedback; how does that leadership involvement translate into daily improvements for residents?
  • 6Regarding the physical and occupational therapy programs, how are these services integrated into a resident's daily schedule to ensure they are staying active and engaged?

Personalized based on this facility's data


Key Review Excerpts

Care One has top notch physical and occupational therapists, and I am quite happy with this group. There is,however, a systemic problem with a large portion of the staff

Rehab patient · 2024☆☆☆☆

The staff at care one are caring and invested in their work! The nurses abd CNAs have been living abd communicative Kara, the recreation director, has been wonderful with my mom

Long-term resident's family · 2024★★☆☆☆

The communication is literally terrible here. All the staff are unfriendly. It took about three days for a doctor to contact me and I had to go in person and seek them out.

Memory care family member · 2025☆☆☆☆
Source: 219 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.73hrs
98%
Registered nurses for medical care
Total Nursing
3.57hrs
87%
All nurses + aides combined
Staff Turnover
34%
Lower is better (< 30% = good)
RN Turnover
53%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

11

measures

Worse Than Avg

5

measures

Mixed Results

1

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility43.8%
Worse than Avg
Here
43.8%
US
93.4%
MA
92.4%
Norfolk
89.6%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility81.8%
Worse than Avg
Here
81.8%
US
95.5%
MA
94.8%
Norfolk
93.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility10.7%
Better than Avg
Here
10.7%
US
15.4%
MA
21.3%
Norfolk
21.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.8%
Better than Avg
Here
5.8%
US
12.1%
MA
13.7%
Norfolk
7.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility14.2%
Better than Avg
Here
14.2%
US
14.4%
MA
16.9%
Norfolk
19.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility13.9%
Better than Avg
Here
13.9%
US
15.3%
MA
16.4%
Norfolk
19.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility29.7%
Worse than Avg
Here
29.7%
US
81.8%
MA
77.6%
Norfolk
67.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility36.7%
Worse than Avg
Here
36.7%
US
79.7%
MA
77.7%
Norfolk
71.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
1.6%
MA
1.3%
Norfolk
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
Near state avg (8.9)

This facility shows a concerning pattern with 40 deficiencies across three surveys, primarily in care planning, medication management, and fire safety systems. Issues with care planning and medical records have persisted across all three years (2023-2025), suggesting ongoing problems with fundamental care coordination. Most deficiencies were corrected after being identified, but the recurring nature of core care issues warrants careful evaluation during any visit.

Dec 18, 2025Routine
7
0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Nov 21, 2024Routine
24
0006Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0531Potential for harm · WidespreadCorrected

Services Deficiencies

Have elevators that firefighters can control in the event of a fire.

0541Potential for harm · WidespreadCorrected

Services Deficiencies

Install properly constructed and protected linen or trash chutes.

0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0583Potential for harm · PatternCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Nov 22, 2023Routine
9
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0790Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide routine and 24-hour emergency dental care for each resident.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Care One at Brookline

Organization Type

for profit

Chain Affiliation

Chain Name

Careone

Chain Size

37 facilities nationwide

Chain avg rating: 3.4/5 · Rank 28 of 37

Ownership & Management

Owners

Thci of Massachusetts, LLC

Owner · Organization

Care Realty, LLC

Owner (parent company) · Organization

Des-I 2016 Grat

Owner (parent company) · Organization

Straus, Daniel

Owner (parent company)

Key personnel

Baruch, DavidW-2 Managing EmployeeBaruch, DavidOfficer / DirectorHealthbridge Management LLCManager
Source: Medicare provider data

Contact

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Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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