Millbrae Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 19 Google reviews
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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)
Below average in CA · Below recommended RN staffing · Significantly below average staffing · $7,045 in fines
What this means for your family
This facility presents significant risks regarding patient safety and basic hygiene, with multiple reports of neglect and understaffing. If you choose this facility, you must closely monitor your loved one's hydration, hygiene, and dietary compliance, as these are the primary areas of reported failure.
Google Reviews
Google Reviews
19 reviews on Google“Families should approach this facility with extreme caution due to frequent and severe allegations of patient neglect, dehydration, and unsafe staffing levels. While some individual caregivers and physical therapy services have received high praise, multiple reviewers report critical issues regarding hygiene and basic medical needs.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate individual nurses
- Effective physical therapy for injury recovery
- Supportive hospice care experience
Concerns
- Severe patient neglect and lack of basic care (hygiene/hydration) (mentioned by 2 reviewers)
- Chronic understaffing and staff burnout (mentioned by 2 reviewers)
- Poor facility cleanliness and unpleasant odors (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 32 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard wonderful things about the compassion of your nursing staff and the effectiveness of your physical therapy; how do you ensure that level of personalized care is maintained during busy shifts?
- 2What specific steps is the facility taking to improve the cleanliness of the resident rooms and the overall dining experience?
- 3How does the care team manage hydration and hygiene routines to ensure every resident's basic needs are met consistently throughout the day?
- 4Could you walk us through the communication process between the nursing staff and family members so we stay updated on any changes in care?
- 5What does a typical day of social activities and engagement look like for the residents here?
- 6In the event of a medical emergency or a sudden change in health status after hours, what is the protocol for notifying the family and coordinating care?
Personalized based on this facility's data
Key Review Excerpts
“I’m fortunate to have Monica Rani as my nurse. I wish I had her every day. She’s intelligent but humble. Most importantly is she cares.”
“The staff were very helpful with the care and assistance with me being able to walk again with physical therapy on a daily basis.”
“Words cannot describe how grateful I am to the staff here. SNF's have bad reputations, and some need to be better. But here my mom is accepted, loved, and cared for at a high level...”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
5
measures
6
measures
6
measures
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for the flu
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Millbrae Care Center shows concerning patterns with repeated deficiencies in abuse reporting and prevention, appearing in multiple complaint investigations where families filed reports. The facility has struggled most with protecting residents from abuse and neglect, accident prevention, and medication management issues. While all 87 deficiencies across 16 surveys were corrected, the recurring nature of serious safety problems, particularly the multiple abuse-related violations triggered by family complaints, suggests ongoing challenges with fundamental resident protection.
Jan 28, 2026Complaint2
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.
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.
Jun 4, 2025Complaint1
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
May 19, 2025Complaint1
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Oct 17, 2024Routine19
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Have policies on smoking.
Construction Deficiencies
Use approved construction type or materials.
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Environmental Deficiencies
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Aug 5, 2024Complaint1
Nursing and Physician Services Deficiencies
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.
Jun 7, 2024Complaint1
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Federal Penalties
Fine
Jan 3, 2024
$7,045
Ownership & Operations
Who Operates This Facility
Millbrae Care Center
for profit
Ownership & Management
Owners
Choy, Estrella
Owner
Mayer, Ronald
Owner
Peretz, Asher
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
19 reviews from families & visitors
Official Website
Visit millbrae-carecenter.com
Medicare data downloads
Original nursing home datasets
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