Millbrae Care Center

Nursing Home · Millbrae, CA

CMS overall rating 2/5 For profit - Limited Liability company

CMS certification number056122

Contact & location

33 Mateo Avenue
Millbrae, CA 94030
San Mateo County
Phone
(650) 689-5784
ZIP code
94030 – all care providers

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Facility details

Certified beds
140
Residents per day
135.9 (97% occupied)
Ownership
For profit - Limited Liability company
Legal name
Millbrae Care Center LLC
Medicare certified since
October 24, 1969
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.2
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.3
Quality measures★★★★★ 2/5
State avg 4.1
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.20 (state 4.52 · U.S. 3.86)
Registered nurses (RN)
0.39 (state 0.67 · U.S. 0.69)
Licensed practical nurses
1.03 (state 1.20 · U.S. 0.86)
Nurse aides
1.78 (state 2.65 · U.S. 2.32)
Weekend total
2.77 (state 4.09 · U.S. 3.42)
Nursing staff turnover
31.7 (state 36.7 · U.S. 45.8)%
RN turnover
31.3 (state 38.1 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
May 8, 2026
Health deficiencies (last cycle)
17.0 (state 15.7 · U.S. 9.3)
From complaints
6
Citations on record (3 years)
60 health · 20 fire safety · includes actual harm
DateCitationSeverityStatus
2026-06-25 Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
F0711 · Nursing and Physician Services Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-25 Ensure that the resident and his/her doctor meet face-to-face at all required visits.
F0712 · Nursing and Physician Services Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-05-08 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
F0640 · Resident Assessment and Care Planning Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-06-05
2026-05-08 Assure that each resident’s assessment is updated at least once every 3 months.
F0638 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-06-05
2026-05-08 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-06-05
2026-05-08 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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-06-05
2026-05-08 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-05
2026-05-08 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-05
2026-05-08 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-05
2026-05-08 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-05
2026-05-08 Assess the resident when there is a significant change in condition
F0637 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-05
2026-05-08 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-05
2026-05-08 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-05
2026-05-08 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-05
2026-05-08 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-05
2026-01-28 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-05
2026-01-28 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-05
2025-06-04 Provide medically-related social services to help each resident achieve the highest possible quality of life.
F0745 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-07-02
2025-05-19 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
F0557 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-02
2024-10-17 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-11-17
2024-10-17 Have policies on smoking.
F0926 · Environmental Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-11-17
2024-10-17 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
F0640 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-17
2024-10-17 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-17
2024-10-17 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-17
2024-10-17 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-17
2024-10-17 Provide timely, quality laboratory services/tests to meet the needs of residents.
F0770 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-17
2024-10-17 Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
F0911 · Environmental Deficiencies
B
No actual harm, potential for minimal harm
Corrected 2024-11-17
2024-08-05 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.
F0726 · Nursing and Physician Services Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-05
2024-06-07 Provide medically-related social services to help each resident achieve the highest possible quality of life.
F0745 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-05
2024-04-11 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-10
2024-04-11 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-10
2024-01-11 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2024-03-21
2024-01-11 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.
F0688 · Quality of Life and Care Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2024-03-21
2024-01-11 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2024-03-21
2024-01-11 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2024-03-21
2024-01-11 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-21
2024-01-11 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-21
2024-01-11 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-21
2024-01-11 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-21
2024-01-11 Assess the resident when there is a significant change in condition
F0637 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-21
2024-01-11 Provide or get specialized rehabilitative services as required for a resident.
F0825 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-21
2024-01-11 Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
F0911 · Environmental Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-21
2024-01-03 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-18
2024-01-03 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-18
2023-08-24 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-28
2023-08-24 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-28
2023-08-02 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-18
2021-12-03 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2022-01-28
2021-12-03 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-01-28
2021-12-03 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-01-28

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $7,045 in fines.

DateTypeAmount
2024-01-03Fine$7,045

Ownership & management

NameRoleSince
Choy, Estrella (individual)5%+ Direct Ownership Interest · 10%
Mayer, Ronald (individual)5%+ Direct Ownership Interest · 65%
Peretz, Asher (individual)5%+ Direct Ownership Interest · 10%
Rodriguez, Elsa (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Millbrae Care Center?

Millbrae Care Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in California.

How many beds does Millbrae Care Center have?

It has 140 certified beds and cares for about 136 residents per day.

Has Millbrae Care Center been fined?

Yes. CMS lists 1 penalty totaling $7,045 in the last three years.

What is the phone number of Millbrae Care Center?

(650) 689-5784. The facility is located at 33 Mateo Avenue, Millbrae, CA 94030.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.