Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
MILL BROOK REHABILITATION AND HEALTHCARE CENTER
FALL RIVER, MA · 152 certified beds · Last Life Safety survey August 28, 2025
CMS Certification Number 225603 · first certified December 1993
Ownership
Operated by MARQUIS HEALTH SERVICES · For profit - Corporation
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within MA
12 citations — more than 54% of the 341 certified nursing homes in MA. Compared within MA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 0 citations; the earlier surveys in the window averaged 6. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window is open now: August 2026 to November 2026. This facility’s last Life Safety survey was August 2025. Facilities in MA are typically surveyed 12–15 months after the last one (median 13), measured over 556 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
Get an email about MILL BROOK REHABILITATION AND HEALTHCARE CENTER
One email when it happens. No account; stop it any time with one click.
Emergency preparedness
8 of the 12 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
1 physical-environment citation on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 12 Life Safety citations above. The Physical Environment Index
- F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
How that compares
Compared with the median facility in MA, and nationally. Surveyors differ markedly between states, so the MA figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 12 |
| Median facility in MA | 11 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| March 2, 2023 | 8 |
| July 17, 2024 | 4 |
| August 28, 2025 | 0 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | 2 | 2024-07-17 |
| E-0022 | Establish policies and procedures for sheltering. | 1 | 2023-03-02 |
| E-0030 | List the names and contact information of those in the facility. | 1 | 2024-07-17 |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 1 | 2024-07-17 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2023-03-02 |
| K-0324 | Provide properly protected cooking facilities. | 1 | 2024-07-17 |
| K-0161 | Use approved construction type or materials. | 1 | 2023-03-02 |
| E-0041 | Implement emergency and standby power systems. | 1 | 2023-03-02 |
What the citations cover
- Emergency Preparedness Deficiencies 8
- Gas, Vacuum, and Electrical Systems Deficiencies 1
- Construction Deficiencies 1
- Miscellaneous Deficiencies 1
- Other 1
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 8 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
| Construction Deficiencies | 1 |
| Miscellaneous Deficiencies | 1 |
| Smoke Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
July 17, 2024 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (August 19, 2024) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (August 19, 2024) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (August 20, 2024) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (August 22, 2024) |
March 2, 2023 — 8 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (April 10, 2023) |
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | Deficient, Provider has date of correction (April 10, 2023) |
| E-0022 | Establish policies and procedures for sheltering. | Deficient, Provider has date of correction (April 10, 2023) |
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has date of correction (April 10, 2023) |
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (April 10, 2023) |
| E-0041 | Implement emergency and standby power systems. | Deficient, Provider has date of correction (April 10, 2023) |
| K-0161 | Use approved construction type or materials. | Deficient, Provider has date of correction (April 10, 2023) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (April 10, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.