Mill Brook Rehabilitation and Healthcare Center
100 Amity Street, Fall River, MA 02721 · Bristol County · 152 certified beds · avg 142 residents/day · certified since Dec 16, 1993
Part of chain: MARQUIS HEALTH SERVICES (87 facilities, chain avg rating 3.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Mar 2, 2023 · F-0580
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jun 2, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 2, 2023 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jun 2, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 2, 2023 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 21, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (43)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 28, 2025 | E · Potential for harm, repeated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Aug 28, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 28, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Aug 28, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Aug 28, 2025 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jul 17, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jul 17, 2024 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Jul 17, 2024 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jul 17, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jul 17, 2024 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Jul 17, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jul 17, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jul 17, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jul 17, 2024 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Jul 17, 2024 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Jul 17, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jul 17, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jul 17, 2024 | B · Minimal risk, repeated | The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs. |
| Sep 11, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Mar 2, 2023 | ▲ G · Actual harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Mar 2, 2023 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Mar 2, 2023 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Mar 2, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 2, 2023 | F · Potential for harm, facility-wide | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. |
| Mar 2, 2023 | F · Potential for harm, facility-wide | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Mar 2, 2023 | F · Potential for harm, facility-wide | The facility did not perform required COVID-19 testing on residents and staff. |
| Mar 2, 2023 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Mar 2, 2023 | E · Potential for harm, repeated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Mar 2, 2023 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 2, 2023 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Mar 2, 2023 | E · Potential for harm, repeated | The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit. |
| Mar 2, 2023 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Mar 2, 2023 | E · Potential for harm, repeated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Mar 2, 2023 | E · Potential for harm, repeated | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Mar 2, 2023 | E · Potential for harm, repeated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Mar 2, 2023 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Mar 2, 2023 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Mar 2, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Mar 2, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 2, 2023 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Mar 2, 2023 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Mar 2, 2023 | B · Minimal risk, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Mar 2, 2023 | B · Minimal risk, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (13 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 25 | 3 | G ▲ |
| 2024 | 13 | 0 | F |
| 2025 | 5 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Massachusetts avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.78 | 3.89 | 3.95 | bottom 2% in Massachusetts; bottom 8% in the U.S. |
| Registered Nurse hours | 0.39 | 0.65 | 0.69 | bottom 13% in Massachusetts; bottom 20% in the U.S. |
| Weekend total nurse staffing | 2.45 | 3.51 | 3.50 | bottom 2% in Massachusetts; bottom 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.23 | 0.46 | 0.48 | bottom 13% in Massachusetts; bottom 18% in the U.S. |
| Total nursing staff turnover (%) | 43.2 | 38.2 | 45.8 | bottom 29% in Massachusetts; top 45% in the U.S. |
| RN turnover (%) | 41.7 | 42.6 | 42.9 | bottom 50% in Massachusetts; top 50% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.27, RN 0.46, weekend 2.89. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| NFR 2020 Irrv Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2025 |
| Quinto Nexgen LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 04/01/2025 |
| Rsbrmk Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2025 |
| SK Nexgen Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2025 |
| Skilled Venture LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 04/01/2025 |
| Tryko Nexgen Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2025 |
| Uak 2020 Irrv Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2025 |
| Ukr Nexgen LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 04/01/2025 |
| Yk Nexgen Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2025 |
| Yr Nexgen Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2025 |
| Flagler, Osher | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/18/2025 |
| Harman, Dina | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2025 |
| Harman, Dina | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Kahanow, Aviva | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/18/2025 |
| Labib, Ossama | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Labib, Ossama | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Levovitz, Tzvi | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/18/2025 |
| Marquis Limited LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Marquis Limited LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/03/2025 |
| Mill Brook Property LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Does your facility have an active resident council, and how does management respond to its concerns?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Fall River Jewish Home | 2.7 mi | Fall River, MA | ★☆☆☆☆ | 2/5 | |
| The Grove at Carvalho | 2.7 mi | Fall River, MA | ★☆☆☆☆ | 1/5 | |
| Kimwell Nursing and Rehabilitation | 3.0 mi | Fall River, MA | ★☆☆☆☆ | 2/5 | |
| Clifton Rehabilitation Nursing Center | 3.2 mi | Somerset, MA | ★★★★☆ | 4/5 | |
| Somerset Ridge Center | 3.9 mi | Somerset, MA | ★★★★☆ | 4/5 | |
| Fall River Healthcare | 4.2 mi | Fall River, MA | ★☆☆☆☆ | 1/5 | |
| Catholic Memorial Home | 4.8 mi | Fall River, MA | ★★☆☆☆ | 2/5 | |
| The Dawn Hill Home for Rehab and Healthcare | 5.3 mi | Bristol, RI | ★★★★☆ | 4/5 | |
| Silver Creek Rehab and Healthcare Center | 5.5 mi | Bristol, RI | ★★☆☆☆ | 2/5 | |
| Warren Operations Ri, LLC DBA Warren Center | 5.8 mi | Warren, RI | ★★★★☆ | 4/5 | |
| Crestwood Nursing & Rehabilitation Center INC | 6.0 mi | Warren, RI | ★★★★★ | 5/5 | |
| Grace Barker Nursing Center | 6.1 mi | Warren, RI | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 225603.