Oc Milford Gardens LLC
10 Veterans Memorial Drive, Milford, MA 01757 · Worcester County · 135 certified beds · avg 112 residents/day · certified since Oct 16, 1992
Part of chain: AZURE HEALTHCARE (6 facilities, chain avg rating 1.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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, repeated · Dec 9, 2024 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (H): Multiple residents were actually harmed by the same failure — a pattern of real harm, not an isolated incident.
Corrected: Jan 2, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Dec 9, 2024 · 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: Jan 2, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Dec 9, 2024 · 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: Jan 2, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (28)
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 |
|---|---|---|
| Jun 17, 2026 | D · Potential for harm, one-off | 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. · from a complaint |
| May 19, 2026 | E · Potential for harm, repeated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| May 19, 2026 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · from a complaint |
| Mar 4, 2026 | 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 4, 2026 | 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 4, 2026 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Mar 4, 2026 | 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. |
| Mar 4, 2026 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Mar 4, 2026 | 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. |
| Jan 13, 2026 | 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 |
| Jan 13, 2026 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Jan 13, 2026 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Dec 9, 2024 | ▲ H · Actual harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Dec 9, 2024 | ▲ 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. |
| Dec 9, 2024 | ▲ 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. |
| Dec 9, 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. |
| Dec 9, 2024 | 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. |
| Dec 9, 2024 | E · Potential for harm, repeated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Dec 9, 2024 | 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. |
| Dec 9, 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. |
| Dec 9, 2024 | 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. |
| Dec 9, 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. |
| Dec 9, 2024 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Dec 9, 2024 | 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. |
| Dec 9, 2024 | D · Potential for 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. |
| Dec 9, 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. |
| Dec 9, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Sep 7, 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (15 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 15 | 3 | H ▲ |
| 2026 | 12 | 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)
1 fine totaling $148,051.
| Date | Type | Amount / length |
|---|---|---|
| Dec 9, 2024 | Fine | $148,051 |
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) | 3.67 | 3.89 | 3.95 | bottom 45% in Massachusetts; bottom 45% in the U.S. |
| Registered Nurse hours | 0.51 | 0.65 | 0.69 | bottom 33% in Massachusetts; bottom 39% in the U.S. |
| Weekend total nurse staffing | 3.46 | 3.51 | 3.50 | top 43% in Massachusetts; top 44% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.30 | 0.46 | 0.48 | bottom 26% in Massachusetts; bottom 31% in the U.S. |
| Total nursing staff turnover (%) | 81.4 | 38.2 | 45.8 | bottom 1% in Massachusetts; bottom 2% in the U.S. |
| RN turnover (%) | 90.9 | 42.6 | 42.9 | bottom 1% in Massachusetts; bottom 2% 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 3.37, RN 0.46, weekend 3.17. Staffing rating: 1/5.
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: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Amnh LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 06/27/2025 |
| Friedman, David | Individual | 5% or Greater Indirect Ownership Interest | — | 06/27/2025 |
| Lieberman, Azriel | Individual | 5% or Greater Indirect Ownership Interest | — | 06/27/2025 |
| Mandel, Abraham | Individual | 5% or Greater Indirect Ownership Interest | — | 06/27/2025 |
| Oc Milford Gardens Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/27/2025 |
| Schwarcz, Elliot | Individual | 5% or Greater Indirect Ownership Interest | — | 06/27/2025 |
| Amnh LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/27/2025 |
| Azure Healthcare Management Ac LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/27/2025 |
| Azure Healthcare Management Ac LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/18/2025 |
| Baker Tilly Us LLP | Organization | ADP of the SNF | NOT APPLICABLE | 06/27/2025 |
| Broyde, Chaim | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/27/2025 |
| Broyde, Chaim | Individual | ADP of the SNF | NOT APPLICABLE | 06/27/2025 |
| Centralized Business Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/27/2025 |
| Friedman, David | Individual | ADP of the SNF | NOT APPLICABLE | 06/27/2025 |
| Friedman, Samuel | Individual | ADP of the SNF | NOT APPLICABLE | 06/27/2025 |
| Lieberman, Azriel | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/27/2025 |
| Lieberman, Azriel | Individual | ADP of the SNF | NOT APPLICABLE | 06/27/2025 |
| Mandel, Abraham | Individual | ADP of the SNF | NOT APPLICABLE | 06/27/2025 |
| Med-Net Compliance LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/27/2025 |
| PC 10 Veterans Memorial Holdco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/27/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "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?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "How do you explain health changes and treatment options to residents and their families?"
- "Does your facility have an active resident council, and how does management respond to its concerns?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "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 |
|---|---|---|---|---|---|
| Blaire House of Milford | 1.0 mi | Milford, MA | ★☆☆☆☆ | 2/5 | |
| Countryside Health Care of Milford | 2.7 mi | Milford, MA | ★★★★☆ | 4/5 | |
| Medway Country Manor Skilled Nursing & Rehabilitat | 4.8 mi | Medway, MA | —/5 | SFF | |
| Timothy Daniels House | 5.4 mi | Holliston, MA | ★★★★☆ | 3/5 | |
| Waterview Lodge LLC, Rehabilitation & Healthcare | 6.7 mi | Ashland, MA | ★★★☆☆ | 2/5 | |
| The Gardens at Cedarwood | 7.5 mi | Franklin, MA | ★★☆☆☆ | 2/5 | |
| Adviniacare at Northbridge | 7.7 mi | Northbridge, MA | ★★★☆☆ | 4/5 | |
| Lydia Taft House | 8.6 mi | Uxbridge, MA | ★★★★★ | 5/5 | |
| Blackstone Valley Health and Rehabilitation | 8.8 mi | Whitinsville, MA | ★★★☆☆ | 3/5 | |
| Bethany Skilled Nursing Facility | 9.1 mi | Framingham, MA | ★★★★★ | 5/5 | |
| Whittier Westborough Transitional Care Unit | 9.4 mi | Westborough, MA | ★★★★★ | 4/5 | |
| Woonsocket Health Center | 9.6 mi | Woonsocket, RI | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 225562.