Deficiency Index

Mill Town Health and Rehabilitation

Amesbury, Massachusetts · CCN 225318

29 surveys since 2012, 27 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
168
Surveys
29
Harm or worse
27
Immediate jeopardy
10
The record, 2012–2026
’12’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy10

Findings at the most serious level CMS records.

Beyond CMS’s monthly file22/29

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
130
Ownership
For profit - Limited Liability company
Chain
Independent
County
Essex
Medicare-certified since
1988

CMS ratings

Overall
1
Health inspection
1
Staffing
2
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 96 for-profit facilities with 128 or more beds in Massachusetts.

Last survey on record

May 20, 2026

173 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.103.59
Registered-nurse hours per resident day0.43—
Annual nurse turnover52.8%34.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$255,935 across 3 penalties
Special focus
SFF Candidate

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K34.9%L—
Actual harmG23.3%H—I—
No harm, potential for more than minimalD4472.1%E914.8%F23.3%
No harm, potential for minimalA—B11.6%C—
CMS’s current file: 61 of the 168 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6894×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F8424×

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • F6563×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6583×

    Ensure services provided by the nursing facility meet professional standards of quality.

  • F6773×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

In the surveyor’s words

From the most serious findings on record at Mill Town Health and Rehabilitation, in the surveyor’s own words.

  • Immediate jeopardy, patternF580Jun 25, 2024

    Based on record review, policy review and interview the facility failed to notify the physician of a significant change in status for five Residents (#48, #79, #58, #9 and #60) out of a total sample of 26 residents. Specifically: -The facility failed to notify the physician or nurse practitioner when residents' blood glucose levels fell below parameters, or when insulin was held due to hypoglycemia. Findings include: Review of the facility policy Nursing Care of the Resident with Diabetes Mellitus (undated) indicated: -In type I (insulin-dependent diabetes mellitus) the body does not produce any significant amounts of insulin. -Normal blood glucose parameter is defined as 80-130 mg/dl (milligrams per deciliter) before meals and under 180 mg/dl after meals. […]

  • Immediate jeopardy, patternF684Jun 25, 2024

    Based on record review, policy review and interview for 5 residents (#48, #79, #58, #9 and #60) out of a total sample of 26 residents, the facility failed to ensure it administered insulin to residents diagnosed with diabetes, according to physician orders and facility policy. Specifically: 1. The facility failed to follow physician orders for when to give or hold insulin based on blood glucose levels. 2. The facility failed to follow its policy and procedures for hypoglycemia and hyperglycemia. […]

  • Immediate jeopardy, patternF726Jun 25, 2024

    Based on record review, policy review, staff education record review, Facility Assessment review, and interviews, the facility failed to ensure that the three out of thirteen nurses (Nurse #5, #6, and #10) completed annual training and competencies related to the provision of care and services for five insulin dependent Residents (#48, #79, #58, #9, and #60) out of a total sample of 26 Residents. Specifically, the facility failed to: 1.Notify the physician or nurse practitioner when residents' blood glucose levels fell below parameters, or when insulin was held due to hypoglycemia. 2.Follow physician orders for when to give or hold insulin based on blood glucose levels. […]

  • Immediate jeopardy, patternF887Sep 29, 2021

    Based on interview and record review, the facility failed to ensure that 1.) 4 sampled residents (#27, #29, #31 and #80) out of a total sample of 37 residents and 4 additional residents (#18, #33, #54 and #71) received education and were offered the Covid-19 vaccine and 2.) Two additional residents (#35 and #68) received their second Covid-19 vaccine. Findings include: During an interview with Administrator #1 and Interim Director of Nursing on 9/15/21 at 6:55 A.M., the Interim Director of Nursing said that the facility was currently experiencing an outbreak of Covid-19. She said that a staff member (CNA #1) had been tested on [DATE] as part of surveillance testing and the facility was notified of the positive COVID-19 result on 9/11/21. […]

  • Immediate jeopardy, isolatedF600Sep 29, 2021

    Based on observation, record review and interview, the facility failed to protect residents from neglect by 1) failing to ensure there was clinical staff present to provide nursing services and assure residents safety on 1 of 3 occupied resident units, 2) failing to ensure there was adequate staff to provide 1:1 supervision as ordered by the physician to maintain safety, resulting in a fall with injury for 1 Resident (#44) and 3) failing to provide, for 1 Resident (#74) out of a total sample of 37 residents, Activities of Daily Living (ADL) including incontinence care and assistance with feeding from 7:00 A.M. […]

Read 45 findings in full →The most serious and the most recent: 45 of 168 on record.

Every survey on record

FindingsAt actual harm or above

  • May 20, 2026Complaint3 findings · 1 harm
  • Mar 24, 2026Complaint2 findings
  • Feb 3, 2026Complaint2 findings
  • May 29, 2025Standard17 findings · 1 harm
  • Feb 11, 2025Complaint2 findings
  • Jun 25, 2024Standard14 findings · 3 harm
  • Jul 28, 2023Standard21 findings
  • Mar 1, 2023Complaint2 findings · 1 harm
Show the 21 earlier surveys
  • Aug 4, 2022Standard15 findings
  • Jun 22, 2022Complaint2 findings · 1 harm
  • Jan 19, 2022Complaint2 findings
  • Jan 12, 2022Infection control2 findings
  • Sep 29, 2021Standard35 findings · 10 harm
  • Jun 11, 2021Complaint6 findings · 3 harm
  • Mar 31, 2021Complaint2 findings
  • Jan 11, 2021Infection control1 finding
  • Feb 4, 2020Complaint1 finding · 1 harm
  • Jan 24, 2020Standard7 findings · 2 harm
  • Feb 19, 2019Standard8 findings
  • Oct 11, 2018Complaint1 finding
  • Nov 2, 2017Standard3 findings
  • Feb 27, 2017Complaint1 finding · 1 harm
  • Oct 27, 2016Standard1 finding
  • Nov 16, 2015Standard1 finding
  • Jun 18, 2015Complaint1 finding
  • May 26, 2015Complaint3 findings · 2 harm
  • Nov 4, 2014Standard8 findings
  • Sep 17, 2013—3 findings
  • Sep 6, 2012—2 findings · 1 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction