Medical emergency?Emergency? Call 911. Nearest emergency roomsNearest ERs

Nursing home

Care One at Randolph

Randolph, Massachusetts · Norfolk County

  • 49 Thomas Patten Drive, Randolph, MA 02368 · Directions
  • (781) 961‑1160
  • Medicare overall rating: 1 of 5 starsMedicare overall rating
  • Ownership: For profit – limited liability company
  • 60 health citations in its last 3 inspection cycles (most serious: level G). See the inspection record

Summary

Care One at Randolph is a Medicare-certified nursing home in Randolph, Massachusetts, with 168 certified beds. Medicare overall rating: 1 of 5 stars. Most recent standard health inspection: 2025-08-14, with 21 health deficiencies. Ownership: for profit – limited liability company. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 1 of 5 starsMedicare overall rating
168Certified beds
Health inspections: 1 of 5 starsHealth inspections

Quick answers

Where is Care One at Randolph?
49 Thomas Patten Drive, Randolph, MA 02368, in Norfolk County, Massachusetts.
What is the phone number of Care One at Randolph?
(781) 961-1160, as listed by Medicare (CMS).
What is the Medicare star rating of Care One at Randolph?
Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
Has Care One at Randolph been fined?
Medicare lists no fines for Care One at Randolph.
What did inspectors find at Care One at Randolph?
In its last three inspection cycles (May 24, 2023 to August 14, 2025), Medicare lists 60 health citations; the most serious was level G. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 1 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 1 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 3 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 3 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Short-stay residents (rehab): 4 of 5 stars
Quality rating for people who stay a short time, usually to recover after a hospital stay.
Long-stay residents
Long-stay residents: 3 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (May 24, 2023 to August 14, 2025), Care One at Randolph had 60 health citations; the most serious was level G (actual harm to residents). 1 of them was level G or higher (actual harm or immediate jeopardy). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 3.60 hours per resident per day; the Massachusetts average is 3.94 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: August 14, 2025 — 21 health citations

Inspections in this cycle: August 14, 2025 (standard health inspection).

Show 21 citations (levels A to F, no actual harm)
  • F0565 Level E August 14, 2025 · corrected September 22, 2025

    “Honor the resident's right to organize and participate in resident/family groups in the facility.”

  • F0580 Level E August 14, 2025 · corrected September 22, 2025

    “Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”

  • F0645 Level E August 14, 2025 · corrected September 22, 2025

    “PASARR screening for Mental disorders or Intellectual Disabilities”

  • F0656 Level E August 14, 2025 · corrected September 22, 2025

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

  • F0658 Level E August 14, 2025 · corrected September 22, 2025

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

  • F0684 Level E August 14, 2025 · corrected September 22, 2025

    “Provide appropriate treatment and care according to orders, resident’s preferences and goals.”

  • F0712 Level E August 14, 2025 · corrected September 22, 2025

    “Ensure that the resident and his/her doctor meet face-to-face at all required visits.”

  • F0761 Level E August 14, 2025 · corrected September 22, 2025

    “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.”

  • F0812 Level E August 14, 2025 · corrected September 22, 2025

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0880 Level E August 14, 2025 · corrected September 22, 2025

    “Provide and implement an infection prevention and control program.”

  • F0883 Level E August 14, 2025 · corrected September 22, 2025

    “Develop and implement policies and procedures for flu and pneumonia vaccinations.”

  • F0550 Level D August 14, 2025 · corrected September 22, 2025

    “Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”

  • F0552 Level D August 14, 2025 · corrected September 22, 2025

    “Ensure that residents are fully informed and understand their health status, care and treatments.”

  • F0585 Level D August 14, 2025 · corrected September 22, 2025

    “Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.”

  • F0605 Level D August 14, 2025 · corrected September 22, 2025

    “Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.”

  • F0687 Level D August 14, 2025 · corrected September 22, 2025

    “Provide appropriate foot care.”

  • F0689 Level D August 14, 2025 · corrected September 22, 2025

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

  • F0740 Level D August 14, 2025 · corrected September 22, 2025

    “Ensure each resident must receive and the facility must provide necessary behavioral health care and services.”

  • F0756 Level D August 14, 2025 · corrected September 22, 2025

    “Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”

  • F0773 Level D August 14, 2025 · corrected September 22, 2025

    “Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.”

  • F0628 Level B August 14, 2025 · no revisit needed (September 22, 2025)

    “Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”

Previous cycle: August 15, 2024 — 22 health citations

Inspections in this cycle: August 15, 2024 (standard health inspection); October 9, 2024 (complaint investigation); December 4, 2024 (complaint investigation); March 20, 2025 (complaint investigation); May 27, 2025 (complaint investigation).

Show 22 citations (levels A to F, no actual harm)
  • F0925 Level F December 4, 2024 · from a complaint · corrected January 13, 2025

    “Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”

  • F0561 Level E August 15, 2024 · corrected September 23, 2024

    “Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.”

  • F0804 Level E August 15, 2024 · corrected September 23, 2024

    “Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”

  • F0806 Level E August 15, 2024 · corrected September 23, 2024

    “Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”

  • F0812 Level E August 15, 2024 · corrected September 23, 2024

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0880 Level E August 15, 2024 · corrected September 23, 2024

    “Provide and implement an infection prevention and control program.”

  • F0552 Level D May 27, 2025 · from a complaint · corrected June 30, 2025

    “Ensure that residents are fully informed and understand their health status, care and treatments.”

  • F0558 Level D May 27, 2025 · from a complaint · corrected June 30, 2025

    “Reasonably accommodate the needs and preferences of each resident.”

  • F0655 Level D May 27, 2025 · from a complaint · corrected June 23, 2025

    “Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”

  • F0580 Level D March 20, 2025 · from a complaint · corrected April 14, 2025

    “Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”

  • F0656 Level D December 4, 2024 · from a complaint · corrected January 13, 2025

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

  • F0658 Level D December 4, 2024 · from a complaint · corrected January 13, 2025

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

  • F0580 Level D October 9, 2024 · from a complaint · corrected November 18, 2024

    “Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”

  • F0656 Level D October 9, 2024 · from a complaint · corrected November 18, 2024

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

  • F0658 Level D October 9, 2024 · from a complaint · past non-compliance (already fixed before the inspection) (October 4, 2024)

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

  • F0684 Level D October 9, 2024 · from a complaint · past non-compliance (already fixed before the inspection) (October 4, 2024)

    “Provide appropriate treatment and care according to orders, resident’s preferences and goals.”

  • F0578 Level D August 15, 2024 · corrected September 23, 2024

    “Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.”

  • F0580 Level D August 15, 2024 · corrected September 23, 2024

    “Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”

  • F0655 Level D August 15, 2024 · corrected September 23, 2024

    “Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”

  • F0658 Level D August 15, 2024 · corrected September 23, 2024

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

  • F0675 Level D August 15, 2024 · corrected September 23, 2024

    “Honor each resident's preferences, choices, values and beliefs.”

  • F0692 Level D August 15, 2024 · corrected September 23, 2024

    “Provide enough food/fluids to maintain a resident's health.”

Earlier cycle: May 24, 2023 — 17 health citations

Inspections in this cycle: May 24, 2023 (standard health inspection); May 29, 2024 (complaint investigation).

  • F0688 Level G May 24, 2023 · corrected June 21, 2023

    “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.”

    actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies

Show 16 less serious citations (levels A to F)
  • F0812 Level F May 24, 2023 · corrected June 26, 2023

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0804 Level E May 29, 2024 · from a complaint · corrected July 2, 2024

    “Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”

  • F0761 Level E May 24, 2023 · corrected July 13, 2023

    “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.”

  • F0804 Level E May 24, 2023 · corrected June 26, 2023

    “Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”

  • F0658 Level D May 29, 2024 · from a complaint · corrected June 28, 2024

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

  • F0552 Level D May 24, 2023 · corrected June 21, 2023

    “Ensure that residents are fully informed and understand their health status, care and treatments.”

  • F0656 Level D May 24, 2023 · corrected June 21, 2023

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

  • F0658 Level D May 24, 2023 · corrected June 21, 2023

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

  • F0690 Level D May 24, 2023 · corrected June 21, 2023

    “Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”

  • F0693 Level D May 24, 2023 · corrected June 21, 2023

    “Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.”

  • F0694 Level D May 24, 2023 · corrected June 21, 2023

    “Provide for the safe, appropriate administration of IV fluids for a resident when needed.”

  • F0695 Level D May 24, 2023 · corrected June 21, 2023

    “Provide safe and appropriate respiratory care for a resident when needed.”

  • F0759 Level D May 24, 2023 · corrected June 21, 2023

    “Ensure medication error rates are not 5 percent or greater.”

  • F0760 Level D May 24, 2023 · corrected June 21, 2023

    “Ensure that residents are free from significant medication errors.”

  • F0880 Level D May 24, 2023 · corrected June 21, 2023

    “Provide and implement an infection prevention and control program.”

  • F0908 Level D May 24, 2023 · corrected June 26, 2023

    “Keep all essential equipment working safely.”

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fire safety citations (19)
  • K0211 Level F August 14, 2025 · corrected September 30, 2025

    “Keep aisles, corridors, and exits free of obstruction in case of emergency.”

  • K0345 Level F August 14, 2025 · corrected September 30, 2025

    “Have approved installation, maintenance and testing program for fire alarm systems.”

  • K0353 Level F August 14, 2025 · corrected September 30, 2025

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0711 Level F August 14, 2025 · corrected September 30, 2025

    “Provide a written emergency evacuation plan.”

  • K0324 Level D August 14, 2025 · corrected September 30, 2025

    “Provide properly protected cooking facilities.”

  • K0541 Level D August 14, 2025 · corrected September 30, 2025

    “Install properly constructed and protected linen or trash chutes.”

  • K0907 Level D August 14, 2025 · corrected September 30, 2025

    “Ensure medical gas and vacuum systems have documented maintenance programs.”

  • E0041 Level E August 15, 2024 · corrected October 31, 2024

    “Implement emergency and standby power systems.”

  • K0345 Level E August 15, 2024 · corrected October 31, 2024

    “Have approved installation, maintenance and testing program for fire alarm systems.”

  • K0372 Level E August 15, 2024 · corrected October 31, 2024

    “Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”

  • K0918 Level E August 15, 2024 · corrected October 31, 2024

    “Have generator or other power source capable of supplying service within 10 seconds.”

  • E0031 Level D August 15, 2024 · corrected October 31, 2024

    “Provide emergency officials' contact information.”

  • E0039 Level D August 15, 2024 · corrected October 31, 2024

    “Conduct testing and exercise requirements.”

  • K0511 Level D August 15, 2024 · corrected October 31, 2024

    “Have properly installed electrical wiring and gas equipment.”

  • K0541 Level D August 15, 2024 · corrected October 31, 2024

    “Install properly constructed and protected linen or trash chutes.”

  • K0916 Level D August 15, 2024 · corrected October 31, 2024

    “Have a battery powered remote alarm panel in a location accessible by operating personnel.”

  • K0372 Level E May 24, 2023 · corrected June 5, 2023

    “Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”

  • K0352 Level D May 24, 2023 · corrected July 16, 2023

    “Properly install and monitor supervisory attachments on automatic sprinkler systems.”

  • K0374 Level D May 24, 2023 · corrected July 16, 2023

    “Install smoke barrier doors that can resist smoke for at least 20 minutes.”

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homeMassachusettsNational
Registered nurse (RN) hours per resident per day0.420.660.69
Licensed practical nurse (LPN) hours per resident per day1.230.970.86
Nurse aide hours per resident per day1.962.312.35
Total nurse staff hours per resident per day3.603.943.90
Total nurse staff hours per resident per day on the weekend3.303.523.43
RN hours per resident per day on the weekend0.200.460.48
Nursing staff turnover (per year)27.5%37.6%45.3%
RN turnover (per year)45.0%42.7%42.5%
Administrators who left in the last year0.00.40.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Owners and operator

Part of a group of 37 nursing homes: Careone.

Legal business name: 49 Thomas Patten Drive Operating Company, LLC.

Owners and managers Medicare lists (5)
NameRoleShareSince
Thci of Massachusetts, LLCDirect owner—July 1, 2003
Care Realty, LLCIndirect owner—April 30, 2002
Des-I 2016 GratIndirect owner—December 1, 2021
Straus, DanielIndirect owner—July 1, 2003
Healthbridge Management LLCManagement company (operational or managerial control)NOT APPLICABLEJuly 1, 2003

Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds168
Average residents per day135.8
Takes part inMedicare and Medicaid
OwnershipFor profit – limited liability company
Group or chain (affiliated entity)Careone
Legal business name49 Thomas Patten Drive Operating Company, LLC
First approved by Medicare/Medicaid1989-06-01
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address49 Thomas Patten Drive, Randolph, MA 02368
CountyNorfolk County
StateMassachusetts
Phone(781) 961‑1160
CMS Certification Number225356
Name in Medicare recordsCARE ONE AT RANDOLPH
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13