Nursing homeActiveSpecial Focus Facility candidate · what this means

Mill Town Health And Rehabilitation

22 Maple Street, Amesbury, MA 019139783884682130 certified beds · 68 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
7
since 2023
Deficiencies
61
1555
Penalties · 3 yrs
$255,935
3 fines
Last survey
2026-05-20
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 2
Quality 2
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Massachusetts Department of Public Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-05-20Complaint021CMS-2567 (Care Compare)
2026-03-24Complaint020CMS-2567 (Care Compare)
2026-02-03Complaint020CMS-2567 (Care Compare)
2025-05-29Standard1151CMS-2567 (Care Compare)
2025-02-11Complaint020CMS-2567 (Care Compare)
2024-06-25Standard0113CMS-2567 (Care Compare)
2023-07-28Standard0210CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Massachusetts Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-05-20Complaint survey · 3 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-04-21Record 225318-20260520-F689
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-08Record 225318-20260520-F580
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-08Record 225318-20260520-F760
2026-03-24Complaint survey · 2 deficienciesOfficial report
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-28Record 225318-20260324-F607
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-28Record 225318-20260324-F609
2026-02-03Complaint survey · 2 deficienciesOfficial report
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-23Record 225318-20260203-F658
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-23Record 225318-20260203-F842
2025-05-29Standard survey · 17 deficienciesOfficial report
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-07-08Record 225318-20250529-F740
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-08Record 225318-20250529-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-08Record 225318-20250529-F610
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-08Record 225318-20250529-F641
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-08Record 225318-20250529-F658
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-08Record 225318-20250529-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-08Record 225318-20250529-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-08Record 225318-20250529-F689
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-08Record 225318-20250529-F693
F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-08Record 225318-20250529-F694
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-08Record 225318-20250529-F697
F745Provide medically-related social services to help each resident achieve the highest possible quality of life.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-08Record 225318-20250529-F745
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-08Record 225318-20250529-F761
F791Provide or obtain dental services for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-08Record 225318-20250529-F791
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-08Record 225318-20250529-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-08Record 225318-20250529-F883
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2025-07-08Record 225318-20250529-F640
2025-02-11Complaint survey · 2 deficienciesOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-18Record 225318-20250211-F656
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-18Record 225318-20250211-F842
2024-06-25Standard survey · 14 deficienciesOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity KHarm
Dignity & rights
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-08-06Record 225318-20240625-F580
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-08-06Record 225318-20240625-F684
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity KHarm
Staffing
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-08-06Record 225318-20240625-F726
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-06Record 225318-20240625-F552
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-06Record 225318-20240625-F607
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-06Record 225318-20240625-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-06Record 225318-20240625-F677
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-06Record 225318-20240625-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-06Record 225318-20240625-F689
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-06Record 225318-20240625-F699
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-06Record 225318-20240625-F756
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-06Record 225318-20240625-F812
F825Provide or get specialized rehabilitative services as required for a resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-06Record 225318-20240625-F825
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-06Record 225318-20240625-F842
2023-07-28Standard survey · 21 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 225318-20230728-F550
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 225318-20230728-F552
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 225318-20230728-F558
F585Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 225318-20230728-F585
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 225318-20230728-F604
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 225318-20230728-F610
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 225318-20230728-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 225318-20230728-F658
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 225318-20230728-F677
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 225318-20230728-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 225318-20230728-F695
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 225318-20230728-F698
F730Observe each nurse aide's job performance and give regular training.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 225318-20230728-F730
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 225318-20230728-F757
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 225318-20230728-F758
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 225318-20230728-F759
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 225318-20230728-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 225318-20230728-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 225318-20230728-F842
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 225318-20230728-F880
F881Implement a program that monitors antibiotic use.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 225318-20230728-F881

Penalties & enforcement

DateActionAmountSource
2026-05-20Civil money penalty$16,350CMS · Penalties
2025-05-29Civil money penalty$78,198CMS · Penalties
2024-06-25Civil money penalty$161,387CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.43
Facility
Massachusetts
National
Massachusetts 0.65 · National 0.69
Total nurse hours per resident day3.10
Facility
Massachusetts
National
Massachusetts 3.86 · National 3.86
Weekend total nurse hours2.84
Facility
Massachusetts
National
Massachusetts 3.48 · National 3.42
Total nursing staff turnover53%
Facility
Massachusetts
National
Massachusetts 38% · National 46%
Registered nurse turnover50%
Facility
Massachusetts
National
Massachusetts 43% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityMassachusettsNational
Percentage of long-stay residents with pressure ulcers
lower is better
4.2%4.2%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.5%3.4%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
52.2%21.4%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.4%1.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
40.6%16.4%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
5.1%5.1%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
33.3%19.5%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Amesbury Milltown Jjp V Holdings LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Cuzzupoli, Joseph
Individual
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Drje Holdings LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Hennessy, David
Individual
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Lilla Abegg Swanson Revocable Living Trust
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Segaline, Mark
Individual
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Seggy Corp
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Swanson, Jim
Individual
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
The Daniel J Buchholz Trust
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Thomas Buchholz Family Trust
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Vgtoriuos Productions LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Amesbury Milltown Jjp V Holdings LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Cuzzupoli, Joseph
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Fraioli, Patrick
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Koppenheffer, Alex
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Wheeler, Scott
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Cuzzupoli, Joseph
Individual
CORPORATE OFFICERNOT APPLICABLE
Fraioli, Patrick
Individual
CORPORATE DIRECTORNOT APPLICABLE
Koppenheffer, Alex
Individual
CORPORATE OFFICERNOT APPLICABLE
Wheeler, Scott
Individual
CORPORATE OFFICERNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Massachusetts.

No county cost figures on file for Essex.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Maplewood Center
Amesbury
0.8 mi2025-06-052475
Adviniacare Newburyport
Newburyport
3.6 mi2025-09-181588
Port Rehabilitation And Healthcare Center
Newburyport
4.2 mi2025-08-280220
The Mansion at Brigham
Newburyport
5.1 mi2025-09-176582
Exeter Center
Exeter
8.4 mi2026-04-30381
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01