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Vantage at Andover LLC

80 Andover Street, Andover, MA 01810 · For profit - Partnership · 135 certified beds · (978) 470-3434 Medicare & Medicaid certified

Call the home — (978) 470-3434 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0605) — cited Aug 2025
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • lower-than-typical staff turnover (24% vs 45% nationally) — better care continuity
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 3 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
28 Andover St · (978) 475-8989 · Call to confirm hours
Pharmacy
68 Main St · (978) 470-0542 · Call to confirm hours
Grocery
209 North Main Street
Park
Recreation Park Rd · (978) 623-8276 · Typically dawn to dusk
Place of worship
5 Algonquin Ave · (978) 749-7377

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 3 of 5
Long-stay residentspeople who live here 3 of 5
Short-stay residentsrehab / post-hospital 2 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 4 to 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased11.5%16.4%15.4%better
Long-stay residents who lose too much weight1.3%5.1%5.4%better
Long-stay residents with a catheter left in their bladder0.7%0.8%0.9%better
Long-stay residents with a urinary tract infection0.5%1.8%2.0%better
Long-stay residents with depressive symptoms0.0%15.5%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury6.6%3.4%3.3%worse
Long-stay residents whose ability to walk worsened13.7%15.4%16.1%better
Long-stay residents on antianxiety or hypnotic medication14.7%19.5%18.9%better
Long-stay residents given the seasonal flu vaccine98.4%94.8%95.3%typical
Long-stay residents with pressure ulcers1.5%4.2%4.7%better
Long-stay residents with worsening bladder/bowel control29.7%21.2%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table21.5%21.4%17.1%worse
Short-stay residents who newly got an antipsychotic medication1.7%1.4%1.4%worse
Short-stay residents given the seasonal flu vaccine96.3%77.7%79.4%better
Short-stay residents rehospitalized after admission21.8%25.7%22.6%typical
Short-stay residents with an outpatient ER visit18.2%11.9%12.0%worse
Long-stay hospitalizations per 1,000 resident days2.281.881.67worse
Long-stay outpatient ER visits per 1,000 resident days1.711.501.80typical

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

59.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 317 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

59.7%U.S. median 51.5%
Got home and stayed home
11.2%U.S. median 10.7%
Went back to hospital
42.6%U.S. median 56.6%
Met the expected recovery
0.56U.S. median 0.31
Therapy hours / resident / day
0.19hours / resident / day
Physical therapy
0.29hours / resident / day
Occupational therapy
0.07hours / resident / day
Speech therapy

Met the expected recovery: 42.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 162 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.56 therapist hours per resident per day in 2026Q1 — more than 86% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF59.7%CMS range 54.1–65.351.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.2%CMS range 9.0–14.010.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge42.6%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge40.1%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge43.2%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.5%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened1.5%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.5%CMS range 4.0–11.57.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.881.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.46
RN hours/ resident / day
1.24
LPN hours/ resident / day
2.20
Aide hours/ resident / day
3.90
Total nurse hours/ resident / day
0.26
RN hoursweekends
23.7%
Total nursing turnover
14.3%
RN turnover

How full it usually is: this home is certified for 135 beds and averages 82.5 residents a day — about 61% occupied, or roughly 52 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.90 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.46 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.20 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.46 hrs/resident/day on weekends vs 4.08 on weekdays — 15% thinner on weekends. RN hours go from 0.54 to 0.26 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 24% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

8
deficiencies at the latest standard inspection (2025-08-21)
8
at the previous standard inspection (2024-08-08)

Deficiencies are unchanged from the previous inspection. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

  • Potential for harm · Ecited before2025-08-21 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews, the facility failed to ensure resident rooms were maintained in good repair, clean and homelike on 2 of 3 resident care units.Findings include: On 8/19/25 & 8/21/24, following was observations were made on the first-floor unit in the following rooms:room [ROOM NUMBER]: The closet doors were missing and there was a scuffed metal frame around the doorway that appeared altered or broken with bent metal, chipped paint and cracked plaster along the wall. There was large discoloration located on two tiles visible from the hallway in the resident's closet that appeared to be water stains that were dark brown and spanned across two ceiling tiles. room [ROOM NUMBER]: The bathroom had one wet white blanket placed on the floor under the bathroom sink. There was water visible on the floor and wall. The surveyor turned the hot water faucet to the on position, water began to pour out of the bottom of the sink on to the floor and was observed spraying out from under the faucet handle on to…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-08-21 · tag F0842 — failed to keep accurate, complete medical records — pattern
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record reviews, the facility failed to accurately document in the medical record for four Residents (#12, #67, #95, and #96) out of 24 total sampled residents. Specifically,1.) For Resident #12, the facility failed to ensure nursing documented weekly blood sugar checks and administration of hydrocodone-acetaminophen (a narcotic pain medication).2.) For Resident #67, the facility failed to ensure nursing accurately documented that seizure pads were not applied to bilateral side rails when in bed.3.) For Resident #95, the facility failed to ensure dressing changes were accurately documented. 4.) For Resident #96, the facility failed to ensure dressing changes were accurately documented.Findings include:Review of the facility policy titled Charting and Documentation, dated July 2017, indicated but was not limited to: -The following information is to be documented in the resident medical record: Medications administered; Treatments or services performed. -Documentation in the medical record will be objective (not opinionated or speculative),…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-08-21 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews, the facility failed to ensure resident protected health information (PHI) was secure and not visible to others on one of two nursing units. Findings include: Review of the facility policy titled HIPAA (Health Insurance Portability and Accountability Act), dated as revised 7/12/2012, indicated: It is the policy of the facility to limit access of confidential healthcare information to the minimum necessary - need to Know for the purpose of providing patient care. Individuals shall not access information for those in which they are not responsible for the provision of healthcare. On 8/21/25 at 8:01 A.M., the surveyor observed on the first-floor unit medication cart, a computer screen with an electronic health record that was open, and a document labeled Report Sheet, containing printed and handwritten patient information including full name, date of birth , diagnosis. The surveyor was able to read the PHI. The Nurse was not present at the cart, and the surveyor observed a resident and a housekeeping staff member in the area by the computer screen…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-08-21 · tag F0605 — failed to not use drugs as a restraint — isolated
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview the facility failed to ensure for 1 Resident (#39), out of a total sample of 24 residents that an antianxiety medication administered PRN (as needed) was limited to 14 days, and that the prescriber documented in the clinical record the rationale for continued use and the duration of the use of the PRN antianxiety medication. Specifically, Resident #39 was administered PRN Ativan, (a medication used to treat anxiety signs and symptoms) without a duration for the use of the PRN Ativan. Findings include: Resident #39 was admitted to the facility in December 2023 with diagnoses that include but not limited to cerebral infarction (an occlusion of blood to the brain resulting in a stroke), adjustment disorder with mixed anxiety and depressed mood. Review of the Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #39 scored a 15 out of 15 on the Brief Interview of Mental Status exam indicating he/she as having intact cognition. Review of Resident #39's clinical record…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-08-21 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview the facility failed to implement the plan of care for two Residents (#95 and #96) out of a total sample of 24 residents. Specifically: For Resident #95 the facility failed to change a dressing to the forearm as ordered.For Resident #96 the facility failed to change a dressing to the right temple as ordered.Findings include:Review of the facility policy titled Wound Care Policy dated as revised 11/5/24, failed to indicate that physician ordered dressing changes are to be completed as ordered. 1. Resident #95 was admitted to the facility in August 2024 with diagnoses including skin tears to the right forearm, skin cancer, and gout. Review of the Minimum Data Set assessment indicated it was not due. Review of the physician's note dated 8/13/25, indicated that resident #95 is alert and oriented to person, place and time. Review of the physician's orders, dated August 2025, indicated the following order: Right forearm skin tears; cleanse with wound cleanser, dry, apply xeroform (a petroleum impregnated gauze) and cover with DPD (dry…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-08-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interviews, and record review, the facility failed to ensure one Resident (#71), out of 24 total sampled residents, received adequate supervision and assistance devices to prevent accidents. Specifically, for Resident #71, who had multiple recent falls, the facility failed to ensure staff implemented fall interventions, including the use of a baby monitor when in bed and ensuring his/her call bell was within reach.Findings include:Review of the facility policy titled Procedure for Falls, undated, indicated:-Update Kardex (a summary of a patient's plan of care), care plan and communicate this information.-If the intervention is not working discontinue and find another solution.Resident #71 was admitted to the facility in November 2024 with diagnoses including dementia.Review of the most recent Minimum Data Set (MDS) assessment, dated 7/31/25, indicated Resident #71 had severe cognitive impairment as evidenced by a Brief Interview for Mental Status (BIMS) score of 1 out of 15. This MDS also indicated Resident #71 had 3 or more falls in the past quarter.Review of…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-08-21 · tag F0694 — isolated
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record review, the facility failed to provide care and maintenance of a peripherally inserted Intravenous catheter (IV), consistent with professional standards of practice for one Resident (#94), out of a total sample of 24 residents. Specifically, for Resident #94, the facility failed to monitor a peripherally inserted Intravenous IV catheter site and failed to develop a plan of care for the IV.Findings include:Resident #94 was admitted to the facility in August 2025 with diagnoses including acute kidney failure, fracture of the right humerus (upper arm) and heart disease. Review of the Minimum Data Set assessment indicated that it was not due. Review of the progress note dated 8/18/25, indicated that resident #94 is alert and oriented x3 (to person, place and time). On 8/19/25, at 8:01 A.M. the surveyors observed Resident #94 with a peripherally inserted intravenous (IV) line in the left antecubital (inner elbow) space. The surveyors also observed a clear dressing over the site without a date. Review of the physician's orders indicated an…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-08-21 · tag F0761 — failed to label and store drugs safely — isolated
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, and interviews, the facility failed to ensure staff stored drugs and biologicals in accordance with State and Federal requirements. Specifically, the facility failed to ensure nursing staff secured medications in the medication cart prior to leaving the cart unattended on the first-floor unit. Findings include:Review of the facility policy titled Storage of Medications, dated as revised August 2018, indicated Medications and biologicals are stored safely, securely, and properly, following manufacturer's recommendations or those of supplier. The medication supply is accessible only to licensed nursing personnel, pharmacy personnel, or staff members lawfully authorized to administer medications. On 8/21/25 at 8:01 A.M., the surveyor observed a medication cart unlocked and unsupervised on the first-floor unit. The surveyor observed one bottle of nystatin powder (antifungal powder to treat skin infections) and one container of clotrimazole ointment (antifungal medication to treat skin infections) on top of the medication cart. The surveyor observed a resident and…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-08-08 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview the facility failed to ensure proper food handling practices to prevent cross contamination during the meal distribution service in the kitchen. Findings include: Review of the facility's policy titled Handwashing-Glove, manual Dietary Services, dated 9/14/20 indicated the following: Purpose Guidelines for hand washing and glove use to promote safe and sanitary conditions throughout the department. Hand washing procedure- 1. Hand washing is a priority for infection control. 2. Hands must be washed prior to beginning work, after using the restroom, after smoking, when working with different food substances. raw chicken to fresh fruit, following contact with any unsanitary surface i.e. touching hair sneezing opening door etc. Gloves 1 Gloves will be worn/changed when: a) handling raw meats poultry, and fish/seafood. b) handling ready-to-eat foods. C) transitioning from one task to another including raw to ready-to eat food prep, leaving the work area and returning, using rest room and returning, potentially touching a contaminated…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-08-08 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to provide a homelike environment in two resident rooms on the second floor. Specifically, the facility failed to 1. repair a broken overhead light and 2. failed to maintain hot water temperatures in a resident bathroom. Findings include: 1. During a family interview on 8/7/24 at 10:49 A.M., the family member said that the overhead bed light in room [ROOM NUMBER] was not working and that she has notified staff before. During an observation on 8/7/24 at 12:02 P.M., the surveyor attempted to turn on one of the overhead bed lights in room [ROOM NUMBER]. The light did not work. 2. During an interview on 8/6/24 at 8:15 A.M., one Resident said that his/her bathroom water was lukewarm and not getting hot. The Resident said that this has been an issue that the hot water has not been working for some time and he/she has notified staff. During an observation on 8/8/24 at 8:01 A.M., the surveyor obtained a hot water temperature of 68 degrees Fahrenheit from the sink…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
Show the remaining 11 citations
  • Potential for harm · D2024-08-08 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview the facility failed to ensure the Minimum Data Set (MDS) assessment was accurately coded to reflect the status of one Resident (#70) out of a total sample of 19 residents. Specifically, two comprehensive MDS assessments failed to code Resident #70 with obvious or likely carious or broken natural teeth. Findings include: Resident #70 was admitted to the facility in November 2023 with diagnoses including chronic obstructive pulmonary disease, transient cerebral ischemic attack (stroke), anxiety and mood disorder. Review of the most recent MDS, dated [DATE], indicated Resident #70 scored a 13 out of 15 on the Brief Interview for Mental Status exam, indicating he/she is cognitively intact. During an observation and interview on 8/6/24 at 8:49 A.M., Resident #70 was observed to have missing lower teeth and some partial teeth. Resident #70 said his/her bottom teeth have been broken and missing since he/she came here. Review of Resident #70's medical record indicated…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-08 · tag F0644 — isolated
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview the facility failed to ensure for one Resident (#15), out of a total sample of 19 residents, was referred for a Preadmission Screening and Resident Review (PASARR) evaluation (an evaluation to determine if a resident needs specialized services to address his/her Serious Mental Illness (SMI) once it was identified the Resident had a new diagnosis of schizoaffective disorder. Findings include: Review of the MassHealth Nursing Facility Bulletin 186, dated June 2024 indicated the following: Definition: Level I Screening- A preliminary screening of all nursing facility applicants, regardless of payer source, conducted prior to their admission to a nursing facility, as required by federal PASARR regulations at 42 CFR 483.100 et seq. using the Level 1 Screening Form. A level 1 Screening identifies whether an applicant has, or is suspected of having, ID (intellectual Disability), DD (Developmental Disability), and/or SMI (Serious Mental Illness). C. Postadmission Level II Evaluations…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-08-08 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview the facility failed to ensure for one Resident (#39), out of a total sample of 19 residents, that newly identified skin injuries, including an open skin area, was reported to the physician or the nurse practitioner, that the open area was measured, and that a treatment order was obtained to treat the open area. Findings include: Review of facility's policy titled: Wound Documentation effective 3/11/13 indicated Goal: To ensure appropriate wound documentation is recorded in the patient/resident medical record. Policy: 1. The facility will document notification of the physician, patient/resident and /or responsible party at the onset of a new wound or the deterioration of an existing wound. Procedure: 2. At the onset of a new wound, the nurse will initiate a weekly flow sheet (pressure or non-pressure) for each new wound. Policy titled Wound NTASureiment (sic) dated 3/11/13 indicate the patient/resident plan of care will be developed at the onset of each wound and…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-08 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview the facility failed to implement the use of a hand splint in accordance with the rehabilitation plan of care for one Resident (#70), out of a total sample of 19 residents. Findings include: Review of the facility's policy with the subject Splints/Orthotics, dated February 2022, indicated Therapy will issue appropriate positioning splints/orthotic determined by patient needs. Purpose Splints or orthotic devices are those which are given to maintain range of motion, enable proper joint alignment, promote good skin integrity and hygiene, enhance functional ability and prevent further deformity. These include but are not limited to: splint, palm protectors, elbow and knee braces, ankle/foot orthotics etc. Procedure: 1: Order for OT (occupational therapy) or PT (physical therapy) evaluation and treatment will be obtained, and evaluation completed to determine the proper positioning device. 2: Splints or orthotics will be issued by an OT/PT or MD (medical doctor) and…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-08 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure the catheter bag for one Resident (#14) was off the floor to prevent potential contamination, out of a total sample of 19 residents. Findings include: Review of the facility's policy titled Foley Catheter Care, Date May 1, 2022, reviewed 2023 indicated the following: - A foley catheter is a closed urinary drainage system consisting of a Foley catheter with a balloon at the distal end to secure it in place inside of the bladder. - The Foley catheter is attached to a collection bag making it a closed system. The system should not be broken unless there is a specific reason such as changing the collection bag. - The following policy provides guidance related to MD orders necessary for the care and maintenance of a Foley Catheter. The MD may write additional orders if there is a specific resident need. Policy: It is the policy of this facility to maintain MD orders for the care and maintenance of a foley catheter. The MD orders will…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-08 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to serve food that is palatable and at a safe and appetizing temperature. Findings include: Review of the facility's policy titled, Palatability dated effective 6/29/20 indicated Purpose: -Ensure food has an appetizing aroma and appearance. -Food is served at a preferable temperature (hot foods served hot and cold foods served cold). During the resident group meeting on 8/7/24 at 10:02 A.M., 4 out of 6 participating residents said that the food served is always cold and bland. During a test tray conducted on 8/7/24 at 12:12 P.M., the following was observed: - The milk temperature was 50 degrees Fahrenheit. - The sweet potato was 100 degrees Fahrenheit and tasted lukewarm, and was sitting in water on the plate. - The ham was 90 degrees Fahrenheit, tasted lukewarm, and was sitting in water. - The zucchini squash was 100 degrees Fahrenheit and was very soft, not strained, and in liquid.A test tray was completed on 8/7/24 at 1:00 P.M., of the 1st floor unit the following temperatures were recorded: -Ham was 115 degrees Fahrenheit…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-06-21 · tag F0552 — isolated
    Ensure that residents are fully informed and understand their health status, care and treatments.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview the facility failed to obtain consent for the use of a psychotropic medication for 1 Resident (#66) out of a total sample of 18 residents. Findings Include: Resident #66 was admitted to the facility in April 2023 with diagnoses including dementia, acute embolism and adult failure to thrive. Review of Resident #66's most recent Minimum Data Set (MDS), dated [DATE], indicated he/she was assessed by staff to have severe cognitive impairment. Review of Resident #66's June 2023 Physician Orders, indicated the following: - Lorazepam (a medication used to treat anxiety) 2 mg/ml, Give 0.25 milliliters (ml) by mouth at bedtime for anxiety. Review of Resident #66's June 2023 Medication Administration Record (MAR) indicated he/she received Lorazepam 0.25 ml daily at bedtime from 6/8/23 to 6/20/23. Review of Resident #66's medical record failed to indicate a consent was obtained for his/her Lorazepam. During an interview on 6/21/23 at 7:46 A.M., Unit Manager # 1 said that when a resident…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-06-21 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview and observation, the facility failed to implement 1 Resident's (#60) oxygen plan of care out of a total of 18 sampled residents. Findings Include: Resident #60 was admitted to the facility in May 2023 with diagnoses including dysphagia, polymyalgia rheumatica and spinal stenosis. Review of the facility policy titled Oxygen Administration, dated 12/22, indicated All tubing will be changed at least weekly, more often if soiling with secretions occurs. Review of Resident #60's most recent Minimum Data Set (MDS), dated [DATE], indicated he/she scored a 15 out of a possible score of 15 on the Brief Interview for Mental Status (BIMS) which indicated he/she was cognitively intact. During an observation on 6/20/23 at 8:50 A.M., the surveyor observed Resident #60 in bed with oxygen running via nasal cannula, the oxygen tubing was not dated. During an observation on 6/20/23 at 12:22 P.M., the surveyor observed Resident #60 in bed with oxygen running via nasal cannula, the oxygen tubing…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-06-21 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, observation and interview the facility failed to provide assistance with Activities of Daily Living (ADLs) for 2 Residents (#7, and #66) out of a total sample of 18 residents. Findings Include: Review of the facility policy titled, Activities of Daily Living (ADL), dated 12/2022, indicated A resident who is unable to carry out activities of daily living will receive the necessary services to maintain good nutrition, grooming, and personal and oral hygiene. The facility will provide care and services for the following activities of daily living: d. Dining- eating, including meals and snacks 1. Resident #7 was admitted to the facility in May 2023 with diagnoses including end stage renal disease, severe protein-calorie malnutrition, and renal dialysis. Review of Resident #7's most recent Minimum Data Set (MDS), dated [DATE], indicated he/she scored a 14 out a possible 15 on the Brief Interview for Mental Status, which indicated he/she was cognitively intact. The MDS further indicated he/she…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-06-21 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview the facility failed to ensure 1.) an air mattress was on the correct setting for 1 Resident (#60) who had actual skin breakdown 2.) heels were offloaded as ordered for 1 Resident (#273) who had actual skin breakdown to the right heel out of a total sample of 18 Residents. Findings Include: 1. Resident #60 was admitted to the facility in May 2023 with diagnoses including dysphagia, polymyalgia rheumatica and spinal stenosis. Review of the facility policy titled, Specialty Mattress Procedure, not dated, indicated The residents' weight will be obtained as necessary for settings. Review of Resident #60's most recent Minimum Data Set (MDS), dated [DATE], indicated he/she scored a 15 out of a possible score of 15 on the Brief Interview for Mental Status (BIMS) which indicated he/she was cognitively intact. During an observation on 6/20/23 at 8:50 A.M., the surveyor observed Resident #60 lying in bed on an air mattress, the air mattress pump was set to 250 pounds (lbs).…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-06-21 · tag F0693 — failed to provide proper feeding-tube care — isolated
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview the facility failed to ensure staff provided appropriate care and services for one Resident (#60) with a Gastrostomy tube (G-tube: a tube that is placed directly into the stomach through an abdominal incision for administration of nutrition, fluids, and medication), out of 18 sampled Residents. Specifically, the facility failed to date and label the G-tube solution bottle and water flush bag. Findings included: Resident #60 was admitted to the facility in May 2023 with diagnoses including dysphagia, polymyalgia rheumatica and spinal stenosis. Review of Resident #60's most recent Minimum Data Set (MDS), dated [DATE], indicated he/she scored a 15 out of a possible score of 15 on the Brief Interview for Mental Status (BIMS) which indicated he/she was cognitively intact. During an observation on 6/20/23 at 7:48 A.M., the surveyor observed Resident #60's G-tube solution bottle infusing that was not dated or labeled with any resident information and the water flush bag…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to VANTAGE CARE — 10 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 3 of 52.4+0.6 vs chain
Health inspection 3 of 52.7+0.3 vs chain
Staffing 4 of 52.8+1.2 vs chain
Quality measures 3 of 52.3+0.7 vs chain
The other 9 homes this chain runs (chain average 2.4★, per CMS)

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
AREM, CHERYLIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST25%since 12/29/2025
BROWN, YOSSIIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF25%since 12/29/2025
HERSKOVITZ, MIRIAMIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST25%since 12/29/2025
YUROWITZ, SAMIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF25%since 12/29/2025
VANTAGE ANDOVER REALTY LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF100%since 12/29/2025
JOHNSON, JERIIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/29/2025
INNOVATIONS HEALTHCARE, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/11/2025
GREEN, MORRISIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/29/2025
PAULLIS, CONNIEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/29/2025
SESPICO, DIANNIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/29/2025
SOMESWARANANTHAN, JANARTHANANIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/29/2025
CHERYL AREM TRUSTOrganizationADP OF THE SNFsince 12/29/2025
IM FAMILY HOLDINGS LLCOrganizationADP OF THE SNFsince 12/29/2025
ISAAC S MOSKOWITZ FAM TROrganizationADP OF THE SNFsince 12/29/2025
JCA CAPITAL ASSOCIATES LLCOrganizationADP OF THE SNFsince 12/29/2025
JEFFREY AREM TRUSTOrganizationADP OF THE SNFsince 12/29/2025
LTC CONSULTING SERVICES LLCOrganizationADP OF THE SNFsince 12/29/2025
MIRIAM T HERSKOVITZ FAM TROrganizationADP OF THE SNFsince 12/29/2025
VANTAGE CARE MA4 LLCOrganizationADP OF THE SNFsince 12/29/2025
VANTAGE MA6 HOLDCO LLCOrganizationADP OF THE SNFsince 12/29/2025

CMS files one row per role, so the 38 rows in the source record cover these 20 parties — each is shown once here with every role it holds. Nothing is omitted.

11 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$11.9M
Net patient revenuemost recent cost report
-0.6%
Operating marginrevenue minus expenses
$611K
Related-party expense5% of expenses
Who pays — share of resident-days
Medicaid 34%Medicare 15%Other / private 51%

This home reported $611K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$430per resident / day
operating cost
$13,059per month
≈ monthly operating cost
$427per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MA

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Massachusetts Medicaid page.

Typical monthly cost in Massachusetts
$14,448/mo
Nursing home (semi-private)
$15,817/mo
Nursing home (private)
$9,600/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 225558. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-21, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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