Life Care Center Of Merrimack Valley

Location & what’s nearby

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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

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.

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.

53.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 239 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 90.8% 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 109 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 0.27 therapist hours per resident per day in 2026Q1 — more than 40% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 19% 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.

Staffing

How full it usually is: this home is certified for 124 beds and averages 111.6 residents a day — about 90% occupied, or roughly 12 beds typically open. It runs fairly full. 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 4.09 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.71 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.39 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 3.59 hrs/resident/day on weekends vs 4.29 on weekdays — 16% thinner on weekends. RN hours go from 0.81 to 0.45 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 39% is about the same as 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

Deficiencies are fewer than at the previous inspection — improving. 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.

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.

27 citations, most serious first. The 14 most serious are shown; the remaining 13 are one tap away and print in full.

• Actual harm · H2024-12-04 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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, observations and interviews, the facility failed to protect three Residents (#97, #60 and #103), from neglect, out of a total sample of 30 residents. Specifically:1a. For Resident #97, the facility failed to provide care and treatment to prevent the development of pressure ulcers. Specifically, the facility failed to provide care and treatment resulting in the development of a stage 4 pressure injury to the sacrum resulting in the development of osteomyelitis requiring antibiotics treatment, surgical debridement, and multiple hospitalizations, and failed to arrange a wound clinic follow up.1b. For Resident #97, the facility failed to respond to and implement interventions when Resident #97 developed one deep tissue pressure injury to the left heel. 2. For Resident #60, the facility failed to implement treatments, physician orders, and care plan interventions resulting in the development of a Stage 3 pressure injury to the lower back requiring antibiotic treatment and hospitalization, 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · H2024-12-04 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — pattern
  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 observations, interviews, and record review, the facility failed to provide care and treatment to prevent the development and worsening of pressure injury's (wounds that occur when the skin and tissue are damaged by prolonged pressure, usually on bony areas like the coccyx, hips, heels, or elbows) for four Residents (#103, #97, #60, and #20) out of a total sample of 30 residents. Specifically:1. For Resident #103, facility failed to respond to and implement new interventions when Resident #103's wound worsened and developed signs and symptoms of infection. The facility also failed to arrange a wound clinic follow up as indicated by the Nurse Practitioner. 2a. For Resident #97, the facility failed to provide care and treatment to prevent the development of a Stage 4 pressure injury to the sacrum resulting in the development of osteomyelitis requiring antibiotics treatment, surgical debridement, and multiple hospitalizations and failed to arrange for a wound clinic follow up. 2b. For Resident #97, the…

  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
• Actual harm · H2024-12-04 · tag F0841 — pattern
  Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, document review and interview, the facility failed to ensure the medical director was responsible for the implementation of resident care policies and the coordination of the medical care in the facility. In addition, the facility failed to ensure the appropriateness and quality of medical care and medically related care provided to residents which resulted in worsening pressure wounds for two residents.Findings Include:Review of facility policy titled Medical Director, dated as reviewed 6/12/24, indicated the following:-Policy: The facility will have a designated medical director who is responsible for implementing care policies and coordinating medical care, and who is directly accountable for the management of the institution of which it is a distinct part.-The facility must designate a physician to serve as medical director. The medical director is responsible for (i) implementation of resident care policies; and (ii) the coordination of medical care in the facility.-Current professional standards of practice- Refers to approaches to care, procedures,…

  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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-12-04 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  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, interview and record review, the facility failed to ensure it completed a baseline care plan for one Resident (#60) out of 30 sampled residents. Specifically, the facility failed to complete a baseline care plan to address a surgical wound to the lower leg with a leg splint and failed to implement care plan interventions resulting in the development of a Stage 3 pressure injury to the lower back requiring antibiotic treatment and hospitalization, right buttock Stage 2 pressure injury, right lateral foot stage 1 pressure injury, right outer calf DTI (Deep Tissue Injury), and right heel DTI. The facility failed to respond to, and implement new interventions when Resident #60 developed new pressure injuries.Findings include:Resident #60 was admitted to the facility in October 2024 with diagnoses including multiple sclerosis, cellulitis of right lower limb, sepsis due to streptococcus group A, type one diabetes with foot ulcer, unspecified protein calorie malnutrition, muscle weakness,…

  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 · D2026-04-23 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on records reviewed and interviews for one of three sampled residents (Resident #2), who started to lose his/her balance during care, was lowered to the floor by a staff member, the Facility failed to ensure nursing notified the Provider and the Health Care Agent of the incident, a few days later Resident #2 was noted to have a decline in functional status and was experiencing pain with mobility. Findings include:Review of the Facility's policy titled, Changes in Resident's Condition or Status, revised August 2025 indicated:- The nurse will notify the residents' attending physician or physician on call and resident representative of changes in resident's condition or status and must notify the physician immediately of:An Accident involving the resident which has the potential for requiring physician intervention.Resident #2 was admitted to the Facility in October 2023, diagnoses included dementia, osteoporosis (bone density decreases, making bone weak, brittle and highly prone to fractures), hypertension, chronic kidney disease and a history of falls.Review of the Report…

  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 · Ecited before2025-12-10 · tag F0698 — failed to provide proper dialysis care — pattern
  Provide safe, appropriate dialysis care/services for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, and interviews, the facility failed to provide care and services consistent with professional standards of practice for one Resident (#14) who required renal dialysis (a life sustaining treatment that helps the body remove extra fluids and waste products from the blood when the kidneys are not able to) out of a total sample of 25 residents. Specifically, for Resident #14 the facility failed to ensure nursing scheduled his/her phosphate binder (medication that is essential for managing elevated phosphate levels in the blood, a condition known as hyperphosphatemia. This condition often occurs in residents with chronic kidney disease because their kidneys are less able to excrete phosphate. High phosphate levels can lead to various health issues, including weakened bones and cardiovascular problems) to be administered with meals and snacks as recommended by the dialysis center. Findings include: Review of the facility policy titled, Hemodialysis Offsite Policy, dated as revised 9/16/25, indicated the facility assures that each resident receives care and services…

  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 · E2025-12-10 · tag F0760 — failed to prevent significant medication errors — pattern
  Ensure that residents are free from significant medication errors.
  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, interviews, and record review, the facility failed to ensure two Residents (#85 and #113) were free from significant medication errors, out of a total sample of 26 residents. Specifically,1. For Resident #85, the facility failed to ensure Nurse #3 administered the correct dose of furosemide on twelve occasions.2. For Resident #113, the facility failed to ensure nursing transcribed the correct dose of lisinopril from his/her hospital discharge medication list resulting in Resident #113 receiving the incorrect dose of lisinopril on four occasions. Findings include: 1. Review of the facility policy titled, Administration of Medications, dated 9/9/25, indicated the facility will ensure medications are administered safety and appropriately per physician's order to address residents' diagnosis and signs and symptoms.2. Staff who are responsible for medication administration will adhere to the 10 rights of medication administration. c. Right Dose. Check the Medication Administration Record (MAR)…

  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 · Dcited before2025-12-10 · 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 observation and interviews, the facility failed to ensure staff stored drugs and biologicals in accordance with State and Federal laws. Specifically, the facility failed to ensure medications were dated once opened and stored according to manufacturer's guidelines in one of three medication carts observed. Findings include: Review of the facility policy titled, Storage and Expiration Dating of Medications and Biologicals, dated as revised 6/30/25, indicated policy 5.3 sets forth the procedures relating to the storage and expiration dates of medications, biologicals, syringes, and needles. 11. Once any medication or biological package is opened, facility should follow manufacturer/supplier guidelines with respect to expiration dates for opened medications. Facility staff should record the date opened on the primary medication container (i.e., vial, bottle, inhaler) when the medication has a shortened expiration date once opened or opened.11.1 Facility staff may record the calculated expiration date based on date opened on the primary medication container.11.2 Medications…

  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 · D2025-12-10 · tag F0808 — failed to follow doctor-ordered diets — isolated
  Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
  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 provide one Resident (#93) with a therapeutic diet as ordered by the physician out of a total sample of 26 Residents. Specifically, the facility failed to ensure that Resident #93 received an easy to chew textured diet as prescribed by the physician.Findings include:Review of the facility policy titled Therapeutic and Modified Diets, dated and revised 12/5/23, indicated the following:- Therapeutic and modified diets will be provided by the attending physician or per state guidelines. The intent of this is to ensure the residents receive and consume foods in the appropriate consistency as prescribed by a physician.Review of the facility policy titled Nutrition Assessment, dated and revised 12/16/21, indicated the following:- The Registered Dietitian assesses the resident to determine nutritional needs by reviewing the collected data and completing the nutrition assessment. Nutrition Assessment also includes information such as any special…

  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 · E2025-08-14 · tag F0552 — pattern
  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

  Based on records reviewed and interviews for three of three sampled residents (Resident #1, #2 and #3), whose Physician's Orders included the administration of psychotropic medications, the Facility failed to ensure that they obtained signed written consent for the administration of the medications, which include providing each resident and/or their Health Care Proxy with information related to the risks and benefits of the medications, prior to administering them.Findings include:Review of the Facility Policy Massachusetts Psychotropic Medication Written Consent Policy, dated as last reviewed 09/16/2024, indicated in order to meet Section 72BB's requirements for documenting informed consent, prior to the administration of any drug included on Attachment A (Schedule of Psychotropic Drugs), the Facility will complete the Departments prescribed form (Attachment B-Informed Consent for Psychotropic Administration Form), and prior to or upon administration, include the completed form in the resident's medical record.The Policy indicated to complete the form; the drug's prescriber must…

  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 · E2024-12-04 · tag F0726 — failed to have competent, trained nursing staff — pattern
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  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 interviews, record review, staff education review, and Facility Assessment review, the facility failed to ensure the nursing staff were trained and demonstrated the competencies and skill sets necessary to provide the level and types of care and services needed as outlined in the Facility Assessment. Specifically, the facility failed to: 1. Ensure the licensed nursing staff were trained and demonstrated competency to identify, assess, evaluate, intervene, and respond to a significant change in condition of a wound, for three Residents (#97, #60, #103), out of a total sample of 30 Residents. 2. Ensure that 31 out of 36 staff education records reviewed, had completed education and competencies and were completed and documented annually, per the Facility Assessment. As a result of these failures, three Residents (#97, #60, and #103) developed pressure injuries that worsened.Findings include:1. According to the Board of Registration in Nursing, 244 CMR 9.00 &10.00: Standards of Conduct, Definitions 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-12-04 · 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 and interview the facility failed to properly follow sanitation and food handling practices to prevent the risk of foodborne illness in accordance with professional standards for food service safety. Review of the facility policy titled Safe Food Handling, dated as revised 4/26/23, indicated the following: - All food purchased, stored, and distributed is handled with accepted food-handling practices and per federal, state and local requirements. - Associates shall wash their hands before handling or consuming food including working with clean equipment and utensils, and: - After handling soiled equipment or utensils - During food preparation, as often as necessary to remove soil and contamination and to prevent cross contamination when changing tasks - Before donning gloves to initiate a task that involved working with food - After engaging in any other activities that contaminate the hands - All food is handled carefully to avoid contamination with potentially harmful debris The surveyor made the following observations on 11/22/24 during the breakfast tray line…

  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 · E2024-12-04 · tag F0835 — failed to run the facility competently — pattern
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  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, interviews and record review, the facility failed to ensure it was administrated in a manner that enabled the facility to ensure that systems were in place to provide competent clinical care and clinical oversight for the treatment to prevent the development and worsening of pressure injuries. Specifically, the facility administrator failed to: 1. Provide nursing staff education, training and competencies to demonstrate competency in providing safe and effective wound care management.2. Identify concerns outlined by the Medical Director in the Quality Assurance and Performance Improvement (QAPI) program related to documentation, wound dressings, lab services and wound staging and documentation.3. Implement an effective wound care program that is supervised by a physician for pressure ulcer (wounds that occur when the skin and tissue are damaged by prolonged pressure, usually on bony areas like the hips, heels, or elbows) prevention and care per the Facility Assessment Tool. Findings…

  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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-12-04 · tag F0837 — pattern
  Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
  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 interview, record review and the Facility Assessment, the facility failed to ensure the Governing Body provided oversight and accountability for quality of care related to comprehensive wound care management. Specifically:1. The Governing Body failed to ensure the facility provided consistent and effective nursing staff education and training to provide competent quality of care and effective wound care management as outlined per the Facility Assessment.2. The Governing Body failed to ensure the facility had implemented an effective wound care program that is supervised by a physician for pressure ulcer (wounds that occur when the skin and tissue are damaged by prolonged pressure, usually on bony areas like the hips, heels, or elbows) prevention and care.Review of the facility policy titled QAPI - Program Design and Scope, revised 10/21/22, last reviewed 10/24/24, indicated the following:- The authority for the planning and implementation of the Quality Assurance Performance Improvement (QAPI) program…

  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.

  Administration 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.

Fines & penalties

$161,920 in federal fines across 1 penalty.

• $161,920 — penalty dated 2024-12-04

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to LIFE CARE CENTERS OF AMERICA — 194 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 →

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

CMS files one row per role, so the 22 rows in the source record cover these 14 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner 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.

About 72% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $593K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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

Straight from this home’s Medicare cost report (CMS, FY2024). 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