Spaulding Nursing And Therapy Center - Brighton

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.

74.5% 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 1,158 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 63.2% 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 682 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 1.18 therapist hours per resident per day in 2026Q1 — more than 98% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% 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 123 beds and averages 95.5 residents a day — about 78% occupied, or roughly 28 beds typically open. It usually has some room. 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 7.35 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 3.21 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.77 is at or above 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 6.36 hrs/resident/day on weekends vs 7.75 on weekdays — 18% thinner on weekends. RN hours go from 3.52 to 2.46 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 30% is below the national median of 45%. 1 administrator has left in the past year.

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.

• Potential for harm · E2025-03-12 · tag F0761 — failed to label and store drugs safely — pattern
  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, interviews and policy review, the facility failed to ensure staff stored drugs and biological's in accordance with State and Federal requirements. Specifically, the facility failed to ensure medication carts were locked while a nurse was not present. Findings include: Review of the facility policy titled Medication Storage, dated revised 8/2/24, indicated that carts, cabinets and other areas containing medications must be kept locked at all times when not in use. Further review indicated that all medications on the nursing units are stored securely in the med (medication) carts. On 3/11/25 at 7:42 A.M., the surveyor observed a medication cart unlocked and unattended in the hallway of the 2nd floor nursing unit. At 7:44 A.M., Nurse #1 arrived at the medication cart and said she was not aware the cart was unlocked and then locked it. On 3/11/25, at 8:33 A.M. the surveyor observed a medication cart open on the second floor. The surveyor was able to access the medication cart and open the drawers. The surveyor also observed several nurses and other staff members…

  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 · D2025-03-12 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and policy review, the facility failed to ensure a resident was assessed for the ability to self-administer medications, failed to observe a resident take prescribed medication, and left the medication at the bedside, unsecured. Findings include: Review of the facility policy Medication Administration dated 5/28/24, indicated: - Observe the patient taking the medication and no medications are left at bedside. On 3/11/25 at 8:46 A.M., the surveyor observed a resident in his/her room sitting in a chair located in front of a breakfast tray. On the tray was a medicine cup which contained 8 pills of various sizes and colors. The Resident said that about five minutes ago a nurse left the medicine on his/her breakfast tray and then left the room. The Resident said that some nurses watch him/her take the medication while others leave the medication on the tray for him/her to take later. Review of the resident's medical record indicated he/she had not been screened for medication self-administration and did not have a physician's order to self-administer…

  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 · D2025-03-12 · 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

  Based on observation, record review and interview the facility failed to implement a treatment order timely for an identified pressure injury for one Resident (#184), out of a total sample of 20 residents. Specifically, for Resident #184, a treatment order was not implemented until 72 hours after the facility first identified his/her pressure injury. Findings include: Review of the facility's Skin and Wound Care Policy, with a current revision date 3/4/2025 includes but is not limited to the following: Purpose: to outline how skin assessment and wound care is delivered safely and effectively within the facility. Policy Statement *Two nurses will provide a comprehensive skin assessment for all patients on admission ('four eyes skin check). *Comprehensive skin assessments will be completed a minimum once per day. Any undocumented or worsening pressure injuries, atypical, deteriorating or otherwise clinically concerning wounds warrant an order for IP Consult to Wound Nurse. *A validated tool to assess the risk of pressure ulcer development will be utilized to help determine treatment…

  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 · D2025-03-12 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure that an as needed (PRN) order for psychotropic medication was limited to 14 days for one Resident (#7) out of a total sample of 20 residents. Findings include: Review of facility policy titled 'Procedure for Psychotropic Consent' dated February 2017, indicated the following but not limited to: -PRN (as needed) orders for psychotropic medications which are not for antipsychotic medications are limited to 14 days, unless the attending physician/prescribing practitioner documents a rationale to extend the medication. Resident #7 was admitted to the facility in October 2017 with diagnoses including anoxic brain damage. Review of the current physician order indicated the following: -Date modified 2/18/25, Lorazepam (ativan) tablet 0.5 mg (milligram). Give one tablet by gastrostomy tube route three times a day as needed for anxiety/agitation. Review of the pharmacy recommendation dated 3/5/25 indicated the following:' Please evaluate the continued need for this medication. A rationale could not be located on the progress…

  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 · D2025-03-12 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation and interviews, the facility failed to ensure infection control practices were maintained to prevent spread of infection during medication pass. Findings include: During medication pass observation on 3/12/25 at 8:40 A.M., on the 3rd floor unit. Nurse #2 was observed touching pills with her bare hands as she poured the medications from the blister pack and the bottles. During an interview on 3/12/25 at 8:56 A.M., Nurse #2 said she was touching the pills with her bare hands because she had sanitized her hands. During an interview 3/12/25 at 9:44 A.M., the Infection Control Nurse said nurses should not touch medications with bare hands during medication administration.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-03-19 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  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 #1), the facility failed to ensure staff implemented and followed their abuse policy, when on 2/29/24 Certified Nurse Aide (CNA) #2 reported Resident #1's allegation that someone had hurt him/her a couple days ago at the facility to Nurse #1, however Nurse #1 did not report the allegation to the Executive Director, Director of Nursing or designee, per Facility policy. Administrative Staff were not made aware until 3/04/24, of Resident #1's allegation. Findings include: Review of the Facility's Abuse Policy, revised dated 05/16/18, indicated that all employees will identify events, such as but not limited to suspicious bruising of patients, occurrences, patterns, and trends that may constitute abuse, immediately report them and the Executive Director, Director of Nursing or designee will determine the direction of the investigation. This also includes resident to resident abuse. A. Anyone who witnesses an incident of suspected abuse which includes unauthorized photographs of residents that has been…

  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 · Past Non-Compliance

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 37 rows in the source record cover these 26 parties — each is shown once here with every role it holds. Nothing is omitted.

2 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.

This home reported $3.8M 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 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

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