Alliance Health At West Acres

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.

59.4% 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 240 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 39.3% 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 145 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 0.50 therapist hours per resident per day in 2026Q1 — more than 80% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 28% 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 138 beds and averages 117.6 residents a day — about 85% occupied, or roughly 20 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 3.69 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.23 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.09 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 3.31 hrs/resident/day on weekends vs 3.85 on weekdays — 14% thinner on weekends. RN hours go from 0.25 to 0.19 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 32% 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 more than at the previous inspection — worsening. 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.

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

• Potential for harm · E2025-09-19 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  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 interviews, the facility failed to ensure residents received food prepared by methods that conserve nutritive value, flavor, and appearance, and was palatable, attractive, and at a safe and appetizing temperature for two of two test trays. Findings include:During the initial resident screening on 9/16/25, the survey team identified the following concerns expressed by residents about food palatability:-Resident #53 said the food was often served cold.-Resident #103 said the food was cold 90% of the time, but the staff will reheat it, if you ask.-Resident #37 said the food was always cold and gross.On 9/17/25 at 11:15 A.M., 10 Residents attended the Resident Council Meeting. 10 out of 10 residents agree that the food temperatures are not always hot enough, and the food is lukewarm.On 9/17/25 at 11:55 A.M., the surveyor requested a test tray on the Station Two Unit. The tray arrived at the unit at 12:30 P.M.On 9/17/25 at 12:44 P.M., the surveyor and Certified Nursing Assistant (CNA) #1 completed the test tray together, 14 minutes after arrival on unit. The food…

  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 · Ecited before2025-09-19 · 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, document review, and interview, the facility failed to follow professional standards of practice for food safety and sanitation to prevent the potential spread of foodborne illness to residents who are at high risk. Specifically, the facility failed to:1. Ensure emergency water supply was discarded and replenished prior to the expiration date.2. Maintain safe and clean equipment in three out of three kitchenettes.Findings include:Based on observation, document review, and interview, the facility failed to follow professional standards of practice for food safety and sanitation to prevent the potential spread of foodborne illness to residents who are at high risk. Specifically, the facility failed to:1. Ensure emergency water supply was discarded and replenished prior to expiration date; and2. Maintain safe and clean equipment in three out of three kitchenettes. Findings include: 1. Review of the facility's policy titled 4.0 Disaster Plan Policy, dated as last revised 1/5/2018, indicated but was not limited to the following:-Water will be maintained at all…

  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 · D2025-09-19 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record review, the facility failed to ensure quality of care was provided, according to the plan of care and professional standards of practice for one Resident (#14), out of 23 total sampled residents. Specifically, the facility failed for Resident #14, to ensure wound care treatments to a right heel diabetic wound were reflective of recommendations from the Physician Wound Consultant. Findings include:Resident #14 was admitted to the facility in March 2025 with diagnoses including diabetes, peripheral artery disease and a non-pressure chronic ulcer (wound) on the right heel and midfoot.Review of the care plans indicated Resident #14 was at risk for skin breakdown related to impaired mobility, weakness, and diabetes with an approach including to have the wound team consult and treat as indicated.Review of the medical record indicated Resident #14 had multiple hospitalizations since being admitted to the facility in March 2025. Resident #14 had an infected right heel wound and had declined to have an amputation. Review of the medical record indicated 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
• Potential for harm · D2025-09-19 · tag F0770 — failed to provide lab services — isolated
  Provide timely, quality laboratory services/tests to meet the needs of residents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure laboratory (lab) services were obtained for one Resident (#5), out of a total sample of 23 residents. Specifically, the facility failed to follow the physician's telephone order (T.O.) to obtain a CBC (complete blood count), CMP (comprehensive metabolic panel), and BMP (Basic Metabolic Panel) for Resident #5 who was on a blood thinner and experiencing nose bleeds. Findings include:Resident #5 was admitted to the facility in July 2020 with a diagnosis of atrial fibrillation (AFib, a common heart rhythm disorder) and was on a blood thinner to prevent blood clots.During an interview on 9/16/25 at 10:55 A.M., Resident #5 said he/she was on a blood thinner and had been having nose bleeds.Review of the current Physician's Orders for Resident #5 included the following:-Eliquis 2.5 milligrams (mg) twice per day-obtain labs as ordered by the physicianReview of the nursing progress notes for Resident #5 indicated the following:-8/16/25: moderate about of active bleeding from the left nostril, pressure dressing applied, Nurse…

  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 · E2024-08-29 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  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 document review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment, and to help prevent the development and potential transmission of communicable diseases and infections when the facility was currently experiencing an outbreak of COVID-19 infection. Specifically, the facility failed to: 1. Perform a COVID-19 related investigation and conduct contact tracing for a single new resident case to prevent, to the extent possible, the onset and spread of infection and ensure staff and resident COVID-19 surveillance line listings were maintained; 2. Ensure proper COVID-19 outbreak testing procedures were implemented for four of four facility staff members reviewed representing two (Station 1 Unit and Station 3 Unit, both COVID-19 affected units) out of three units; 3. Ensure staff rapid antigen COVID-19 testing (BinaxNOW) was conducted in a manner that is consistent with current standards 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-08-29 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure residents were provided care in accordance with professional standards of practice for one Resident (#49), out of a sample of 23 residents. Specifically, the facility failed to ensure a medication to increase blood pressure was administered to the Resident as ordered by the physician. Findings include: Review of the Massachusetts Board of Registration in Nursing Advisory Ruling on Nursing Practice, dated as revised 4/11/18, indicated but was not limited to: Nurse's Responsibility and Accountability: Licensed nurses accept, verify, transcribe, and implement orders from duly authorized prescriber that are received by a variety of methods (i.e., written, verbal/telephone, standing orders/protocols, pre-printed order sets, electronic) in emergent and non-emergent situations. Licensed nurses in a management role must ensure an infrastructure is in place, consistent with current standards of care, to minimize error. Review of the facility's policy titled Medication Administration - General Guidelines, undated, 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 · E2023-07-27 · tag F0656 — failed to write and follow a full care plan — pattern
  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 observations, record review, and staff interviews, the facility failed to implement care plans for three Residents (#7, #55, and #8), out of a sample of 25 residents. Specifically, the facility failed: 1. For Resident #7, to implement a nose picking behavior care plan; 2. For Resident #55, to apply Geri-sleeves (a device that helps protect extremities from abrasion, bruises, and skin tears), as ordered; and 3. For Resident #8, a. to apply Geri-sleeves, and b. to implement a fall mat (a device used to reduce risk of injury from impact) on the floor as ordered and ensure the Resident's bed was in a low position. Findings include: 1. Review of the facility's policy titled 'Skin management Program' revised October 2022 indicated the following: *Certified Nursing Assistants will inspect the skin of each resident during daily care and whenever skin care is provided and report to the Licensed Nurse any changes to the resident's skin. *A care plan will be developed, implemented and revised as necessary. Resident #7 was admitted to the facility in August 2020 with diagnoses…

  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 · Ecited before2023-07-27 · tag F0658 — failed to meet professional standards of care — pattern
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and interviews, the facility failed to ensure four Residents (#60, #7, #37, and #312), out of a sample of 25 residents received care consistent with professional standards of practice. Specifically, the facility failed: 1. For Resident #60, to implement a physician's order not to have straws; 2. For Resident #7, to document weekly skin checks accurately; 3. For Resident #37, to ensure nursing implemented new physician's orders and implemented the physician's order review policy as required; and 4. For Resident #312, to implement a physician's order for an ace wrap. Findings include: 1. Resident #60 was admitted to the facility in April 2022 with diagnoses including dysphagia (difficulty swallowing foods or liquids) and cerebral infarctions. Review of the most recent Minimum Data Set (MDS) assessment, dated 5/31/23, indicated Resident #60 had severe cognitive impairment and was dependent on staff for hygiene, bathing, dressing, transfers, and bed mobility. Review of Resident #60's Physician's Order indicated the following: -order dated 4/11/22…

  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 · E2023-07-27 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, records reviewed, policy review, and interviews, the facility failed to ensure it was free from a medication error rate of greater than 5% when 2 out of 3 nurses observed made 4 errors out of 33 opportunities resulting in a medication error rate of 12.12%. Those errors impacted two Residents (#68 and #53), out of three residents observed. Findings include: Review of the facility's policy titled Medication Administration, dated as revised December 2019, indicated medications are administered as prescribed. 4. Five rights- Right Resident, right drug, right dose, right route and right time. Administration D. Documentation 1. The individual who administers the medication dose records the administration on the residents medication administration record directly after the medication is given. 1. For Resident #68, the facility failed to ensure Nurse #3 administered the correct form of aspirin (anti-platelet medication) and Bupropion hcl (anti-depressant medication). On 7/26/23 at 9:09 A.M., the surveyor observed Nurse #3 prepare and administer medications to 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-07-27 · 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 observation, interview, and policy review, the facility failed to ensure medications were stored (refrigerated), and dated once opened, according to manufacturer's guidelines in 2 out of 3 medication carts. 1. On 7/25/23 at 1:00 P.M., the surveyor and Nurse #1 made the following observations of the Station 2, B medication cart: - one bottle of Latanoprost Ophthalmic eye drops, opened and undated - one bottle of Dorzolamide / Timolol eye drops, opened and undated - one bottle of Timolol Ophthalmic eye drops, opened and undated - one bottle of Latanoprost Ophthalmic eye drops, unopened and undated. Review of the packaging indicated keep refrigerated until opened. During an interview on 7/25/23 at 1:07 P.M., Nurse #1 said that the eye drops should be dated once opened and the eye drops should have been stored in the refrigerator until opened. 2. On 7/25/23 at 1:17 P.M., the surveyor and Nurse #2 made the following observations of the Station 1 medication cart 2: - one bottle of Prosource Plus, opened and undated. Review of the manufacturer's recommendations indicated discard…

  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

“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

No federal fines in the current CMS record.

Part of a chain

This home belongs to ALLIANCE HEALTH & HUMAN SERVICES — 8 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 23 rows in the source record cover these 19 parties — each is shown once here with every role it holds. Nothing is omitted.

3 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 $688K 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