Fitchburg Rehabilitation And Nursing Center

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.

40.6% 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 44 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 39.1% 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 23 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 0.21 therapist hours per resident per day in 2026Q1 — more than 24% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 11% 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 87 beds and averages 65.5 residents a day — about 75% occupied, or roughly 22 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 3.13 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.49 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.84 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 2.88 hrs/resident/day on weekends vs 3.24 on weekdays — 11% thinner on weekends. RN hours go from 0.54 to 0.39 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 31% is below the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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.

41 citations, most serious first. The 15 most serious are shown; the remaining 26 are one tap away and print in full.

• Actual harm · G2025-03-07 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to meet professional standards of practice for three Residents (44, #29, and #1) out of a total of 20 sampled residents. Specifically, 1. For Resident #44, the facility failed to: a.) adequately assess, monitor, and implement a physician order for fluid restrictions (limiting the amount of fluid a person takes in) from August 2024 to March 2025. Subsequently, Resident #44 was hospitalized in February 2025, and admitted to ICU (intensive care unit) with diagnosis of acute hypoxic respiratory failure, acute renal failure and septic shock., b.) failed to follow up on physician recommendations for new prosthetic leg, and c.) failed to implement a physician order for bilateral shoulder X-ray. 2. For Resident #29, the facility failed to obtain labs as ordered by the physician. 3. For Resident #1, the facility failed to ensure the air mattress was set per the physician order. Findings include: 1. Resident #44 was admitted to the facility in August…

  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
• Actual harm · G2025-03-07 · tag F0773 — isolated
  Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
  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 notify the Physician of critical labs for two residents (#12, and #44) out of a total of 20 sampled residents. Specifically: 1. For Resident #12, the facility failed to alert the Physician of critically high BUN (measures how much blood urea nitrogen is in your body and can may indicated a problem with kidneys or liver) and critically low potassium (measures the electrolyte potassium in the blood that is essential for proper muscle and nerve function) results, which resulted in a delay of treatment and hospitalization for acute hypokalemia and acute kidney injury. 2. For Resident #44, the facility failed to obtain laboratory services as ordered by the Physician. Findings include: 1. Resident #12 was admitted to the facility in August 2024 with diagnoses including dementia, and chronic obstructive pulmonary disease. Review of the Minimum Data Set (MDS) assessment dated [DATE], indicated Resident #12 is moderately cognitively impaired as…

  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
• Actual harm · Gcited before2024-03-26 · 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 interview, record and policy review, the facility failed to notify the Physician/Non-Physician Practitioner (NPP: Nurse Practitioner) of a significant change in medical condition and an elopement for two Residents (#60 and #62) out of a total sample of three closed records reviewed. Specifically, the facility staff failed to: 1. For Resident #60, identify a serious change in condition and acute decline in mental status, and notify the Physician/ NPP timely, resulting in the Resident further decompensating and being transferred to the hospital. 2. For Resident #62, notify the Physician/ NPP when the Resident with compromised medical status, and no access to prescribed medications eloped (left) the facility without a Leave of Absence (LOA) order and did not return to the facility. Findings include: 1. Review of the facility policy, Change in Resident's Condition or Status, Revised December 2023, indicated the following: The Nurse will notify the resident's attending Physician or Physician on call when there has been a (an): -Change in the resident's physical/ emotional…

  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
• Actual harm · Gcited before2024-03-26 · 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 interview and record review, the facility failed to provide treatment, services and care that met professional standards of quality for one Resident (#60) out of a total sample of three discharged residents, resulting in a decline in medical status and hospitalization with sepsis (a life-threatening medical emergency that occurs when an infection triggers the body's immune system to damage its own organs and tissues). Specifically, the facility staff failed to: 1. Recognize, assess, and manage pulmonary symptoms that indicated a significant change in condition for Resident #60 who had multiple pulmonary diagnoses that required immediate and appropriate interventions for symptom management. 2. Provide needed care and services for a nephrostomy tube and manage symptoms of a change in nephrostomy tube output as required. Findings include: Review of the facility policy, Change in Resident's Condition or Status, Revised December 2023, indicated the following: The Nurse will notify the Residents attending Physician or Physician on call when there has been a (an): -Change in 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 · G2024-03-26 · 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, interview, record and policy review, the facility failed to provide necessary care and services to treat pressure ulcers (localized damage to the skin and/or underlying soft tissue usually over a bony prominence or related to a medical or other device) and prevent further skin and pressure injury for two Residents (#22 and #4), out of two applicable residents, out of a total sample of 17 residents. Specifically, the facility staff failed to: 1. Offload Resident #22's heels per the Physician's Order for treatment of an existing right heel ulcer, and prevent skin decline in his/her left heel. 2. Implement a turning and repositioning schedule and apply specialized boots and/or pillows to offload Resident #4's heels per the plan of care. Findings include: Review of the facility policy titled Pressure Ulcers/Skin Breakdown, revised April 2018, indicated the following: -The nursing staff and practitioner will assess and document an individual's significant risk factors for developing pressure…

  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 · Ecited before2025-03-07 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview and observation, the facility failed to provide respiratory care in accordance with professional standards of practice, for three of 20 sampled residents. Specifically: 1. For Resident #18, the facility failed to develop a care plan for post-traumatic stress disorder. 2. For Resident #11, the facility failed to develop a care plan for post-traumatic stress disorder. 3. For Resident #12, the facility failed to develop a care plan for suicidal ideation. 4. For Resident #44, the facility failed to develop care plans for the presence of a cardiac pacemaker. 1. Resident #18 was admitted to the facility in April 2024, with diagnoses including post-traumatic stress disorder (PTSD), anxiety and depression. Review of the Minimum Data Set assessment dated [DATE], indicated a Brief Interview for Mental Status exam of 7, signifying severe cognitive impairment, and an active diagnosis of PTSD. Review of the current care plan for PTSD/mood care dated 5/10/24, indicated: - Resident #18 was at…

  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 before2025-03-07 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to accurately execute an Advanced Directive for 1 Resident (#69), out of a total sample of 20 residents. Specifically, for Resident #69 the facility failed to ensure the Massachusetts Medical Order for Life Sustaining Treatment (MOLST) (An Advanced Directive that is reviewed and signed as an order by a Physician/Nurse Practitioner (NP), or Physician Assistant (PA) and confirms a Resident's decisions for life sustaining treatment), was valid and signed by the Resident. Findings include: Review of the Facility's policy titled Advanced Directives, revision date September 2022, indicated the resident has the right to formulate an advanced directive, including the right to accept or refuse medical or surgical treatment. Advanced Directives are honored in accordance with state law and facility policy. Resident #69 was admitted to the facility in December 2024 and has diagnoses that include muscle wasting and atrophy, sepsis, chronic obstructive pulmonary disease, atherosclerotic heart disease and peripheral vascular disease. Review…

  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 before2025-03-07 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to notify the physician of a change in condition for one Resident, (#6), out of a total of 20 sampled residents. Specifically, the facility failed to notify the physician of a change in skin condition. Findings include: Review of the facility policy titled Change in a Resident's Condition or Status, dated revised December 2003 indicated that the facility shall promptly notify the resident, his or her attending physician and representative of changes in the resident's medical/mental condition and or status. Resident #6 was admitted to the facility in February 2023 with diagnoses including COPD (chronic obstructive pulmonary disease), chronic respiratory failure and schizophrenia. Review of the Minimum Data Set assessment dated [DATE], indicated that Resident #6 scored a 9 out of 15 on the Brief Interview for Mental Status exam, indicating moderately impaired cognition. During an interview on 3/4/25, at 10:47 A.M., Resident #6 said he/she has a…

  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 before2025-03-07 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to ensure quality of care for two Residents (#69, and #6), out of a total sample of 20 residents. Specifically, 1. For Resident #69, the facility failed to ensure for Resident #69, who is treated with anticoagulant medication (a medication that hinders clotting of the blood), that areas of discoloration consistent with bruising were identified. 2. For Resident #6, the facility failed to obtain a treatment for a change in condition related to skin management. Findings include: 1. Review of the Facility's policy titled Anticoagulation - Clinical Protocol, revision date November 2018, included but was not limited to the following: Monitoring and Follow-up 5. The staff and physician will monitor for possible complications in individuals who are being anticoagulated and will manage related problems. A. If an individual on anticoagulation therapy, shows signs of excessive bruising, hematuria, hemoptysis, or other evidence of bleeding, the 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-03-07 · 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

  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 (#69) that a smoking assessment was completed and that a care plan was developed for smoking. Findings include: Review of the facility's policy titled Smoking Policy - Residents, revision date October 2023 indicted the following: The facility has established and maintains safe smoking practices. 1. Prior to and upon admission, residents are informed of the facility smoking policy, including designated smoking areas, and the extent to which the facility can accommodate their smoking or non-smoking preferences. 7. Resident smoking status is evaluated upon admission. If a smoker, the evaluation includes a. current level of tobacco consumption, b. method of tobacco consumption (traditional cigarettes electronic cigarettes, pipe, etc.) c. desire to quit smoking; and d. ability to smoke safely with or without supervision (per a completed Safe Smoking Evaluation). 9. A resident's ability to smoke safely is re-evaluated…

  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 · D2025-03-07 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when 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, interview and observation, the facility failed to provide respiratory care for three of 20 sampled residents. Specifically: 1. For Resident #18, the facility failed to implement the physician's order for oxygen use. 2. For Resident #6, the facility failed to implement the physician's order for oxygen, and did not change expired oxygen tubing. 3. For Resident #12, the facility failed to obtain a physician's order for oxygen used by the Resident. Findings include: 1. Resident #18 was admitted to the facility in [DATE] and had diagnoses which included chronic obstructive pulmonary disease (COPD). Review of Resident #18's Minimum Data Set assessment dated [DATE], indicated a Brief Interview for Mental Status exam of 7, signifying severe cognitive impairment, and an active diagnosis of COPD. Review of Resident #18's respiratory care plan dated [DATE], indicated: - The Resident has oxygen therapy related to COPD. - Provide oxygen as ordered. Review of Resident #18's physician's order dated…

  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 · D2025-03-07 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to ensure medications were stored as required for one Resident (#26), out of a total sample of 20 residents. Specifically, the facility failed to ensure that medication was not left at the Resident's bedside unattended. Findings include: Review of the facility policy titled 'Medication Labeling and Storage' dated February 2023, indicated the following but was not limited to: -The facility stores all medications and biologicals in locked compartments under proper temperature, humidity and light controls. Only authorized personnel have access to keys. Resident #26 was admitted to the facility in April 2019 with diagnoses including gastro esophageal reflux disease without esophagitis. Review of Resident #26's Minimum Data Set (MDS) assessment dated [DATE] indicated the Resident scored a 15 out of a possible 15 on the Brief Interview for Mental Status (BIMS) exam indicating he/she was cognitively intact. The MDS further indicated the Resident did…

  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 · D2025-03-07 · tag F0825 — isolated
  Provide or get specialized rehabilitative services as required for a resident.
  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 specialized rehab services were provided in a timely fashion for one Resident (#41) out of a total sample of 20 residents. Findings include: Resident #41 was admitted to the facility in November 2022 with diagnoses including hemiplegia and hemiparesis following cerebral infarction (stroke) affecting right dominant side. Review of Resident #41's Minimum Data Set (MDS) assessment dated [DATE] indicated the Resident had a moderate impaired cognition and scored a 10 out of a possible 15 on the Brief Interview for Mental Status (BIMS) exam. Review of Resident #41's medical record indicated the following: - Nursing note dated 2/8/25: Patient continue to c/o (complain of) pain and stiffness of left-hand joints when he/she tries to use his/her hand and bend his/her fingers. No swelling, redness or signs of trauma noted. The doctor notified new order to start patient on Biofreeze gel every 8 hours, then refer patient to OT (Occupational Therapy) [sic].…

  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 · D2025-03-07 · tag F0842 — failed to keep accurate, complete medical records — isolated
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure the accuracy of its medical records for 3 of 20 sampled residents. Specifically: 1. For Resident #18, the facility failed to accurately document the oxygen delivery rate. 2. For Resident #6, the facility failed to accurately date oxygen tubing. 3. For Resident #1, the facility failed to accurately document wound dressing treatment. Findings include: 1. Resident #18 was admitted to the facility in April 2024 and had diagnoses which included chronic obstructive pulmonary disease (COPD). Review of Resident #18's Minimum Data Set assessment dated [DATE], indicated a Brief Interview for Mental Status exam of 7, signifying moderate cognitive impairment, and an active diagnosis of COPD. Review of Resident #18's respiratory care plan dated 10/20/24, indicated: - The Resident has oxygen therapy related to COPD. - Provide oxygen as ordered. Review of Resident #18's physician's order dated 5/14/24, indicated: - Oxygen via nasal cannula as needed at 2…

  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 · E2025-02-20 · 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, interviews and records reviewed, for five out of thirteen resident rooms on one unit (Unit A) and for three out of three resident shower rooms, the Facility failed to ensure it provided a safe, clean, comfortable and homelike environment for its residents, when the condition of the resident shower rooms were found to be dirty and baseboard heaters in several resident rooms were in disrepair, with missing or damaged covers, both of which created potentially hazardous conditions. Findings include: Review of the Facility Policy titled Shower and Tub Room Cleaning, undated, indicated showers would be cleaned daily to remove soap scum, dirt and debris, providing a safe and sanitary place for residents to bathe. Review of a Department of Public Health (DPH) Consumer Complaint Form, dated 02/06/25, indicated the Complainant alleged that the resident showers were dirty and covered in mold and mildew. The Form further indicated the Complainant alleged that baseboard heaters in several 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

“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

$43,719 in federal fines across 2 penalties.

• $13,806 — penalty dated 2025-02-20
• $29,913 — penalty dated 2024-03-26

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 EPHRAM LAHASKY — 22 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 8 rows in the source record cover these 4 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.

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 91% 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.

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