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Seacoast Nursing And Rehabilitation Center

292 Washington Street, Gloucester, MA 01930 · For profit - Limited Liability company · 142 certified beds · (978) 283-0300 Medicare & Medicaid certified

Call the home — (978) 283-0300 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0605) — cited May 20251 actual-harm citation$34,808 in federal fines
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • a middle-of-the-pack inspection score (3/5)
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $34,808 in federal fines (most recent 2025-05-14)

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

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

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

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
298 Washington Street, First Floor · (978) 283-2726 · Call to confirm hours
Pharmacy
127 Essex Ave · (978) 879-3701 · Call to confirm hours
Grocery
Shaw's1.0 mi
7 Railroad Ave · (978) 283-2601 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship
38 Gloucester Ave · (978) 283-4808

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

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 3 of 5

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

Trend — is this home getting better or worse?

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

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

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased11.8%16.4%15.4%better
Long-stay residents who lose too much weight4.6%5.1%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.8%0.9%better
Long-stay residents with a urinary tract infection0.5%1.8%2.0%better
Long-stay residents with depressive symptoms3.2%15.5%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury4.0%3.4%3.3%worse
Long-stay residents whose ability to walk worsened15.2%15.4%16.1%typical
Long-stay residents on antianxiety or hypnotic medication23.6%19.5%18.9%worse
Long-stay residents given the seasonal flu vaccine97.0%94.8%95.3%typical
Long-stay residents with pressure ulcers2.6%4.2%4.7%better
Long-stay residents with worsening bladder/bowel control24.9%21.2%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table19.9%21.4%17.1%worse
Short-stay residents who newly got an antipsychotic medication2.2%1.4%1.4%worse
Short-stay residents given the seasonal flu vaccine92.8%77.7%79.4%better
Short-stay residents rehospitalized after admission22.6%25.7%22.6%typical
Short-stay residents with an outpatient ER visit13.0%11.9%12.0%typical
Long-stay hospitalizations per 1,000 resident days0.801.881.67better
Long-stay outpatient ER visits per 1,000 resident days0.981.501.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

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

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

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

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

60.5% 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 335 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

60.5%U.S. median 51.5%
Got home and stayed home
8.9%U.S. median 10.7%
Went back to hospital
59.0%U.S. median 56.6%
Met the expected recovery
0.29U.S. median 0.31
Therapy hours / resident / day
0.15hours / resident / day
Physical therapy
0.11hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 59.0% 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 188 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 0.29 therapist hours per resident per day in 2026Q1 — more than 45% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 14% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF60.5%CMS range 54.0–66.751.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF8.9%CMS range 6.7–11.710.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge59.0%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge56.9%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge56.9%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified99.5%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.9%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened3.2%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization5.0%CMS range 3.0–7.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.941.02Oct 2022–Sep 2024CMS makes no comparison for this measure

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

Staffing

0.63
RN hours/ resident / day
1.02
LPN hours/ resident / day
1.95
Aide hours/ resident / day
3.59
Total nurse hours/ resident / day
0.50
RN hoursweekends
42.2%
Total nursing turnover
36.8%
RN turnover

How full it usually is: this home is certified for 142 beds and averages 107.1 residents a day — about 75% occupied, or roughly 35 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 3.59 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.63 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.95 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 3.23 hrs/resident/day on weekends vs 3.74 on weekdays — 14% thinner on weekends. RN hours go from 0.68 to 0.50 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 42% 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

9
deficiencies at the latest standard inspection (2025-05-14)
3
at the previous standard inspection (2024-05-30)

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.

ABCDEFGHIJKL

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

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

  • Actual harm · G2025-05-14 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews and interviews, the facility failed to prevent a decline in range of motion leading to the development of a contracture for one Resident (#46) out of a total sample of 26 residents. Findings include: Review of the facility policy titled 'Resident Mobility and Range of Motion, dated September 2024, indicated the following: - Residents will not experience an avoidable reduction in range of motion (ROM). - Residents with limited range of motion will receive treatment and services to increase and/or prevent a further decrease in (ROM). - Interventions may include therapies, the provision of necessary equipment, and/or exercises and will be based on professional standards of practice and be consistent with state laws and practice acts. Resident #46 was admitted to the facility in November 2020 with diagnoses including dementia, apraxia, polymyalgia rheumatica (a condition that causes muscle pain and stiffness), and abnormal posture. Resident #46's diagnosis list did not include 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-05-14 · 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 observations, record reviews and interviews, the facility failed to ensure that one Resident (#96) was free from significant medication errors out of a total sample of 26 residents. Specifically, the facility failed to ensure medications were not administered when the Resident #96's blood pressure was not within the parameters prescribed by the physician. Findings include: Resident #96 was admitted to the facility in July 2024 with diagnoses including congestive heart failure. Review of Resident #96's most recent Minimum Data Set (MDS), dated [DATE], indicated the Resident had a Brief Interview for Mental Status exam score of 8 out 15 which indicated the Resident had moderate cognitive impairment. The MDS also indicated Resident #96 requires partial to moderate assistance with functional daily tasks. Review of Resident #96's physician orders indicated the following orders: - Lasix Oral Tablet (a diuretic medication) 20 MG (milligrams). Give 20 mg by mouth one time a day for edema Hold for SBP (systolic…

    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 · E2025-05-14 · 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

    Based on observation, interviews, and records reviewed the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically, 1.) The facility failed to disinfect shared resident medical equipment and adhere to infection control guidelines during medication pass. 2.) For one Resident (#26) out of a total sample of 26 residents, the facility failed to implement Enhanced Barrier Precautions (EBP). Findings Include: Review of the facility policy titled 'Resident Care and Treatment- Diagnostic Testing Glucose Testing with Glucometer (Assure Platinum)', dated as revised September 2024, indicated: 14. Clean Assure Platinum according to manufacturer's guidelines. Meter shuts down after two minutes. Should use two wipes; the first to clean and the second to disinfect. Review of the manufacturers' guidelines for the Assure Prism Multi Use Glucometer indicated the following: - Cleaning and Disinfecting…

    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 · D2025-05-14 · tag F0605 — failed to not use drugs as a restraint — isolated
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to ensure one Resident (#69) was free from unnecessary psychotropic medications by ensuring a reassessment of an as needed (PRN) dose of trazodone after 14 days, out of a total sample of 26 residents. Findings include: Review of the facility policy titled 'Psychotropic PRN Medication Use', dated September 2024, indicated the following: - Policy: the following requirements are in place to safeguard the health of our residents, ensure PRN orders for psychotropic medications do not remain in place for an extended period of time without being reviewed by the resident's physician and ensure that benefits and side effects of these medications are evaluated between required physician visits. -Type of PRN order: PRN orders for psychotropic medications excluding antipsychotics. Time Limitations: 14 days. Exception: Order may be extending past 14 days if the physician or prescribing practitioner believes it is appropriate to extend the order. Required actions:…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-05-14 · 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 observations, interviews, and record review, the facility to ensure that services provided met professional standards for one Resident (#43), out of 26 total sampled residents. Specifically, the facility failed to obtain and implement a physician's order for Resident #43's skin tear for approximately three days. Findings include: Review of the Massachusetts Board of Registration in Nursing Advisory Ruling on Nursing Practice, dated as revised April 11, 2018, indicated the following: - Nurse's Responsibility and Accountability: Licensed nurses accept, verify, transcribe, and implement orders from duly authorized prescribers 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 policy titled 'Care and Treatments: Skin/Wound Care: 2-Documentation Guidelines', dated as reviewed September…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-14 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    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 identify and address a significant weight loss for one Resident (#14) out of a total of 26 sampled residents. Findings include: Review of the facility policy title 'Determining and Addressing Significant Weight Changes', dated September 2024, indicated: - Purpose: The nutritional and hydration status of residents will be maximized with appropriate and timely intervention. 1. A resident experiencing weight loss or gain per guidelines: a. 5% in one month, b. 10% in six months. should be referred to the dietitian for further monitoring. 2. The nurse will notify [Occupational therapy / Speech therapy] for screening as necessary and appropriate recommendations will be communicated by the nursing staff to the physician. Physician orders will be obtained for an evaluation if indicated and for all interventions. Resident #14 was admitted to the facility in December 2023 with diagnoses including unspecified dementia and cognitive communication…

    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 before2025-05-14 · 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 and interview the facility failed to store all drugs and biologicals in accordance with currently accepted professional principles on one of three units. Specifically, the facility failed to secure drugs and biologicals on one of three units during a medication pass when medication was left unattended at the nurse's station. Findings include: Review of facility policy titled 'Medication Management-Medication Storage', dated as revised September 2024, indicated: - The facility shall store all drugs and biologicals in a safe, secure, and orderly manner. 2. The nursing staff shall be responsible for maintaining medication storage and preparation areas and a clean safe and sanitary manner. 8. Drugs shall be stored in an orderly manner in cabinets drawers carts or automatic dispensing systems. On 5/14/25 at 7:28 A.M., the surveyor observed Nurse #4 prepare medications during a morning med pass on the Atlantic [NAME] Unit. Nurse #4 mixed miralax (laxative/stool softener) with a cup of water and…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-14 · tag F0806 — failed to honor food preferences — isolated
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interviews, and record review, the facility failed to ensure that staff accommodated food preferences for one Resident (#65), out of a total sample of 26 residents. Specifically, the facility failed to honor Resident #65's preferences and served the Resident foods he/she disliked, including eggs, white bread, toast, and broccoli. Findings include: Review of the facility policy titled 'Resident Food Preferences and Choice, dated as reviewed September 2024, indicated: - Individual food preferences will be assessed upon admission and communicated to the interdisciplinary team. - When possible, staff will interview the resident directly to determine current food preferences based on history and life patterns related to food and mealtimes. - Facility staff may document the residents' significant food and eating preferences in the care plan. During a telephone interview on 5/13/25 at 9:43 A.M., the ombudsman said there is an ongoing concern at the facility regarding food choices being made available to residents. Resident #65 was admitted to the facility in November…

    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 · D2025-05-14 · 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 document urinary output as ordered for one Resident (#93) out of a total sample of 26 residents. Findings include: Review of the facility's Nursing Service Documentation, dated September 2024 indicated; 5. Nursing documentation is performed as required by each person responsible for the care of the resident. 6. Every entry is noted by complete date, time and signature. Each set of initials used shall correspond to a complete signature. Review of the facility's policy titled 'Catheter Care', dated September 2024, indicated: 1. Residents with indwelling catheters should have their urinary output assessed at regular intervals to ensure that adequate drainage is occurring. Resident #93 was admitted to the facility in February 2024 with diagnoses including venous insufficiency and polyuria (urinating more than usual). Review of the Minimum Data Set Assessment (MDS), dated [DATE], indicated Resident #93 was cognitively intact as evidenced by a score of 15…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-30 · 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 record review, the facility failed to ensure that one Resident (#9) did not self-administer medications out of a total sample of 23 residents. Specifically, Resident #9 was not assessed to be able to safely self administer medication, and was observed self administering medication. Findings include: The facility policy, titled 11 - Self Administration of Medications, dated as reviewed 9/23, indicated the following: -It is the responsibility of the interdisciplinary team (IDT) to determine that it is safe for the resident to self-administer medications before the resident may exercise that right. Procedure: 1. Upon request, assess the resident's ability to meet the criteria outlined above and document outcomes on the form Assessment for the Self-Administration of Medication. 2. If determined that the resident is capable of self-administering medications, obtain order from the MD (Medical Doctor). 3. Document on the resident's care plan. Resident #9 was admitted to the facility in March 2022 with diagnoses including arthritis, heart failure 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-05-30 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record reviews, observations and interviews, the facility failed to ensure resident centered care plans were implemented for two Residents (#36 and #59) out of a total sample of 23 residents. Specifically, 1. For Resident #36, the facility failed to implement thigh high TED hose (compression stockings) as ordered by the Physician. 2. For Resident #59, the facility failed to implement pressure relieving boots, as ordered by the Physician. Findings include: 1. Resident #36 was admitted to the facility in January 2024 with diagnoses that included nephrotic syndrome, orthostatic hypotension, and small cell b-cell lymphoma. Review of Resident #36's most recent Minimum Data Set (MDS) assessment, dated 4/17/24, indicated Resident #36 scored a 15 out of a possible 15 on the Brief Interview for Mental Status (BIMS) indicating intact cognition. On 5/28/24 at 1:12 P.M., the surveyor observed Resident #36 out of bed in a geri-recliner chair, not reclined. Resident #36 was not wearing compression stockings on his/her legs. On 5/29/24 at 12:44 P.M., the surveyor observed Resident #36 out…

    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
Show the remaining 10 citations
  • Potential for harm · Dcited before2024-05-30 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, policy review and interviews, the facility failed to provide assistance with Activities of Daily Living (ADLs), for one Resident (#59) out of a total sample of 23 residents. Specifically, the facility failed to provide assistance with meals as per the plan of care for Resident #59. Findings include: Review of the facility policy titled Activities of Daily Living (ADLs), dated 9/23, indicated Appropriate care and services will be provided for residents who are unable to carry out ADLs independently, with the consent of the resident and in accordance with the plan of care, including appropriate support and assistance with: D. Dining (meals and snacks). Resident #59 was admitted to the facility in August 2023 with diagnoses that included Parkinson's disease, dysphagia, hemiplegia and hemiparesis. Review of Resident #59's Minimum Data Set (MDS) assessment, dated 3/17/24, indicated Resident #59 was assessed by nursing staff to have moderately impaired cognition. On 5/28/24 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-03-16 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview the facility failed to ensure it was free from a medication error rate of greater than 5 percent. Three out of the four nurses observed made 6 errors in 32 opportunities resulting in a medication error rate of 18.75%. These errors impacted 3 Residents (#33, #69 and #316) out of 4 residents observed. Findings include: Review of facility policy titled 'Administering Medications' revised December 2012 indicated the following: Policy Statement: Medications shall be administered in a safe and timely manner, and as prescribed. Policy Interpretation and Implementation: *4. Medications must be administered within one (1) hour of their prescribed time, unless otherwise specified (for example, before and after meal orders). *7. The individual administering the medication must check the label three (3) times to verify the right resident, right medication, right dosage, right time and right method (route) of administration before giving the medication. 1. On 3/15/23 at 8:27…

    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 · Ecited before2023-03-16 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, policy review, and interviews the facility 1) failed to ensure medications were stored in a safe manner and 2) failed ensure outdated needles were not stored and made available for use in 2 out of 2 medications rooms. Findings include: Review of facility policy titled, 'Storage of Medications' dated as revised April 2007 indicated the following: Policy Statement: The facility shall store all drugs and biologicals in a safe, secure and orderly manner. Policy Interpretation and Implementation: *2. The nursing staff shall be responsible for maintaining medication storage and preparation areas in a clean, safe, and sanitary manner *9. Medications requiring refrigeration must be stored in a refrigerator located in the drug room at the nurses's station or other secured location. Medications must be stored separately from food and must be labeled accordingly Temperatures must be maintained at less than 41 degrees F (Fahrenheit) (refrigerator) and less than 1 degree (freezer) at all times.…

    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 · D2023-03-16 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each 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, policy review and interviews the facility failed to ensure a call light was placed within reach of the resident for 1 Resident (#313), out of a total sample of 26 residents. Findings include: Review of facility policy titled 'Call bell Procedure' dated reviewed 12/22 indicated the following: General Guidelines: *5. When the resident is in bed or confined to a chair be sure the call light is within easy reach of the resident. Resident #313 was admitted to the facility in March 2023 with diagnoses including malignant neoplasm of lower lobe, right bronchus or lung. Review of Resident #313's nursing assessment dated [DATE] indicated Resident #313 was alert, oriented to person, place and situation, indicating intact cognition. On 3/13/23 at 9:27 A.M., Resident #313's call bell was observed on the floor out of reach from the Resident. On 3/15/23 at 9:20 A.M., Resident #313's call bell was observed on the floor out of reach from the Resident, he/she needed assistance in being adjusted in his/her…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-03-16 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview the facility failed to ensure for one Resident (#54), out of a total sample of 26 residents that the medical plan of care was implemented for the use of a night guard. Findings include: Resident #54 was admitted to the facility in 12/2017 and has diagnoses that include type 2 diabetes's mellitus, nontraumatic subarachnoid hemorrhage, and mild cognitive impairment. Review of the Minimum Data Set Assessment, with an assessment reference date of 2/8/23 indicated Resident #54 had severe cognitive impairment with a score of 7 out of 15 on the Brief Interview for Mental Status Exam. Further, the MDS indicated Resident #54 required supervision for hygiene and was not coded as exhibiting behaviors. On 3/13/23 Resident #54 was lying on his/her bed. He/she was observed to have missing teeth. Review of Resident #54's medical record indicated the following: *A dental exam dated 1/27/23 and signed by an DMD, action required by nursing home staff: recommend OTC (over the counter) night guard to help prevent lower teeth from hitting extraction…

    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 before2023-03-16 · 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 record review and interview the facility failed to ensure professional standards of practice for 1 discharged Resident (#112) out of three discharged records reviewed. Specifically, the facility failed to obtain a physician or nurse practitioner order for the RN (Registered Nurse) to provide the pronouncement of death. Findings include: Review of the facility's policy Care and Treatment, section: 'End of Life', dated as reviewed with no changes 9/22, indicated the following: Purpose: To eliminate substantial delays that may occur waiting for the attending physician or the medical examiner. Procedure: 1. RN (Registered Nurse) responsibilities; pronounce resident/patient) if physician indicates an inability to come to the facility and gives permission for the RN pronouncement. Document this in the nurses' note. Review of Resident #112's medical record indicated in a progress note dated 12/26/22 at 8:14 A.M., that at approximately 8:00 A.M., nursing notified by CNA (certified nursing assistant) patient found unresponsive laying supine in bed. Emergency response activated.…

    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 before2023-03-16 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews and interviews, the facility failed to provide needed assist with Activities of Daily Living (ADLs) to 1 Resident (#13) out of a total sample of 26 Residents. Findings include: Review of facility policy titled 'Activities of Daily Living (ADLs), Supporting' reviewed 9/2022 indicated the following: Policy Interpretation and Implementation: *2. Appropriate care and services will be provided for residents who are unable to carry ADLs independently, with consent of the resident and in accordance with the plan of care, including appropriate support and assistance with: a. Hygiene (bathing, dressing, grooming, and oral care) Resident #13 was admitted to the facility in February 2023 with diagnoses including Alzheimer's disease, right femur fracture and multiple rib fractures. Review of of Resident #13's most recent Minimum Data Set (MDS) assessment dated [DATE] indicated that Resident #13 had a Brief Interview for Mental Status (BIMS) score of 99 out of a possible 15 indicating…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-16 · 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 record review and interview the facility failed to ensure for one Resident (#16) that professional standards of care were implemented out of a total sample of 26 residents. Specifically, the facility failed to 1. complete weekly skin assessments, in accordance with the medical plan of care, 2. failed to follow the physician's order related to documenting on a pressure injury, and 3. failed to complete weekly assessments of the identified pressure ulcer. Findings include: Review of the facility's policy titled 'Care and Treatments'; Skin/Wound Care dated as reviewed 9/22 indicated the following: A complete wound assessment and documentation may be done weekly on all pressure injuries/ulcers until they are healed. The criteria to be included: *Site location *Stage, this applies only to pressure ulcer injuries/ulcers. Wound healing is to be described by changes in the wound appearance and size, not by reverse down staging. *Size-length width and depth measured in centimeters. The length is listed first and identifies the measurement of the wound that is head to toe. The width…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-16 · 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

    Based on record review and interview the facility failed to ensure professional standards of care for respiratory treatment for one Resident (#64) out of a total sample of 26 residents. Specifically, the facility failed to develop and implement a care plan for nebulizer equipment and failed to change the nebulizer mask and tubing timely. Findings include: Review of the facility's policy, Infection Control Manual, subject Respiratory Equipment, dated as reviewed 9/22. Purpose: to Prevent the transmission of infection associated with respiratory therapy tasks and equipment. Policy 5. Nebulizers should be rinsed and dried after each use. Wipe mouthpiece with a damp gauze or paper towel. Save equipment in clean plastic bag between treatments. Discard the administration set every 7 days. Resident #64 was admitted to the facility in May, 2021 with diagnoses that include chronic obstructive pulmonary disease. Review of the Minimum Data Set Assessment with an Assessment Reference Date of 2/8/23, indicated Resident #64 scored 15 out of 15 on the Brief Interview for Mental Status Exam,…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-16 · 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 record review and interview the facility failed to ensure laboratory results were obtained and the results were reported to the medical provider for 1 Resident (#73) out of a total sample of 26 residents. Findings include: Review of the facility's policy, undated indicated the following: Test Results. The resident's attending physician will be notified of the results of diagnostic tests. 1. Results of laboratory, radiological, and diagnostic tests shall be reported in writing to the resident's attending physicians or to the facility. 2. Should the test results be provided to the facility; the attending physician shall be promptly notified of the results. 3. The Director of Nursing Services, or charge nurse receiving the test results, shall be responsible for notifying the physician of such test results. 4. Signed and dated reports of all diagnostics services shall be made part of the resident's medical record. Resident #73 was admitted to the facility in 10/2022 with diagnoses that include cognitive communication deficit, chronic kidney disease, major depressive disorder,…

    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.

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

Fines & penalties

$34,808 in federal fines across 1 penalty.

  • $34,808 — penalty dated 2025-05-14

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 BANECARE MANAGEMENT — 7 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 3 of 54.0-1.0 vs chain
Health inspection 3 of 53.9-0.9 vs chain
Staffing 3 of 53.6-0.6 vs chain
Quality measures 4 of 53.9+0.1 vs chain
The other 6 homes this chain runs (chain average 4.0★, per CMS)

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

Who owns this facility

Owner / managerTypeRoleShareSince
MORRIS, KEVINIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL100%since 12/16/2020
NOBLE, ERICIndividualW-2 MANAGING EMPLOYEEsince 06/01/2021

CMS files one row per role, so the 3 rows in the source record cover these 2 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

$14.4M
Net patient revenuemost recent cost report
+3.1%
Operating marginrevenue minus expenses
$740K
Related-party expense5% of expenses
Who pays — share of resident-days
Medicaid 49%Medicare 14%Other / private 37%

This home reported $740K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

Cost & finances

$348per resident / day
operating cost
$10,579per month
≈ monthly operating cost
$359per day
avg. revenue, all payers

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

What families pay in MA

Paying with Medicaid

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

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

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

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 225567. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-05-14, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

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

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

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