Regalcare At Greenfield

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

53.9% 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 204 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 50.0% 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 100 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 0.19 therapist hours per resident per day in 2026Q1 — more than 20% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 21% 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 120 beds and averages 106.3 residents a day — about 89% occupied, or roughly 14 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.24 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.27 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.88 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 3.00 hrs/resident/day on weekends vs 3.34 on weekdays — 10% thinner on weekends. RN hours go from 0.31 to 0.18 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 40% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

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

18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.

• Potential for harm · D2025-01-28 · 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 observation, interview, and record review, the facility failed to provide assistance with activities of daily living (ADLs) care for four Residents (#41, #84, #9, and #19) out of a total sample of 19 residents, who required staff assistance for personal hygiene and grooming. Specifically, 1. For Residents #41 and #84, the facility failed to ensure the Residents were provided with assistance for nail care. 2. For Residents #9 and #19, the facility failed to ensure the Residents were provided assistance with grooming of unwanted facial hair. Findings include: Review of the facility policy titled Activities of Daily Living, revised 3/22, indicated the following: -Residents will be provided with care, treatment, and services as appropriate to maintain or improve as able, their ability carry out activities of daily living (ADLs). -Residents who are unable to carry out activities of daily living independently will receive the services necessary for activities of daily living. -Appropriate care and services…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-28 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, and interview, the facility failed to ensure medications were stored according to professional standards of practice for one unit (4th floor) out of three units. Specifically, for the 4th floor unit, the facility failed to: -store medications in pharmacy approved and pharmacy labeled containers. -accurately label medications for precautions and safe administration. Findings include: Review of the facility policy titled Medication Storage, revised March 2022, indicated the following: -Drugs and biologicals shall be stored in the packaging, containers or other dispensing systems in which they are received. -Only the issuing pharmacy is authorized to transfer medications between containers. On 1/23/25 at 1:35 P.M., the surveyor observed the following during a medication cart observation on the 4th floor unit: -multiple sandwich bags that contained medications, and a piece of paper indicating the medication names. -the sandwich bags were rubber-banded together in the bottom drawer of the medication cart with a resident's name attached to the rubber-band. -no…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-28 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to adhere to infection control standards to prevent the transmission of communicable diseases and infections for one Resident (#19) out of a total sample of 19 Residents. Specifically, for Resident #19, the facility failed to ensure that the Resident's indwelling urinary catheter bag and catheter tubing were maintained off the floor to stop the risk of contamination and spread of infections. Findings include: Review of the AHRQ (Agency for Healthcare Research and Quality) Safety Program for Long-Term Care: HAIs/CAUTI (Healthcare Associated Infections/Catheter Associated Urinary Tract Infections) power point titled Catheter Care and Maintenance (https://www.ahrq.gov), dated March 2017, indicated the following: -The catheter itself can act as a key highway or interstate for microbes [bacterial organisms that can cause infection] to get into that resident. >Probably the most common way microbes get in once an indwelling urinary catheter is in…

  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 · D2024-12-04 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on records reviewed and interviews, for one of three sampled residents (Resident #3), whose Physician's Orders included the administration of two different narcotic medications for pain, one was scheduled to be administered two times a day, the other medication could be administered every four hours as needed (PRN), the Facility failed to ensure the resident was free from significant medication errors, when on two separate occasions instead of being administered the PRN narcotic medication, Nurse #4 administered him/her the scheduled narcotic medication, placing Resident #1 at increased risk for adverse effects of a narcotic medication. Findings include: Review of the Facility's policy titled Oral Medication Administration, dated 04/2022, indicated the purpose of this procedure is to provide guidelines for the safe administration of oral medications. Steps in the procedure: -Place the Medication Administration Record (MAR) within easy viewing distance. -Select the medication from the unit dose drawer (medication cart). -Check the label on the medication and confirm 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-12-04 · 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

  Based on records reviewed and interviews, for one of three sampled residents (Resident #3), whose Physician's orders included the administration of two different narcotic pain medications, one that was scheduled, the other was a PRN (as needed only), the Facility failed to ensure nursing maintained an accurate medical record when although Nursing documentation indicated Resident #3 was administered his/her PRN (as needed) pain medication, on two different occasions, he/she was actually administered his/her scheduled narcotic pain medication in error. Findings include: Review of the Facility's policy titled Charting and Documentation, dated 04/2022, indicated that medications administered shall be documented in the resident's medical record. Resident #3 was admitted to the Facility in April 2024, diagnosis include right hip osteoarthritis. Review of Resident #3's Medication Administration Record (MAR) for the month of July 2024 indicated the following: -Oxycontin (opioid, narcotic)10 milligram (mg) extended-release tablet, give 10 mg by mouth two times a day for pain at 0800 (8:00…

  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 · F2023-11-21 · tag F0926 — failed to keep the home smoke-free / fire-safe — widespread
  Have policies on smoking.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure their smoking policy addressed what preventative measures were in place in the event of a fire emergency for one Resident (#8) out of one applicable resident. Specifically, the facility failed to ensure fire prevention equipment was readily available in the smoking area to ensure a safe smoking environment. Finding include: Review of the facility policy titled Smoking, revised 3/2022, indicated the following: -Smoking is only permitted in designated resident smoking areas, which are located outside of the building. -Metal containers, with self-closing cover devices, are available in smoking areas. Further review of the Smoking policy indicated no mention of what fire prevention equipment (fire extinguisher and fire blanket) should be available in the smoking areas in case of a fire emergency. Resident #8 was admitted to the facility in September 2023. Review of the Minimum Data Set (MDS) assessment dated [DATE], indicated the…

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

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-11-21 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and policy review, the facility failed to ensure the replacement of an Emergency Kit (E-Kit) medication in one (Unit Three) out of one Medication Storage rooms where the Emergency Kit (E-kit) was stored. Specifically, the facility failed to replace an Insulin (Insulin-a hormone that lowers the level of sugar in the blood, used to treat diabetes) E-Kit for the medication to be available if/when needed urgently. Findings include: Review of the policy titled Preparation and General Guidelines, dated November 2021 indicated the following: -Replenishment of the medication in the E-kit is scheduled so that no medication supply is exhausted. On 11/17/23 at 12:01 P.M., while inspecting the medication storage room on Unit Three with Nurse #1, the Insulin E-kit was observed to be unlocked and the following items were missing: -Insulin Glargine (long-acting insulin) -Insulin Lispro (fast-acting insulin) -Levimir (long-acting insulin) During an interview on 11/17/23 at 12:01 P.M., Nurse #1 said she was unable to determine when the Insulin E-kit had been opened,…

  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 · D2023-11-21 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  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 a Notice of Medicare Non-Coverage form (NOMNC - form given by the facility to all Medicare beneficiaries at least two days before the end of a Medicare covered Part A stay) was issued to one Resident (#191) out of three applicable sampled residents. Findings include: Resident #191 was admitted to the facility in July 2023 under his/her Medicare Part A benefit. Review of the Skilled Nursing Facility (SNF) Beneficiary Protection Notification Review form completed by the facility indicated that Resident #191 ended his/her Medicare Part A benefit on 8/9/23. Further review of the form indicated no attached NOMNC form. During an interview on 11/20/23 at 9:37 A.M., the Social Work Consultant said she was unable to confirm if the Resident had been issued a NOMNC form as required, as there was not a copy available in the Resident's medical record or in the binder that was kept by the Social Services Department. She further said the Resident should have been issued a NOMNC form and a copy should have been placed 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-11-21 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and records review, the facility failed to accurately code the Minimum Data Set (MDS) Assessment for three Residents (#23, #59, and #88) out of a total sample of 18 residents. Specifically, the facility failed to code: 1. For Resident #23, that the Resident utilized a position change alarm (a Velcro seatbelt with an alarm that sounded if the Resident attempted to stand from his/her wheelchair). 2. For Resident #59, that the Resident was receiving Hospice services. 3. For Resident #88, accurately identify the Resident's discharge status. Findings include: 1. Resident #23 was admitted to the facility in September 2017 with diagnoses including Parkinson's Disease and Dementia. Review of the November 2023 Physician's orders indicated the following: -Velcro alarmed seatbelt to wheelchair for reminder to call for assistance every shift. -Special Instructions: Check placement and functioning every shift for safety, initiated 8/28/22. -Resident to remove Velcro alarmed seatbelt on command weekly on…

  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 before2023-11-21 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, policy and manufacturer's guidelines review, the facility failed to label and date an opened multi-dose vial of Tubersol Purified Protein Derivative (PPD- a skin test where solution is injected under the skin and is used to diagnose Tuberculosis infection) stored in one (Unit Two) out of three Medication Storage rooms. Findings include: 1 Review of the facility policy titled, Medication Storage in the Facility, dated November 2021, indicated the following: -When the original seal of a manufacturer's container or vial is initially broken, the container or vial will be dated, if applicable for medications requiring a shortened expiration date. -The Nurse shall place a date opened sticker on the medication and enter the date opened, and the new date of expiration. Review of the manufacturer Sanofi Pasteur, Tuberculin - Purified Protein Derivative package insert indicated the following: -A vial of Tubersol PPD solution which has been entered (used) and in use for 30 days should be discarded. On 11/17/23 at 12:47 P.M., while inspecting the medication…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to REGALCARE — 9 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 4 rows in the source record cover these 2 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 72% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.0M 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

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