Hancock Park Rehabiliation And Nursing Center
164 Parkingway, Quincy, MA 02169 · For profit - Corporation · 142 certified beds · (617) 773-4222 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- lower-than-typical staff turnover (35% vs 45% nationally) — better care continuity
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — 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 (23) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
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.
| 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
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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 held steady at 3 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 15.2% | 16.4% | 15.4% | typical |
| Long-stay residents who lose too much weight | 7.3% | 5.1% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.2% | 0.8% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 1.0% | 1.8% | 2.0% | better |
| Long-stay residents with depressive symptoms | 0.3% | 15.5% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 1.5% | 3.4% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 17.6% | 15.4% | 16.1% | typical |
| Long-stay residents on antianxiety or hypnotic medication | 15.8% | 19.5% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 99.0% | 94.8% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 4.6% | 4.2% | 4.7% | typical |
| Long-stay residents with worsening bladder/bowel control | 24.8% | 21.2% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 14.1% | 21.4% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.2% | 1.4% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 87.7% | 77.7% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 30.4% | 25.7% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 10.7% | 11.9% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.32 | 1.88 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 0.90 | 1.50 | 1.80 | better |
‡ 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.
57.9% 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 355 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 33.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 189 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 0.30 therapist hours per resident per day in 2026Q1 — more than 48% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 20% 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
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 57.9%CMS range 52.9–62.4 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 11.2%CMS range 8.9–13.7 | 10.7% | Oct 2022–Sep 2024 | no 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 discharge | 33.3% | 56.6% | Oct 2024–Sep 2025 | CMS 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 discharge | 41.3% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 32.3% | 50.0% | Oct 2024–Sep 2025 | CMS 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 identified | 98.9% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS 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 discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS 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 stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.4% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.5%CMS range 4.3–9.8 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.91 | 1.02 | Oct 2022–Sep 2024 | CMS 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
How full it usually is: this home is certified for 142 beds and averages 127.3 residents a day — about 90% occupied, or roughly 15 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 3.75 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.57 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.13 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 3.50 hrs/resident/day on weekends vs 3.85 on weekdays — 9% thinner on weekends. RN hours go from 0.62 to 0.45 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 35% is below the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
23 citations, most serious first. The 11 most serious are shown; the remaining 12 are one tap away and print in full.
- Actual harm · Gcited before2023-07-14 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview, the facility failed to implement treatment interventions for a deep tissue injury (DTI- a pressure-related injury to subcutaneous tissues under intact skin), for one Resident (#58), out of a total of 27 sampled residents. Subsequently, the wound deteriorated. Findings include: Review of the facility's Skin Integrity Guidelines, dated 2019, indicated: *The interdisciplinary team will address problems, goals and interventions directed toward prevention of pressure ulcers and/or skin integrity concerns identified. Resident #58 was admitted to the facility in June 2022 with diagnoses including cancer and epilepsy. Review of Minimum Data Set (MDS) assessment, dated 6/28/23, indicated he/she scored 13 out of 15 on the Brief Interview for Mental Status exam indicating intact cognition. The MDS also indicated he/she requires physical assistance with bed mobility and transfers. On 7/11/23 at 10:42 A.M., the surveyor observed Resident #58 resting in bed on an air mattress (a mattress utilized to redistribute air to promote circulation 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.
- Potential for harm · F2025-12-04 · tag F0880 — failed to prevent and control infections — widespreadProvide 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 observations, interviews, and record reviews, the facility failed to maintain an infection prevention and control program designed to help prevent the development and potential transmission of communicable diseases and infections. Specifically, the facility failed:1. For Resident #48, who was diagnosed with Methicillin-resistant Staphylococcus aureus (MRSA), a bacterium that is resistant to several antibiotics, to ensure staff implemented precautions after entering and exiting a room identified as being on contact precautions, and2. To implement an infection control surveillance plan for identifying, tracking, monitoring and/or reporting of infections, communicable diseases and outbreaks among residents and staff.Findings include:1. Review of the facility's policy titled Infection Control- Personal Protective Equipment, dated as reviewed September 2025, indicated the following:This facility requires that all employees determined to have occupational exposure use appropriate personal protective equipment…
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.
- Potential for harm · D2025-12-04 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations and interviews, the facility failed to maintain comfortable and safe temperature levels on the third floor of the East Dining Room.Comfortable and safe temperature levels means that the ambient temperature should be in a relatively narrow range that minimizes residents' susceptibility to loss of body heat and risk of hypothermia, or hyperthermia, or and is comfortable for the residents. Findings include:The following observations were made on the third-floor dining room:12/2/25 at 9:18 A.M., two out of four residents reported feeling cold and one resident had his/her jacket on. 12/3/25 8:41 A.M., three out of five residents reported feeling cold and one resident had his/her jacket on.12/3/25 at 8:49 A.M., one resident left the dining room and said, I need to go get my coat, it's freezing and wheeled him/herself out of the dining room and returned with a winter coat on.During an observation and interview on 12/3/25 at 9:07 A.M., the surveyor and the Assistant Maintenance Director observed the third-floor dining room, and the following thermal temperatures were…
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.
- Potential for harm · D2025-12-04 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 implement the plan of care for one Resident (#121) out of a total of 28 sampled Residents. Specifically, the facility failed to ensure Resident #121's call light was within reach and accessible per his/her fall care plan. Findings include:Resident #121 was admitted to the facility in March 2022 with diagnoses including cerebral infarction (stroke) and aphasia. Review of the Minimum Data Set (MDS) Assessment, dated 9/3/25, indicated Resident #121 is severely cognitively impaired as evidenced by a score of 00 out of a possible 15 on the Brief Interview for Mental Status Exam (BIMS). On 12/3/25 at 7:34 A.M., the surveyor observed Resident #121 resting in bed. Resident #121 did not respond to the surveyor's questions. The surveyor observed Resident #121's call light out of reach and inaccessible on his/her bedside table. Review of Resident #121's Fall Care Plan, dated 3/6/22, indicated: Problem: Resident #121 is at risk for fallsIntervention: Be sure the resident's call light is within reach and encourage 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.
- Potential for harm · D2025-12-04 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide 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
Based on observation, record review, and interview, the facility failed to ensure nursing staff provided assistance with Activities of Daily Living (ADLs) for one Resident (#15), out of a total sample of 28 residents. Specifically, for Resident #15, the facility failed to provide assistance and/or supervision with meals as per the plan of care.Findings include:Review of the facility's policy titled Activities of Daily Living (ADLs), Supporting, dated 9/22, indicated the following:-Residents will be provided with care, treatment and services as appropriate to maintain or improve their ability to carry out activities of daily living (ADLs).-Residents who are unable to carry out activities of daily living independently will receive the services necessary to maintain good nutrition, grooming, and personal and oral hygiene.Policy Interpretation and Implementation-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…
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.
- Potential for harm · D2025-12-04 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide 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 observation, record review, and interview, the facility failed to ensure one Resident (#43) with limited range of motion (ROM) received appropriate treatment and services to prevent further decrease in ROM, out of a total of 28 sampled residents. Specifically, the facility failed to implement the discharge plan of care made by rehab services for daily ROM with care and the use of a carrot (a device utilized to position the fingers away from the palm to protect the skin from excessive moisture, pressure, and the risk of nail puncture injuries while helping to prevent bacteria build up and protect against increased spasticity).Findings include:Review of the facility's Restorative Nursing Policy, dated September 2025, indicated: 3. Residents may be started on a restorative nursing program upon admission, during the course of stay or when discharged from rehabilitative care. 3. Restorative goals and objectives are individualized and resident centered and are outlined in the resident's plan of care.Review of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-12-04 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard 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 observation, record review, and interview, the facility failed to maintain accurate medical records for two Residents (#45, #43), out of a total of 28 sampled residents. Specifically, the facility failed:1. For Resident #45, to accurately document the presence of three new skin areas during weekly skin evaluations; and 2. For Resident #43, to accurately document the onset of a contracture. Findings include: 1. Review of the facility's policy titled Skin Integrity Guideline, revised 2019, indicated the following: -Purpose: To provide a systemic approach and monitoring process for skin. -Residents will be observed by the CNA (Certified Nurse Assistant) daily for reddened/open areas, edema of feet or sacrum. Changes will be reported to the licensed nurse and documented. -The facility develops a routine to review residents with wounds or at risk on a weekly basis and will document as needed. -Newly identified skin areas will have a skin event report completed. -If identified risk present, the interventions…
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.
- Potential for harm · Dcited before2025-11-18 · tag F0658 — failed to meet professional standards of care — isolatedEnsure services provided by the nursing facility meet professional standards of quality.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on records reviewed and interviews for one of three sample residents (Resident #1), whose Hospital Discharge Summary included treatment orders related to his/her surgical incision staple removal, the Facility failed to ensure nursing provided care and services that met professional standards of practice, when nursing removed his/her staples two weeks prematurely, Resident #1 wound dehisced (partially or completely reopened along the incision line) and he/she was transferred to the Hospital Emergency Department for evaluation of the wound.Findings include:Review of the Facility Policy titled, Physician's Orders, dated as last reviewed 09/2025, indicated that Physician's Orders will be transcribed by licensed nurses only. The order is entered into the electronic medical record (Point Click Care, PCC) and Medication and Treatment Administration Records will be updated as required.The Policy further indicated that if there is any question concerning interpretation of the Physician's Order, the nurse will…
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.
- Potential for harm · Ecited before2024-10-04 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — patternProvide 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 a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing and prevent new ulcers from developing for one Resident (#102), out of a total sample of 24 residents. Specifically, the facility failed to provide diabetic foot care treatments and skin checks as ordered by the physician. Findings include: Review of the facility's policy titled Skin Integrity Guidelines, dated as last revised 2019, indicated but was not limited to the following: -All residents will be assessed/observed for risk of skin breakdown within 24 hours of admission, quarterly, and as necessitated by change in condition. -Wound will be documented on weekly measuring tools such as weekly measuring assessment. -Interventions will be documented in the Resident Care Plan. -Licensed nurse will be responsible for performing skin evaluation/observation. Review of the facility's policy titled Nursing Care of the Resident with Diabetes Mellitus, dated as last revised…
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.
- Potential for harm · E2024-10-04 · tag F0803 — failed to meet residents' dietary needs — patternEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews and review of facility menus, the facility failed to ensure a repetitive menu was not provided to the residents resulting in complaints about the lack of variety in food options. Specifically, the facility failed to offer a variety of the main meal to residents on a renal diet (a diet that limits sodium, potassium, phosphorus, and sometimes protein to help people with kidney disease or limited kidney function). Findings include: Review of the facility's policy titled Menu Development, dated as last reviewed September 2023, indicated nutritional needs of individuals will be provided in accordance with the established standards, as needed adjusted for age, gender, disability, and through nourishing diets, unless contraindicated by medical needs. Review of the facility's policy titled Menu Review, dated as last reviewed September 2023, indicated menus would be reviewed by the Registered Dietitian, Food Service Director or designated staff on an as needed basis and updated according to the needs of the population served. Review of the Resident Dining Committee…
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.
- Potential for harm · E2024-10-04 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and interview, the facility failed to follow professional standards of practice for food safety and sanitation to prevent the potential spread of foodborne illness to residents who are at high risk. Specifically, the facility failed to maintain a safe and clean ice machine on three out of three floors. Findings include: Review of the 2022 Food Code, a model for safeguarding public health and ensuring food is safe for consumption, indicated but was not limited to: 4-602.11 Equipment Food-Contact Surfaces and Utensils: Surfaces of utensils and equipment contacting food that is not time/temperature control for safety such as ice makers, and ice bins must be cleaned on a routine basis to prevent the development of slime, mold, or soil residues that may contribute to an accumulation of microorganisms. On 10/3/24 at 3:50 P.M., the surveyor observed the 5-East unit to have a small automatic ice machine. The inside of the ice machine had black speckles on the cover and a brown slimy substance on the inside of the door. The surveyor observed a brown, slimy substance 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.
Show the remaining 12 citations
- Potential for harm · D2024-10-04 · tag F0694 — isolatedProvide for the safe, appropriate administration of IV fluids for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, interview, and policy review, the facility failed to ensure the proper care and treatment of a peripherally inserted intravenous (IV) line device (a thin flexible tube that allows for the administration of fluids, medications, and blood product directly into a vein) and to ensure proper care and treatment of an internal jugular (IJ) venous access site after IJ line removal was provided in accordance with professional standards of practice for one Resident (#102), out of a total sample of 24 residents. Specifically, the facility failed to ensure: a. for the peripheral IV site: the dressing was changed, the line was replaced/site rotated after 96 hours, an order was obtained for an extended dwell time (greater than 96 hours but a seven-day maximum), and the line was not used after the maximum dwell time of seven days; b. for the IJ site: treatment orders were obtained to remove/change/apply a dressing and to monitor the insertion site for signs/symptoms of infection/bleeding post removal of the line. Findings include: Review of the Massachusetts…
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.
- Potential for harm · D2024-10-04 · tag F0698 — failed to provide proper dialysis care — isolatedProvide safe, appropriate dialysis care/services for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to ensure staff implemented dialysis care and services consistent with professional standards of practice for two Residents (#47 and #32), out of 24 sampled residents. Specifically, the facility failed: 1. For Resident #47, to notify the physician and obtain orders post-left Arteriovenous (AV) fistula (a surgically connected artery and vein used for long term dialysis) revision and document the Resident's condition on return to the facility post-surgery; and 2. For Resident #32, to remove the pressure dressing applied by the dialysis center to the fistula in the left arm, as ordered by the physician, as recommended by the dialysis center and to provide proper monitoring of the site. Findings include: Review of the facility's policy titled Dialysis Guideline, dated Revised 2019, indicated but was not limited to the following: -Care interventions required when a resident is on hemodialysis may exceed the usual identified problems and interventions provided to residents in long-term care setting. The following information will…
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.
- Potential for harm · Dcited before2024-10-04 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and policy review, the facility failed to ensure all drugs and biologicals were stored in a safe and secure manner as required. Specifically, the facility failed for one Resident (#74), out of a total sample of 24 residents, to ensure Albuterol Inhalation Aerosol Solution (a bronchodilator used to relax airway muscles) was not left unsecured and unattended in the Resident's room. Findings include: Review of the facility's policy titled 11-Self-Administration of Medications, dated September 2023, indicated but was not limited to the following: -The interdisciplinary team must also determine whether the resident or the nursing staff will be responsible for the storage and documentation of the administration of the drugs, and whether the drugs will be in the resident's room or at the nurse's station. -Lock boxes must be available for residents to maintain medications at the bedside. -Document on the resident's care plan. Resident #74 was admitted to the facility in January 2024 with diagnoses including acute pulmonary edema, chronic obstructive…
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.
- Potential for harm · D2024-10-04 · tag F0849 — isolatedArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, hospice contract review, and staff interview, the facility failed to ensure for one Resident (#23), out of a total sample of 24 residents, hospice services were provided in accordance with the agreement between the hospice and the facility. Specifically, the facility failed to ensure collaboration between the facility, Hospice, and the family, regarding the Hospice Aide schedule and the decrease in services for the weekly Hospice Aide to ensure the continuity of care for the Resident. Findings include: Review of the facility's policy titled Care and Treatment, End of Life, Hospice Program, dated September 2022, indicated but was not limited to the following: -In general, it is the responsibility of the Hospice to manage the resident's care as it relates to the terminal illness and related conditions, including: a. Determining the appropriate Hospice plan of care; b. Changing the level of services provided when it is deemed appropriate. -Our facility has designated social service department to coordinate care provided to the resident by our facility staff 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.
- Potential for harm · D2023-10-26 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on records reviewed and interviews for one of three sampled residents (Resident #1) who had a physician's order dated 9/27/23, for nursing to obtain a urine sample for a suspected urinary tract infection (UTI), the Facility failed to ensure nursing staff promptly notified his/her physician when they were unable to obtain his/her urine sample in a timely manner. Resident #1's urine sample was not obtained by nursing until 10/05/23 (more than a week later), which resulted in a delay in treatment. Findings include: Review of the Facility Policy titled Change in Resident's Condition, dated as last revised 9/2023, indicated that the facility will promptly notify the resident, his/her attending physician, and family representative of changes in the residents medical/mental condition and/or status. Review of the Facility Education Documents, dated 10/19/23, indicated that is the responsibility of all licensed nursing staff to carry out a physician's order and for any reason they are unable to do so, nursing must notify the residents physician in a timely manner and ask for additional…
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.
- Potential for harm · Dcited before2023-10-26 · tag F0658 — failed to meet professional standards of care — isolatedEnsure 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 records reviewed and interviews for one of three sampled residents (Resident #1) who had a physician's order dated 9/27/23, for nursing to obtain a urine sample for a suspected urinary tract infection (UTI), the Facility failed to ensure he/she received care and services consistent with professional standards of practice, when his/her urine sample was not obtained by nursing until 10/05/23 (more than a week later), which resulted in a delay in treatment of Resident #1's UTI. Findings include: Standard Reference: Standard of Practice Reference: Pursuant to Massachusetts General Law (M.G.L), chapter 112, individuals are given the designation of registered nurse and practical nurse which includes the responsibility to provide nursing care. Pursuant to the Code of Massachusetts Regulation (CMR) 244, Rules and Regulations 3.02 and 3.04 define the responsibilities and functions of a registered nurse and practical nurse respectively. The regulations stipulate that both the registered nurse and practical nurse bear full responsibility for systematically assessing health status 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.
- Potential for harm · D2023-07-14 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, policy review, and interview, the facility failed to ensure dignity was maintained for residents on the Four East Unit, out of a total of six nursing care units. Findings include: Review of the facility's policy titled Quality of Life-Dignity, dated 9/2022, indicated the following: -Each resident shall be cared for in a manner that promotes and enhances quality of life, dignity, respect and individuality. -Residents shall be treated with dignity and respect at all times. -Treated with dignity means the resident will be assisted in maintaining and enhancing his or her self-esteem and self-worth. During meal service on the Four East Unit, the surveyor made the following observations: On 7/11/23 at 9:18 A.M., Resident #92 was served his/her breakfast tray. The tray was placed in front of him/her, and the plate cover removed. Resident #92 was awake and looking at his/her meal. No staff were present to assist Resident #92 to eat and he/she did not try to eat the meal and continued to look at the meal. Staff were observed passing trays and walking by…
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.
- Potential for harm · D2023-07-14 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, policy review, and interview, the facility failed to ensure an injury of unknown source was reported to facility administration and the State Agency for one Resident (#16), out of a total sample of 27 residents. Findings include: Review of the facility's policy manual titled Resident Rights and Ethics, Section Abuse/Neglect, Subject 2- Identification and Reporting alleged violations of abuse, neglect, mistreatment, exploitation or misappropriation of resident property, effective date October 2022. Policy 2. All injuries of unknown source will be investigated as potential abuse, neglect or mistreatment incidents. Procedure: What: 1) All alleged violations of abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property. Who is required to report: the facility. Resident #16 was admitted to the facility in February 2019 with diagnoses that included but were not limited to age-related osteoporosis, nutritional anemia, dementia, abnormalities of gait and mobility, insomnia, and unspecified…
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.
- Potential for harm · Dcited before2023-07-14 · tag F0658 — failed to meet professional standards of care — isolatedEnsure services provided by the nursing facility meet professional standards of quality.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure professional standards of practice were maintained for three Residents (#16, #31, and #328), out of a total sample of 27 residents. Specifically, the facility failed: 1. For Residents #16 and #31, to ensure nursing staff accurately assessed skin changes; and 2. For Resident #328, to provide wound dressing treatment to skin tears as ordered by the physician. Findings include: American Nursing Associations Scope and Standards of Nursing Practice, 2010, pg 32,: Standard 1. Assessment: The Registered Nurse (RN) collects comprehensive data pertinent to the consumer's health and/or the situation. Competencies: Collects comprehensive data including but not limited to physical functional, psychosocial, cognitive and ongoing process while honoring the uniqueness of the person. 1A. Resident #16 was admitted to the facility in February 2019 and has diagnoses that included but were not limited to age-related osteoporosis, nutritional anemia,…
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.
- Potential for harm · D2023-07-14 · tag F0685 — isolatedAssist a resident in gaining access to vision and hearing services.
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 provide appropriate treatment and services related to hearing for three Residents (#115, #5, and #1), out of a total of 27 sampled residents. Findings include: 1. Resident #115 was admitted to the facility in December 2022 with diagnoses including heart failure and unspecified dementia. Review of Resident #115's Minimum Data Set (MDS) assessment, dated 7/5/23, indicated he/she scored a 9 out of 15 on the Brief Interview for Mental Status (BIMS) indicating moderate cognitive impairment. The MDS also indicated Resident #115 had moderate difficulty with hearing and wears hearing aids. During an interview on 7/11/23 at 8:49 A.M., Resident #115 said that he/she has new hearing aids but still cannot hear out of his/her right ear due to wax build up. Resident #115 said that they cleaned out my ears but he/she had not had any follow up and was concerned he/she might be fully deaf in his/her right ear. Review of Resident #115's Audiology visit note, dated 5/12/23, indicated: Hearing aids fit properly. MD consult for…
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.
- Potential for harm · D2023-07-14 · tag F0759 — failed to keep medication error rate low — isolatedEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record reviews, policy review, and interviews, the facility failed to ensure it was free from a medication error rate of greater than 5 percent. Two out of four nurses observed made three errors in 27 opportunities on two of three units resulting in a medication error rate of 11.11%. These errors impacted three Residents (#87, #5 and #58), out of seven residents observed. Findings include: Review of the facility's policy titled Administering Medications, reviewed 9/2022, indicated the following: Policy Statement: Medications shall be administered in a safe and timely manner, and as prescribed. Policy Interpretation and Implementation *Medications must be administered in accordance with the orders, including any required time frame. *Medications must be administered within one (1) hour of their prescribed time, unless otherwise specified ( for example, before and after a meal orders). *The individual administering the medication must check the label three times to verify the right resident, right medication, right dosage, right time and right method (route) of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-07-14 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, policy review, and interviews, the facility failed to ensure medications with shortened expiration dates were labeled and dated after being opened for 2 out of 3 medication carts. Findings include: Review of the facility's policy titled Medication Storage and Expiration Dates, dated November 2016, indicated the following: *Once any OTC (Over the Counter) multi-dose packaged medication or biological is opened, the nurse should mark the product with the following -Date opened -Expiration date *Discard and replace OTC eye drops, saline nasal spray, and ear drops after 60 days or sooner if required by the manufacturer. During an inspection of the 3-East unit medication cart on 7/13/23 at 6:44 A.M., the following medication was available for administration: 1 box of Refresh eye drops opened and undated, therefore unable to determine the expiration date once item was opened. During an interview on 7/13/23 at 6:51 A.M., Nurse #1 said eye drops should be dated when opened. During an inspection of the 5-West unit medication cart on 7/13/23 at 7:24 A.M., the following…
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.
“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.
- 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.
Fines & penalties
No federal fines in the current CMS record.
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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 3 of 5 | 4.0 | -1.0 vs chain |
| Health inspection | 3 of 5 | 3.9 | -0.9 vs chain |
| Staffing | 3 of 5 | 3.6 | -0.6 vs chain |
| Quality measures | 4 of 5 | 3.9 | +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 / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| MORRIS HEALTH MANAGEMENT LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 01/28/2022 |
| FARIA, MARIE | Individual | W-2 MANAGING EMPLOYEE | — | since 01/28/2022 |
| MORRIS, KEVIN | Individual | CORPORATE OFFICER | — | since 01/28/2022 |
| BANE CARE MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | since 10/01/2016 |
2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $679K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in MA
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.
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 225718. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-12-04, 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.