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Shrewsbury Rehabilitation And Nursing At Southgate

40 Julio Drive, Shrewsbury, MA 01545 · For profit - Limited Liability company · 99 certified beds · (508) 841-4755 Medicare & Medicaid certified

Call the home — (508) 841-4755 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
1 actual-harm citation$7,901 in federal fines
Insights

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

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (17) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $7,901 in federal fines (most recent 2023-09-19)
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its payroll-based staffing rating is low (2/5)

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.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
26 Julio Dr · (508) 845-2323 · Call to confirm hours
Pharmacy
720 Boston Tpke · (508) 845-6009 · Call to confirm hours
Grocery
731 Boston Tpke · (508) 791-7142 · Call to confirm hours
Park
Dean Park0.6 mi
805 Main St · (508) 841-8503 · Typically dawn to dusk
Place of worship

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 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 5 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 4 to 5 stars. From monthly CMS archive snapshots.

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

Overall rating5★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased10.7%16.4%15.4%better
Long-stay residents who lose too much weight5.9%5.1%5.4%typical
Long-stay residents with a catheter left in their bladder0.0%0.8%0.9%better
Long-stay residents with a urinary tract infection1.9%1.8%2.0%typical
Long-stay residents with depressive symptoms31.9%15.5%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury1.8%3.4%3.3%better
Long-stay residents whose ability to walk worsened12.2%15.4%16.1%better
Long-stay residents on antianxiety or hypnotic medication11.8%19.5%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%94.8%95.3%typical
Long-stay residents with pressure ulcers2.1%4.2%4.7%better
Long-stay residents with worsening bladder/bowel control23.0%21.2%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table14.8%21.4%17.1%better
Short-stay residents who newly got an antipsychotic medication0.6%1.4%1.4%better
Short-stay residents given the seasonal flu vaccine95.9%77.7%79.4%better
Short-stay residents rehospitalized after admission19.3%25.7%22.6%better
Short-stay residents with an outpatient ER visit10.1%11.9%12.0%better
Long-stay hospitalizations per 1,000 resident days0.891.881.67better
Long-stay outpatient ER visits per 1,000 resident days1.571.501.80better

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

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

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

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

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

62.2% 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 162 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

62.2%U.S. median 51.5%
Got home and stayed home
8.9%U.S. median 10.7%
Went back to hospital
50.0%U.S. median 56.6%
Met the expected recovery
0.23U.S. median 0.31
Therapy hours / resident / day
0.11hours / resident / day
Physical therapy
0.06hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

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 146 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 0.23 therapist hours per resident per day in 2026Q1 — more than 30% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 57% of this home’s weekday level — it runs therapy at close to weekday levels right through the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF62.2%CMS range 52.8–69.251.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF8.9%CMS range 6.0–12.010.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge50.0%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge48.0%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge47.3%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge98.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.1%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened1.6%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization5.6%CMS range 3.3–9.97.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.801.02Oct 2022–Sep 2024CMS makes no comparison for this measure

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

Staffing

0.70
RN hours/ resident / day
1.15
LPN hours/ resident / day
2.30
Aide hours/ resident / day
4.15
Total nurse hours/ resident / day
0.56
RN hoursweekends
54.5%
Total nursing turnover
56.3%
RN turnover

How full it usually is: this home is certified for 99 beds and averages 90.4 residents a day — about 91% occupied, or roughly 9 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 4.15 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.70 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.30 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 3.77 hrs/resident/day on weekends vs 4.30 on weekdays — 12% thinner on weekends. RN hours go from 0.75 to 0.56 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 54% 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

3
deficiencies at the latest standard inspection (2026-03-12)
8
at the previous standard inspection (2024-11-27)

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.

ABCDEFGHIJKL

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

17 citations, most serious first. The 11 most serious are shown; the remaining 6 are one tap away and print in full.

  • Actual harm · Gcited before2023-09-19 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, records reviewed and staff interviews, the facility failed to provide an adequate level of assistance to prevent an avoidable accident for one Resident (#49), out of a total sample of 18 residents. Specifically, the facility staff failed to implement a necessary two-person transfer, resulting in the Resident sustaining a laceration (a deep cut or tear in skin or flesh) requiring hospital transfer and eight sutures (row of stitches holding together the edges of a wound or surgical incision) to the injury. Findings Include: Resident #49 was admitted to the facility in May 2019 with diagnoses including: Dementia (a condition characterized by progressive or persistent loss of intellectual functioning, especially with impairment of memory and abstract thinking, and often with personality change, resulting from organic disease of the brain), personal history of (healed) traumatic fracture, presence of right artificial hip joint, and history of falling. Review of the facility policy titled Care…

    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 · E2026-03-12 · tag F0814 — failed to dispose of garbage properly — pattern
    Dispose of garbage and refuse properly.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, and interview, the facility failed to ensure that the facility dumpster area was maintained in a clean and sanitary manner to mitigate the harborage and feeding of pests. Specifically, the facility failed to ensure trash, garbage, and refuse were appropriately disposed of and properly contained within a trash receptable and not thrown on the ground around two dumpsters in a fenced-in dumpster area that was located in proximity to the main facility kitchen. Findings include: Review of the 2022 Food Code (a model for safeguarding public health and ensuring food is unadulterated and honestly presented when offered to the consumer) by the U.S. Food and Drug Administration (FDA); retrieved from < FDA Food Code 2022: Full Document> indicated: -Outside receptacles must be constructed with tight-fitting lids or covers to prevent the scattering of the garbage or refuse by birds, the breeding of flies, or the entry of rodents. -Proper equipment and supplies must be made available to accomplish thorough and proper cleaning of garbage storage areas and receptacles so that…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-12 · tag F0755 — failed to provide safe pharmacy services — isolated
    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 observations, policy review and interviews, the facility failed to maintain accurate records of controlled substances (drugs or chemicals that the government regulates for its manufacturing, possession, and use, that are classified into schedules based on their potential for abuse) for one Control Medication Log (Unit One Side A) out of three Control Medication Logs reviewed. Specifically, for the Unit One Side A Control Medication Log, the facility failed to ensure accurate documentation was maintained relative to the reconciliation of the controlled medication count, when the Control Medication Log was missing licensed nursing documentation that controlled medication reconciliation was completed as required. Findings include:Review of the facility policy titled Controlled Substances, revised November 2022, included but was not limited to:-The facility complies with all laws, regulations and other requirements related to handling, storage, disposal, and documentation of controlled medications (listed as Schedule II - V of the Comprehensive Drug Abuse Prevention and Control…

    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 before2026-03-12 · 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, record review, and interviews, the facility failed to ensure that drugs and biologicals were stored in accordance with State and Federal laws for one (Unit One) of two medication storage rooms reviewed. Specifically, the facility failed to ensure a multi-dose vial of medication was discarded upon the expiration date according to manufacturer's guidelines in the Unit One medication storage room. Findings include:Review of the facility policy titled Medication Labeling and Storage, revised February 2023, included but was not limited to:-If the facility has discontinued, outdated or deteriorated medications or biologicals, the dispensing pharmacy is contacted for instructions regarding returning or destroying these items.-Labeling of medications and biologicals dispensed by the pharmacy is consistent with applicable federal and state requirements and currently accepted pharmaceutical practices.-the medication label includes, at a minimum:.expiration date, when applicable,-Multi-dose vials that have been opened or accessed (e.g., needle punctured) are dated and…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-11-04 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who had a history of urinary retention (bladder does not empty completely or at all), the Facility failed to ensure he/she was provided with quality of care that met professional standards of practice, when he/she did not receive a physician ordered treatment for the monitoring and treatment of his/her urinary retention, placing him/her at risk for the development of complications associated with this condition.Findings include:Review of the Facility's policy, titled Charting and Documentation, with a revision date of 07/2017, indicated the following:-All services provided to the resident, progress toward the care plan goals, or any changes in the resident's medical, physical, or functional condition, shall be documented in the resident's medical record.-The following information is to be documented in the resident medical record: treatments and services as performed.Resident #1 was admitted to the facility in October 2025, diagnoses included obstructive and reflux uropathy (a blockage in the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-11-27 · tag F0636 — isolated
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to complete an accurate comprehensive assessment, according to the required Resident Assessment Instrument (RAI) process in the Minimum Data Set Assessment (MDS), for one Resident (#6) out of a total sample of 18 residents. Specifically, the facility staff failed to assess Resident #6's cognitive and mood status through the required Resident interview process when the Resident had adequate hearing, clear speech, and sometimes made him/herself understood and sometimes understood others. Findings include: Review of the Centers for Medicare and Medicare Services (CMS) Long Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual Version 1.18.11, dated October 2023, included the following: -Assessment Reference Date (ARD) refers to the specific endpoint for the observation (or look-back) periods in the comprehensive Minimum Data Set (MDS) assessment process. - The standard look-back period for the MDS 3.0 is 7 days, unless otherwise stated. - The interview should be conducted because the resident is at least…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-11-27 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews, the facility failed to ensure professional standards of practice for medication administration for one Resident (#15) out of a total of 18 residents sampled. Specifically, the facility staff failed to administer Ativan (a medication used to treat anxiety [persistent worry and fear about everyday situations]) in accordance with the physician order. Findings include: Review of facility policy titled Medication orders, dated 5/1/2024, indicated the following: -Elements of medication order: > Date and time of the order written > The resident's full name > Name of the medication > Dosage (strength) of the medication > Frequency (how often) of the administration (provided) > Duration, if applicable. > Route (location) of administration > Type/formulation (if applicable). > Hour of administration (if applicable). > Diagnosis or indication for use. > PRN (pro re nata [as needed]) orders should also specify the condition for which they are being administered (e.g.…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-11-27 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews, the facility failed to ensure its staff maintained professional standards of practice to prevent the development and promote healing of pressure ulcers/skin injuries for one Resident (#55) out of a total sample of 18 residents. Specifically, for Resident #55, the facility staff failed to perform a wound treatment as ordered by the physician, placing the Resident at risk for delayed wound healing. Findings include: Review of the facility policy titled Wound Treatment Management, last revised 5/1/24, indicated: -To promote healing of various types of wounds, it is the policy of this facility to provide evidence based treatments in accordance with current standards of practice and physician orders. -Wound treatments will be provided in accordance with physician orders, including; the cleansing method, type of dressing, and frequency of dressing change. -Dressings will be applied in accordance with manufacturers recommendations. Resident #55 was admitted to the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-11-27 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interviews, and records reviewed, the facility failed to adequately assess wandering and elopement risk for one Resident (#83) out 18 total sampled residents which increased the Resident's risk for unsafe wandering and elopement. Specifically, facility staff failed to: - Accurately complete Resident #83's admission Assessment for Wandering according to the instructions provided in the facility's admission Wandering Assessment for the Resident. - Assess Resident #83's wandering risk, when the Resident exhibited changes in behavior and demonstrated exit seeking behaviors that were not present when the Resident was admitted to the facility. - Establish a resident-centered plan of care relative to wandering when Resident #83 began exhibiting wandering behaviors and seeking exit from the facility. Findings include: Review of the facility's policy titled Elopements and Wandering Residents, dated 5/1/24, indicated the following: - This facility ensures that residents who exhibit wandering behavior and/or are at risk for elopement . receive care in accordance with…

    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 before2024-11-27 · 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 remove expired medications from one medication cart, out of a sample of three medication carts. Specifically, the facility failed to remove and dispose two bottles of expired Ferrous Gluconate liquid (Iron Supplement), increasing the risk of non-therapeutic benefit when the medication is administered. Findings include: Review of the facility policy titled Medication Storage, revised 5/1/24, indicated: -All drugs and biologicals will be stored in locked compartments (i.e., medication carts, cabinets, drawers, refrigerators, medication rooms) . -The pharmacy and all medication rooms are routinely inspected by the consultant pharmacist for discontinued, outdated, defective, or deteriorated medications with worn, illegible, or missing labels. Review of the facility policy titled Medication Administration, revised 5/1/24, indicated: -Identify expiration date. If expired, notify nurse manager. On 11/26/24 at 10:33 A.M., the surveyor and Nurse #2 observed the medication cart on the Station 3 nursing unit to contain two bottles 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-11-27 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to maintain an accurate medical record for one Resident (#34) out of a total sample of 18 residents. Specifically, the facility failed to accurately document a behavioral incident by Resident #34 putting his/her roommate at risk for potential abuse. Findings include: Review of the facility policy titled Documentation in Medical Record, initiated 5/1/24, indicated: - Each residents' medical record shall contain an accurate representation of the actual experiences of the resident and include enough information to provide a picture of the resident's progress through complete, accurate, and timely documentation. - Principles of documentation include, but are not limited to: > Documentation shall be factual, objective, and resident centered. > False information shall not be documented > Record descriptive and objective information based on first hand knowledge of the assessment, observation or service provided. > Documentation shall be accurate, relevant,…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
Show the remaining 6 citations
  • Potential for harm · Ecited before2023-12-06 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews and record reviews, the facility failed to maintain an infection prevention and control program to prevent the development and transmission of communicable diseases and infections for two Residents (#1 and #3) out of a total sample of three residents and one unit (Station 1) out of three units observed. Specifically, the facility failed to: 1. Ensure the appropriate personal protective equipment (PPE - protective devices, garments, or coverings such as eye protection, gloves, and gowns, that are worn to minimize exposure to hazards that may cause injury or illness) was utilized by staff during an active Covid-19 (a disease caused by the SARS-CoV-2 virus which can be very contagious and spreads quickly) outbreak. 2. Monitor Resident's #1 and #3 for signs and symptoms of Covid-19 during an active outbreak. Findings include: Review of the facility's policy titled, Coronavirus Disease (Covid-19) - Using Personal Protective Equipment, revised September 2022 indicated but was not limited to: When caring for a resident with confirmed or suspected…

    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 · D2023-09-19 · 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

    Based on observation, record review and interview, the facility failed to ensure one Resident (#10), out of a total sample of 18 residents, who was unable to carry out activities of daily living (ADLs) received the necessary services to maintain good nutrition. Specifically, the facility failed to provide Resident #10 with interventions to engage in eating, when he/she was identified to have impaired cognition, terminal prognosis and an eating deficit, in addition to requiring assistance from staff to eat. Findings include: Review of the facility policy, titled Activities of Daily Living, Supporting, dated 2001 and revised March 2018, indicated: - Residents who are unable to carry out ADLs independently will receive the services necessary to maintain good nutrition . Review of the facility policy, titled Assistance with Meals, dated 2001 and revised March 2022, indicated: - Residents shall receive assistance with meals in a manner that meets the individual needs of each resident. - Facility staff will help residents who require assistance with eating according to plan of care.…

    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 before2023-09-19 · 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

    Based on policy review, record review, observation and interviews, the facility failed to follow infection control guidelines relative to hand hygiene during a wound dressing change treatment for one Resident (#49), in an applicable sample of four residents, and a total sample of 18 residents. Specifically, the facility staff failed to complete required hand hygiene between glove changes during a wound dressing change to Resident #49's right lower leg laceration (a deep cut or tear in skin or flesh), increasing the Resident's risk for wound infection. Findings include: Review of the facility policy titled Wound Care last revised October 2010, indicated the following procedure: -Place all items to be used during procedure on the clean field. Arrange the supplies so they can be easily reached. -Wash and dry your hands thoroughly -Position resident properly -Put on exam gloves. Loosen tape and remove dressing. -Remove gloves and used dressing. Dispose. Wash and dry your hands thoroughly. -Put on gloves . -Clean wound per MD order -Apply treatments as indicated. [NAME] tape with…

    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 · D2023-08-03 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and records reviews, the facility failed to provide education, assess for eligibility, and offer Pneumococcal Vaccination for three residents (Residents #1, #3, and #4) out of a total sample of five residents. Findings include: Review of the facility policy titled Pneumococcal Vaccine, revised March 2022, indicated the following: -Prior to or upon admission, residents are assessed for eligibility to receive the Pneumococcal Vaccine series, and when indicated, are offered the vaccine series within (30) days of admission to the facility unless medically contraindicated or the resident has already been vaccinated. -Assessments of Pneumococcal Vaccination status are conducted within five (5) working days of the resident's admission if not conducted prior to admission. -Before receiving a Pneumococcal Vaccine, the resident or legal representative receives information and education regarding the benefits and potential side effects of the Pneumococcal Vaccine. (See current vaccine information statements at https://www.cdc.gov/vaccines/hcp/vis/index.htlm for educational…

    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
  • No harm found · B2024-11-27 · tag F0641 — pattern
    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 interview and records reviewed, the facility failed to accurately complete the Minimum Data Set (MDS) Assessment for one Resident (#83) out of a total sample of 18 residents. Specifically, facility staff failed to accurately code the use of antianxiety (used to treat symptoms of anxiety [feeling of worry, nervousness, or unease, typically about an imminent event or something with an uncertain outcome] medication on one MDS Assessment for Resident #83. Findings include: Resident #83 was admitted to the facility in June 2024 with a diagnosis of Dementia with Behavioral Disturbance (progressive disease with impairment in memory and functioning that includes symptoms such as depression, anxiety, psychosis, agitation, aggression, disinhibition, and sleep disturbances). Review of Resident #83's active Physician Orders indicated the following order dated 11/12/24: - Ativan (antianxiety medication) oral tablet 0.5 milligrams (mg). - Give 0.5 mg by mouth every eight hours as needed for Anxiety/Agitation for 180…

    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
  • No harm found · B2024-11-27 · tag F0646 — pattern
    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
    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 reviewed, the facility failed to notify the State mental health authority promptly after a significant change in the mental condition for resident review for one Resident (#83) out of 18 total sampled residents which increased the Resident's risk for not receiving specialized services in a timely manner. Specifically, facility staff failed to notify the State mental health authority of the need for resident review when: - Resident #83 exhibited a new onset of paranoia (unwarranted or delusional belief that one is being persecuted, harassed, or betrayed by others, occurring as part of a mental condition), delusions (unshakable belief in something that is untrue; type of psychotic disorder [collection of symptoms that affect the mind, where there has been some loss of contact with reality]), and visual hallucinations (experience involving the apparent perception of something not present). - Resident #83 had newly added diagnoses of: Delusional Disorders, Paranoid Personality…

    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

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

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

Fines & penalties

$7,901 in federal fines across 1 penalty.

  • $7,901 — penalty dated 2023-09-19

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to ATLAS HEALTHCARE — 29 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 4 of 53.6+0.4 vs chain
Health inspection 3 of 53.1-0.1 vs chain
Staffing 2 of 52.3-0.3 vs chain
Quality measures 5 of 54.4+0.6 vs chain
The other 28 homes this chain runs (chain average 3.6★, per CMS)
2 of 5Atlas Post Acute At Woodbury Country ClubWoodbury, NJ 2 of 5Haverhill Rehabilitation And Healthcare CenterHaverhill, MA 2 of 5Port Rehabilitation And Healthcare CenterNewburyport, MA 2 of 5Rossville Rehabilitation And Healthcare CenterBaltimore, MD 2 of 5The Elms Rehab And Healthcare Center Of CranburyCranbury, NJ 2 of 5Village Green Rehabilitation And Healthcare CenterBristol, CT 2 of 5Wynwood Rehabilitation And Healthcare CenterCinnaminson, NJ 3 of 5Atlas Rehabilitation And Healthcare At Daughters OClifton, NJ 3 of 5Atlas Rehabilitation And Healthcare At WashingtonSewell, NJ 3 of 5Masconomet Rehabilitation And Healthcare CenterTopsfield, MA 3 of 5Nemasket Rehabilitation And Healthcare CenterMiddleborough, MA 3 of 5Oak Knoll Rehabilitation And Healthcare CenterFramingham, MA 3 of 5Roland Park Rehabilitation And Healthcare CenterBaltimore, MD 4 of 5Atlas Rehabilitation And Healthcare At MaywoodMaywood, NJ 4 of 5Cedar Grove Respiratory And Nursing CenterWilliamstown, NJ 4 of 5Hathorne Hill Rehabilitation And Healthcare CenterDanvers, MA 4 of 5Meadowbrook Respiratory And Nursing CenterMatawan, NJ 4 of 5Mystic Meadows Rehabilitation And Nursing CenterLittle Egg Harbor Tw, NJ 4 of 5Sippican Rehabilitation And Healthcare CenterMarion, MA 4 of 5Suffield House Rehabilitation And Healthcare CenteSuffield, CT 4 of 5Towson Rehabilitation And Healthcare CenterTowson, MD 5 of 5Atlas Rehabilitation & Healthcare At West DeptforWest Deptford, NJ 5 of 5Birchwood Rehabilitation And Healthcare CenterCranford, NJ 5 of 5Bride Brook Rehabilitation & Nursing CenterNiantic, CT 5 of 5Manchester Rehabilitation And Healthcare CenterManchester, CT 5 of 5Pendleton Rehabilitation And Nursing CenterMystic, CT 5 of 5Vernon Rehabilitation And Healthcare CenterVernon, CT 5 of 5Waterfront Rehabilitation And Healthcare CenterRaritan, NJ

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

Who owns this facility

Owner / managerTypeRoleShareSince
SHREWSBURY OPERATIONS HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 05/07/2024
JMH FAMILY LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 05/07/2024
JMH FAMILY TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 05/07/2024
MLS FAMILY LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 05/07/2024
MLS FAMILY TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 05/07/2024
SGS FAMILY LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 05/07/2024
SGS FAMILY TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 05/07/2024
HERZKA, DAVIDIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 05/07/2024
LEVY, MICHAELIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE OFFICERNO PERCENTAGE PROVIDEDsince 05/07/2024
SHEIKH, ZAHRAIndividualCONTRACTED MANAGING EMPLOYEEsince 05/07/2024
DEMMA, HEATHERIndividualW-2 MANAGING EMPLOYEEsince 05/07/2024

CMS files one row per role, so the 12 rows in the source record cover these 11 parties — each is shown once here with every role it holds. Nothing is omitted.

7 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.

$10.1M
Net patient revenuemost recent cost report
-20.7%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 70%Medicare 7%Other / private 24%

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

$412per resident / day
operating cost
$12,540per month
≈ monthly operating cost
$342per day
avg. revenue, all payers

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

What families pay in MA

Paying with Medicaid

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

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

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

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 225491. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-12, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

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

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

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