The Center at Blue Hills

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

Therapy staffing: this home’s payroll records show 0.17 therapist hours per resident per day in 2026Q1 — more than 16% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 33% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 92 beds and averages 59.6 residents a day — about 65% occupied, or roughly 32 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.37 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.61 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.31 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 3.14 hrs/resident/day on weekends vs 3.46 on weekdays — 9% thinner on weekends. RN hours go from 0.69 to 0.40 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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.

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

• Actual harm · G2026-01-29 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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, for one of the three sampled residents (Resident #1), who was severely cognitively impaired and dependent on staff for care, the Facility failed to ensure Resident #1 was free from physical abuse when, on 01/14/26 around 7:30 A.M., Certified Nurse Aide (CNA) #1 slapped Resident #1 in the face, which was witnessed by another staff member. Resident #1 was observed to have red marks on his/her face, told staff his/her face hurt and that he/she had been slapped. Based on the reasonable person concept, a cognitively impaired resident would experience emotional upset after being slapped by a caregiver.Findings include:Review of the Facility Policy titled Abuse, Neglect, and Exploitation, dated as last revised 01/2025, indicated the Facility is to provide protection for the health, welfare and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, exploitation and misappropriation of resident property.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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · E2024-10-11 · tag F0578 — failed to honor advance directives / code status — pattern
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure Advance Directives were formulated and signed by the clinician (Physician, Nurse Practitioner, or Physician Assistant) making them valid for one Resident (#18), out of a total sample of 16 residents. Findings include: Review of the Massachusetts Medical Orders for Life-Sustaining Treatment (MOLST) form, dated 8/10/13, indicated but was not limited to the following: Instructions: -This form should be signed based on goals of care discussions between the patient (or patient's representative signing below) and the signing clinician. -Sections A through C are valid orders only if sections D and E are complete. If any section is not completed, there is no limitation on the treatment indicated in that section. Section D: Patient or patient's representative signature is required. Section E: Clinician signature required. Review of Resident #18's MOLST indicated section D and section E were both signed by Resident #18's Healthcare proxy (HCP) on 9/18/21. Resident #18 indicated advanced directives to be: Do not resuscitate…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-10-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  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 and interview, the facility failed to ensure staff provided residents an environment free from accident hazards on one unit of three units in the facility. Specifically, the facility failed to ensure a utility room with hazardous items stored in it was not easily accessible to wandering residents on a Dementia Special Care Unit. Findings include: On 10/9/24 at 9:14 A.M., the surveyor observed an unlocked utility room with the door ajar, the surveyor was easily able to enter the room with just a gentle push of the door. Inside the room the surveyor observed: -Two open four-gallon bottles of no-rinse floor stripper -A pair of unsecured and unlabeled dentures -Four full containers of used sharps being stored -A four-gallon bottle of concentrated degreaser cleaner with approximately half of the liquid remaining in the bottle. On 10/9/24 at 10:24 A.M., the surveyor observed on the South unit of the Dementia Specialty Care facility, a resident walking without direction independently past the unlocked utility room. On 10/9/24 at 11:19 A.M., the surveyor observed…

  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 · E2024-10-11 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure 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 potential spread of foodborne illness to residents who are at high risk. Specifically, the facility failed to: 1. Maintain the resident kitchenette in a clean and sanitary condition, and to ensure all food was properly labeled and dated and removed after three days in one of one kitchenette reviewed; and 2. Ensure the ceiling in the main kitchen was maintained in a safe sanitary condition to prevent flaking with potential to contaminate food and clean dishes below. Findings include: 1. Review of the facility's policy titled Use and Storage of Food Brought in by Family or Visitors, dated 2024, indicated but was not limited to the following: -It is the right of the residents of this facility to have food brought in by family or other visitors, however, the food must be handled in a way to ensure the safety of the resident. -All food items that are already prepared by the family or visitor brought in must be labeled with the content and dated.…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-11 · 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 record review and interviews, the facility failed to ensure one Resident (#37), out of a total sample of 16 residents, received care and treatment to promote healing of pressure injuries. Specifically, the facility failed to address wound physician's recommendations timely for care and treatment of two Stage 3 pressure ulcers (full thickness tissue loss that extends through the skin into the fat and deeper tissue, but does not expose bone, tendon, or muscle) to the coccyx (tailbone) and right buttock. Findings include: Review of the facility's policy titled Pressure Ulcer Prevention and Management, dated as last revised 3/4/24, indicated but was not limited to the following: -The facility shall establish and utilize a systematic approach for pressure injury prevention and management, including prompt assessment and treatment; intervening to stabilize, reduce or remove underlying risk factors; monitoring the impact of the interventions; and modifying the interventions as appropriate. -Licensed nurses…

  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 · D2024-10-11 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interview, the facility failed to ensure that as needed (PRN) orders for psychotropic medications were limited to 14 days, unless otherwise documented by the attending physician or prescribing practitioner that it was appropriate to extend beyond 14 days for one Resident (#3), out of a total sample of 16 residents. Specifically, the facility failed to ensure a rationale was documented in the medical record for extending the use of Trazodone (anti-depressant) used for anxiety/agitation/insomnia. Findings include: Review of the facility's policy titled Use of Psychotropic Medications, dated as last revised 3/4/24, indicated but was not limited to the following: -A psychotropic drug is any drug that affects brain activities associated with mental processes and behavior. Psychotropic drugs include but are not limited to the following categories: antipsychotics, antidepressants, anti-anxiety, and hypnotics. -PRN orders for all psychotropic drugs shall be used only when the medication is necessary to treat a diagnoses' specific condition that is documented…

  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 · E2023-07-24 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, policy review and observation, the facility failed to 1) speak respectfully to 2 Residents (#24 and #39) and 2) serve meals to residents in a dignified manner, from a total sample of 33 residents. Findings include: Review of the facility policy Dignity/Quality of Life dated 12/6/21, indicated: * Residents shall always be treated with dignity and respect. * Staff shall always speak respectfully to residents, including addressing the resident by his or her name of choice and not labeling or referring to the residents by his or her room number, diagnosis, or care needs. 1a. Resident #24 was admitted to the facility in September 2016, and had diagnoses which included non-traumatic brain dysfunction and hemiplegia. Resident #24's Minimum Data Set assessment dated [DATE], indicated total dependence on staff for eating. On 7/19/23, at 8:40 A.M., the surveyor observed Resident #24 lying in bed, awake. Certified Nurse Aide (CNA) #4 entered the room and told the surveyor that Resident #24 needed to…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-07-24 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and observation, the facility failed to ensure window screens, sinks, bedroom doors, tiles and painted areas were in good condition. Findings include: 1. During observations of the facility's North Wing on 7/19/23, throughout the morning and afternoon, the surveyor noted the following: * Shared bathroom room [ROOM NUMBER], no window screen and window was open approximately 3 inches. Floor was wet and slippery, drain pipe from the sink is wet and leaking. * Bedroom [ROOM NUMBER], bedroom window screen has a 1 x 1 inch tear, window was open approximately 4 inches. Bedroom entry door unable to close, door hinges were misaligned. * Bedroom [ROOM NUMBER], window screen torn approximately 1 x 2 inches and window was open approximately 3 inches. * Shared bathroom room [ROOM NUMBER], no window screen and window was open approximately 3 inches. Leaky bathroom sink faucet, surveyor heard water running from the hallway. Surveyor was unable to shut off the water flow from the faucet. * Shared bathroom…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-07-24 · tag F0604 — failed to not use physical restraints improperly — pattern
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  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, policy review and interview, the facility failed to assess the use of a restraint for 5 Residents (#17, #43, #6, #47, #51) out of a total sample of 33 residents. Review of the facility's policy titled Physical Restraints, revision date 8/21, included the following: - Physical restraint is defined as any manual method, physical or mechanical device, equipment or material that meets the following criteria: -Is attached to adjacent to the patient's body. -Cannot be removed easily by the patient -Restricts the patient's freedom of movement or normal access to his/her body. -Bedrails, position change alarms and positioning devices may be considered restraints. Positioning devises include pillows and barrier or scoop mattresses. All potentially restraining devices require assessment to determine if the device constitutes a restraint. 1. Device evaluation- Any resident who is utilizing a device that could constitute a restraint will be evaluated to determine if the device is a…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-07-24 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to implement the plan of care for 1) feeding assistance for 5 Residents (#1, #6, #15, #44 and #45), 2) elevating heels when in bed for 2 Residents (#43, #56) and 3) wandering behaviors for 1 Resident (#41) out of a total sample of 33 Residents. Findings Include: 1a. Resident #1 was admitted to the facility in December 2021 with diagnoses including Alzheimer's dementia, psychotic disorder and anxiety. On 7/19/23, at 8:27 A.M., the surveyor observed Resident #1 sitting in bed eating alone in the room. On 7/20/23, at 8:35 A.M., the surveyor observed Resident #1 sitting in bed eating alone in the room. Review of the medical record indicated a diagnosis of Dysphagia, Oropharyngeal Phase. Further review indicated a Modified Barium Swallow Study (MBSS) dated 4/14/23, with a discharge diagnosis of severe oropharyngeal dysphagia affecting the safety and efficiency of the swallow. Review of the care plan dated as last revised 8/16/22, indicated the…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-07-24 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interviews, the facility failed to ensure residents' rights to personal privacy and confidentiality was promoted and protected for 3 Resident's (#3, #54, #49), from a total sample of 33 residents. Specifically, the facility failed to ensure specific Resident names were not included in care plans. Findings include: Review of the facility policy titled, Confidentiality of Information, revision date 2010 included the following: - The facility will safeguard all resident records, whether medical, financial, or social in nature to protect the confidentiality of the information. 1. For Resident #3 the facility failed ensure the residents name was protected from another residents care plan. Resident #3 was admitted to the facility in January 2018 with diagnoses including, traumatic brain injury, and cognitive communication deficit. Review of the most recent Minimum Data Set assessment dated [DATE] included a Brief Interview for Mental Status score of 5 out of a possible 15 indicating severe…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$8,422 in federal fines across 1 penalty.

• $8,422 — penalty dated 2025-12-16

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.

Who owns this facility

CMS files one row per role, so the 9 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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

Follow the money — this home’s finances

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

About 70% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $320K 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