Christopher House Of Worcester
10 Mary Scano Drive, Worcester, MA 01605 · Non profit - Corporation · 156 certified beds · (508) 754-3800 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- a middle-of-the-pack inspection score (3/5)
- a high payroll-based staffing rating (4/5)
- lower-than-typical staff turnover (30% vs 45% nationally) — better care continuity
- it has 2 actual-harm citations
- a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $8,512 in federal fines (most recent 2024-03-28)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 3 of 5 |
| Long-stay residentspeople who live here | 3 of 5 |
| Short-stay residentsrehab / post-hospital | 2 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 3 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 23.4% | 16.4% | 15.4% | worse |
| Long-stay residents who lose too much weight | 6.6% | 5.1% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.2% | 0.8% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 3.8% | 1.8% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 4.0% | 15.5% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 5.6% | 3.4% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 22.5% | 15.4% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 17.1% | 19.5% | 18.9% | typical |
| Long-stay residents given the seasonal flu vaccine | 93.8% | 94.8% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 6.6% | 4.2% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 19.6% | 21.2% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 18.0% | 21.4% | 17.1% | typical |
| Short-stay residents who newly got an antipsychotic medication | 1.2% | 1.4% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 87.8% | 77.7% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 20.7% | 25.7% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 13.1% | 11.9% | 12.0% | typical |
| Long-stay hospitalizations per 1,000 resident days | 1.03 | 1.88 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 0.78 | 1.50 | 1.80 | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
58.6% 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 257 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 31.8% 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 126 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 0.42 therapist hours per resident per day in 2026Q1 — more than 72% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 30% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 58.6%CMS range 52.5–64.8 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 12.1%CMS range 9.1–15.3 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 31.8% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 16.7% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 42.1% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 98.5% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 1.2% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 3.1% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 5.7%CMS range 3.5–7.7 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.76 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 156 beds and averages 141.2 residents a day — about 91% occupied, or roughly 15 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.10 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.66 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.50 is at or above 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 3.63 hrs/resident/day on weekends vs 4.30 on weekdays — 16% thinner on weekends. RN hours go from 0.78 to 0.39 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 30% is below the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
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 12 most serious are shown; the remaining 10 are one tap away and print in full.
- Actual harm · Gcited before2024-03-28 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on records reviewed and interviews for one of three sampled residents (Resident #1), whose comprehensive plan of care indicated he/she required the use of a Hoyer lift (mechanical mobility aid that supports a person's body weight to allow movement from one surface to another) with assistance of two staff members for all transfers, the Facility failed to ensure staff implemented and followed interventions in his/her care plan, when on 03/12/24, Certified Nurse Aide (CNA) #1 transferred Resident #1 from his/her wheelchair into bed with a Hoyer lift, without another staff member present to assist him. Resident #1 fell to the floor onto his/her knees then fell forward landing on his/her face. Resident #1 was transferred to the Hospital Emergency Department (ED) and diagnosed with a laceration, head injuries and fractures. Findings include: Review of the Facility's Policy, Care Planning and Assessment of Resident, with a reviewed date of 11/14/19, indicated the purpose of the assessment is to identify 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.
- Actual harm · Gcited before2024-03-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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 records reviewed and interviews for one of three sampled residents (Resident #1), who required the use of a Hoyer lift (mechanical mobility aid that supports a person's body weight to allow movement from one surface to another) with assistance of two staff members for all transfers, the Facility failed to ensure he/she was provided with the necessary level of staff assistance to maintain his/her safety and prevent an incident/accident resulting in an injury, when on 03/12/24, while Certified Nurse Aide (CNA) #1 transferred Resident #1 from his/her wheelchair into bed without another staff member present to assist him. Resident #1 fell to the floor onto his/her knees then fell forward landing on his/her face. Resident #1 was transferred to the Hospital Emergency Department (ED) and diagnosed with a head laceration, head injuries and multiple facial fractures. Findings include: Review of the Facility's Policy, titled Mechanical Lifts, with a revision date of 1/25/22, indicated the following: -To provide…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-08-29 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to maintain a clean and homelike environment for one Resident (#123), out of a total sample size of 28 residents. Specifically, for Resident #123, the facility staff failed to maintain the Resident's wheelchair in a clean and sanitary manner when the Resident was dependent on the wheelchair use for mobility and the wheelchair was visibly soiled. Findings include: Review of the facility policy titled Wheelchair Cleaning Policy, last reviewed 9/25/24, included but was not limited to:-to ensure the safety, hygiene, and functionality of all wheelchairs in use by maintaining a consistent cleaning schedule and accurate tracking system. -wheelchairs will be cleaned once per week at a minimum until all wheelchairs are completed.-additional cleanings may be performed as needed due to visible soiling, spills, or infection control requirements. -the Housekeeping/Maintenance Department is responsible for ensuring all wheelchairs are cleaned…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-08-29 · tag F0641 — isolatedEnsure 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 record reviews, and interviews, the facility failed to complete Minimum Data Set (MDS) Assessments that accurately reflected the status of two Residents (#15 and #142) out of a total sample of 28 Residents.Specifically, for Resident #15, and Resident #142, the facility failed to ensure that the Brief Interview for Mental Status (BIMS) and Patient Health Questionnaire-9 (PHQ-9: questionnaire used to assess for Depression) were completed, placing the Resident's at risk for care that is not Resident driven and unidentified Depression. Findings include:1) Resident #15 was admitted to the facility in July 2025 with diagnoses including BiPolar Disorder and Mood Disorder. Review of the MDS assessment dated [DATE] indicated Resident #15: -was usually understood -usually understood others -BIMS assessment was not attempted -PHQ-9 assessment was not attempted During an interview on 8/26/25 at 9:04 A.M., Resident #15 appropriately understood and answered the surveyor's questions about his/her stay in the facility.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-08-29 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide care and services as required for an indwelling urinary/Foley catheter for one Resident (#3) out of a total sample of 28 residents. Specifically, for Resident #3, the facility failed to ensure that a blocked indwelling urinary catheter was replaced with the correct sized catheter balloon as ordered by the Physician. Findings include: Review of the facility policy for Urinary Catheters, last revised 11/1/23, indicated: -to ensure appropriate use of indwelling or intermittent urinary catheters once necessity has been determined .-Catheter Removal: >the Licensed Nurse checks Physician's order for.catheter>documents findings as indicated Resident #3 was admitted to the facility in June 2025 with diagnoses including neurogenic bladder and obstructive uropathy. Review of Resident #3 August 2025 Physician's orders indicated: -Foley catheter care every shift, start date 6/30/25-Foley catheter change as needed for leakage, blockage or…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-08-29 · tag F0699 — isolatedProvide care or services that was trauma informed and/or culturally competent.
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 provide trauma-informed care according to professional standards of practice and accounting for the Resident's experiences for one Resident (#6) out of a total sample of 28 residents. Specifically, for Resident #6, the facility failed to:-assess the Resident for a history of trauma when the Resident was newly admitted to the facility.-recognize the Resident's experiences of traumatization when, during the Resident's stay at the facility, contracted Psychological Services identified that the Resident had a history of trauma, putting the Resident at risk for re-traumatization. Findings include: Review of the facility's policy titled Trauma Informed Care, last reviewed 9/6/22, indicated the following:-It is the policy of the facility to ensure residents who are trauma survivors receive culturally competent, trauma-informed care in accordance with professional standards of practice.-Care will be provided while considering the residents' experiences and preferences in order to eliminate or mitigate triggers 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.
- Potential for harm · D2025-08-29 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure drugs and biologicals were stored and secured in accordance with State and Federal requirements on one unit (Brookside unit) medication carts, out of total of four units and that medications were stored in a safe and secure manner for one Resident (#3) out of a total sample of 28 residents.Specifically, the facility failed to:1. ensure that one medication cart on the Brookside Unit was locked while the Nurse walked away from the medication cart multiple times and the unlocked medication cart was out of her sight, providing ready access of medications in the medication cart to unauthorized personnel and residents.2.For Resident #3, ensure that a prescribed inhaler was secured and not left on the Resident's nightstand table that was readily accessible to other residents and/or unauthorized individuals. Findings include: Review of the facility policy titled Storage of Medications, revised 2024, included but was not limited…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-08-29 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interviews, and record reviews, the facility failed to maintain complete and accurately documented medical records relative to fluid intake and urinary output for one Resident (#5) out of a total sample of 28 residents.Specifically, the facility failed to maintain complete and accurate documentation of:1. Resident #5's fluid intake when the Resident was identified to have Congestive Heart Failure (CHF), required the use of diuretic medication, and was placed on fluid restriction.2.Resident #5's urine output when the Resident was identified to have CHF, was placed on fluid restriction, and the Resident had an indwelling urinary catheter, putting the Resident at risk for inadequate monitoring of his/her medical condition and fluid-related complications. Findings include:Review of the facility's policy titled Intake and Output Assessment/Documentation, last revised 12/1/24, indicated the following:-The objective was to maintain adequate fluid balance.-The nursing staff will document intake and output in the EHR (electronic health record). Resident #5 was admitted…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-08-29 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interviews, and record reviews, the facility failed to maintain an effective infection control and prevention program to stop the spread of organisms and infections for one Resident (#52) out of a total sample of 28 residents. Specifically, for Resident #52, the facility failed to ensure that staff performed appropriate hand hygiene during glove changes while providing wound care for Resident #52 who was on Enhanced Barrier Precautions (EBP: infection prevention practice of wearing gown and gloves to reduce transmission of multi-drug-resistant organisms [MDRO's - bacteria that are resistant to three or more types of antimicrobial drugs]) during high contact resident care), placing the Resident at risk for contracting healthcare-associated infections. Findings include: Review of the facility's policy titled, Wound Care, last revised 2/9/24, included but was not limited to: -to protect our residents, our staff follow evidenced-based infection prevention practices to minimize pathogen transmission during wound care.-The following practices should be incorporated…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-06-14 · tag F0883 — failed to offer flu and pneumonia vaccines — patternDevelop and implement policies and procedures for flu and pneumonia vaccinations.
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, record and policy review, the facility failed to ensure that the Pneumococcal (bacterial infection caused by streptococcus pneumoniae/ pneumococci, that can range from ear and sinus infections to Pneumonia and blood stream infections) Vaccination was administered to two Residents (#35, and #81) for five applicable residents, out of a total sample of 29 residents. Specifically, the facility staff failed to: 1. identify whether Resident #35 was up to date with Pneumococcal Vaccinations, administer the Pneumococcal Vaccine when the Resident was not up to date, and determine whether he/she was eligible to receive the Pneumococcal Vaccine when the Resident/Representative consented to receive the vaccination. 2. identify whether Resident #81 was up to date with Pneumococcal Vaccinations, administer the Pneumococcal Vaccine when the Resident was not up to date, and determine whether he/she was eligible to receive the Pneumococcal Vaccine when the Resident/Representative consented to receive the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-06-14 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview, record and policy review, the facility failed to ensure that one Resident (#130) of four applicable residents reviewed, out of a total sample of 29 residents, received care and services for his/her pressure ulcer (a wound, usually over a bony prominence, that is caused by unrelieved pressure to the area) in accordance with professional standards. Specifically, the facility failed to ensure a wound care recommendation from the hospital, that was approved by the facility Nurse Practitioner (NP) was implemented placing the Resident at risk for worsening of his/her pressure ulcer. Findings include: Resident #130 was admitted to the facility in April 2024 with diagnoses of Stage 4 Pressure Ulcer (a wound, usually over a bony prominence, that is caused by unrelieved pressure to the area and extends to muscle, tendon and or bone tissue), and Quadriplegia (paralysis, or inability to move below the neck including the arms and legs). Review of the Hospital After Visit Summary dated 5/29/24, for re-admission to the facility included a wound care recommendation to: -wash…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-06-14 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, record and policy review, the facility failed to adhere to infection control standards in order to prevent the potential transmission of communicable diseases and infections within the facility for two Residents (#130 and #241), out of a total sample of 29 residents. Specially, the facility failed to: 1) For Resident #130, ensure that staff performed hand hygiene after the removal of gloves during a dressing change procedure placing the Resident at risk for infection in his/her wound. 2) For Resident #241, ensure that staff: a) wore the required Personal Protective Equipment (PPE-items used to prevent the spread of infection such as gowns, gloves, face masks) and/or wore the required PPE correctly while caring for the Resident, placing others at risk for exposure to a communicable disease (a disease or infection that is easily spread from one individual to another). b) changed a urinary catheter drainage bag (a bag used to collect urine) after it had been disconnected from the Foley Catheter (a thin, flexible tube placed through the urethra [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.
Show the remaining 10 citations
- Potential for harm · D2024-03-28 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on records reviewed and interviews for one of three sampled residents (Resident #1), who on 03/12/24, experienced a fall to the floor during a transfer with the Hoyer lift (mechanical mobility aid that supports a person's body weight to allow movement from one surface to another), the Facility failed to ensure he/she was provided with quality of care that met acceptable standards of practice, when after the fall despite noting that while Resident #1 was on the floor he/she was bleeding from his/her nose, Certified Nurse Aide (CNA) #1 transferred Resident #1 off the floor and put him/her in bed, before notifying nursing so Resident #1 could be assessed for injuries. Resident #1 was transferred that evening to the Hospital Emergency Department (ED) for an evaluation and was diagnosed with a laceration, head injuries and fractures. Findings include: Review of the Facility's policy, Fall Procedure, with a revision date of 09/08/21, indicated the objective was to provide appropriate intervention, evaluation,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2023-02-17 · tag F0880 — failed to prevent and control infections — widespreadProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews, record and policy reviews, the facility failed to ensure that its staff implemented an infection prevention and control program in order to provide a sanitary environment and help prevent the development and transmission of communicable diseases. Specifically, the facility failed to ensure its staff: 1) implemented a surveillance plan to identify the potential presence of Legionella (a bacteria that can grow and multiply in moist areas of a building water system and cause lung infections) within the facility, 2) implemented contact precautions for one Resident (#3), with a diagnosis of Extended Spectrum Beta-Lactamase (ESBL- enzyme found in bacteria that cause infections that are resistant to many types of antibiotics), 3) adhered to the Centers of Disease Control & Prevention (CDC) and Massachusetts Department of Public Health (MA DPH) guidance relative to work exclusion after one Employee (#1) tested positive for COVID -19 infection, and 4) minimized the risk of transmission of infections by implementing the required Personal Protective Equipment…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2023-02-17 · tag F0909 — failed to maintain a comfortable temperature — widespreadRegularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews and documentation review, the facility failed to ensure its staff completed annual inspections of all bed frames, mattresses and bed rails as part of the regular maintenance program to identify areas of possible entrapment on four of four units. Findings include: During an interview and review of the annual bed inspections forms for all units on 2/17/23 at 8:00 A.M., the Director of Maintenance said that bed assessments and entrapment evaluations are conducted annually for all resident beds as part of the preventative maintenance program. The Director of Maintenance was able to provide the bed assessments from 2019 through 2021 but was unable to provide documented evidence that the annual inspections of the resident beds were completed in 2022. The Director of Maintenance said he did not recall if the bed assessments were completed in 2022, and that the facility did not have policy related to this process, but verbalized to the surveyor that inspection of resident beds including assessing for entrapment was to be conducted annually and when a mattress was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2023-02-17 · tag F0842 — failed to keep accurate, complete medical records — patternSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews, and record reviews, the facility failed to ensure its staff maintained a complete and/or accurate medical record for four Residents (#60, #85, #95 and #112), out of a total sample of 26 residents. Findings include: 1. For Resident #60, the facility failed to ensure its staff maintained an accurate medical record relative to the documentation of application and/or the administration of a) heel lift boots and b) contact precautions for Extended Spectrum Beta-Lactamase (ESBL- enzyme found in bacteria that cause infections that are resistant to many types of antibiotics). Resident #60 was admitted to the facility in January 2023, with diagnoses including Right Hip Fracture, falls and Urinary Tract Infections (UTI). Review of the February 2023 Physician's Orders included the following: -heel lift boots- at all times, may remove periodically for skin observations and hygiene every shift, initiated 1/14/23 -contact precautions for ESBL in the urine every shift, initiated 1/16/23 During observations on 2/15/23 at 9:05 A.M., and 2/16/23 at 9:26 A.M., the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-02-17 · tag F0886 — failed to test for COVID-19 as required — patternPerform COVID19 testing on residents and staff.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to ensure its staff conducted the required COVID-19 outbreak testing for residents on one out of four units, when the facility was experiencing an outbreak of COVID-19. Specifically, the facility failed to ensure its staff tested all residents on the Brookside Unit for 1) initial requisite outbreak testing when all residents with potential exposure could not be determined, and 2) every 48 hours following initial requisite outbreak testing until the Unit went seven days with no new positive cases after one Employee (#1) had worked on the Unit, became symptomatic, and tested positive, for COVID-19. Findings include: Review of The Commonwealth of Massachusetts (MA) Executive Office of Health and Human Services (EOHHS) Department of Public Health (DPH) memorandum, titled Update to Caring for Long-Term Care Residents during the COVID-19 Response, including Visitation Conditions, Communal Dining, and Congregate Activities, dated 10/13/22, included the following relative to outbreak testing: - Once a new case is identified, the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-02-17 · tag F0655 — isolatedCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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 its staff developed a baseline care plan within 48 hours of admission to the facility for one Resident (#1), out of 26 total sampled residents. Specifically, the facility failed to ensure its staff developed a baseline care plan, or completed a comprehensive care plan in its place for Resident #1, within 48 hours of the Resident's admission to the facility to include the following: the Resident's a) risk for falls when the Resident had a history of repeated falls and sustained a fracture of the seventh thoracic (upper and middle part of the back) vertebra and b) provide communication for Resident's needs when a language barrier was present. Findings include: Review of the facility's policy, titled 48 Hour Baseline Care Plan, dated 8/2/18, included the following: - The objective was to promote continuity of care and communication among staff and residents/families. - A baseline care plan would be developed for each resident within 48 hours of admission. - The baseline care plan would address the most important…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-02-17 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record reviews, and interviews, the facility failed to ensure that its staff implemented the plan of care for two Residents (#95 and #60), out of a total of 26 sampled residents. Specifically, the facility staff failed to follow the plan of care for: 1) the application of TED Stockings (compression stockings used to gently squeeze the lower extremities to improve blood flow in the veins of the legs) for Resident #95, and 2) implementation of a perimeter mattress for Resident #60. Findings include: 1) For Resident #95 the facility failed to follow the plan of care for the application of TED stockings. Resident #95 was admitted to the facility in January 2021 with diagnoses including Hypertension (high blood pressure) and Atrial Fibrillation (abnormal heart rhythm). Review of the Minimum Data Set (MDS) Assessment, dated 11/16/2022, indicated Resident #95 was cognitively intact as evidenced by a Brief Interview for Mental Status (BIMS) score of 14 out of a total possible score of 15. Review of the Resident's clinical record progress notes indicated on 2/6/23 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.
- Potential for harm · Dcited before2023-02-17 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review, the facility failed to ensure its staff provided care consistent with professional standards of practice to prevent pressure ulcers (injury to the skin and underlying tissue resulting from prolonged pressure on the skin) from developing and promote healing of a pressure ulcer that had developed for one Resident (#20), out of three applicable residents who had pressure ulcers, out of a total sample of 26 residents. Specifically, the facility staff failed to: 1) perform weekly skin assessments when the Resident was identified as being at risk for developing pressure ulcers, and 2) provide treatment to a pressure ulcer that included adequate infection control practices. Findings include: 1) The facility failed to ensure its staff performed weekly skin assessments when the Resident was identified as being at risk for developing pressure ulcers. Resident #20 was admitted to the facility in September 2022 with a diagnosis of a wedge compression fracture (an injury…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-02-17 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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 observations and interview, the facility failed to ensure its staff secured and locked one medication cart on one of four units. Specifically, Nurse #2 left an unlocked and unattended medication cart on the Hillside Unit and also provided instruction for an unauthorized Employee to access the cart to retrieve medication. Findings include: Review of the Centers of Medicare & Medicaid Services (CMS) Medication Storage and Labeling Pathway, revised February 2017, indicated the following: .In accordance with State and Federal laws, the facility must store all drugs and biologicals in locked compartments under proper temperature controls, and permit only authorized personnel to have access to the keys . During an observation on 2/16/23 at 9:31 A.M. through 9:47 A.M., the surveyor observed Nurse #2 enter Resident #183's room and close the door. The medication cart was observed positioned outside of the Resident's room in the hallway outside. At 9:36 A.M., the surveyor observed the Respiratory Therapist (RT) knock on the door to the Resident's room and ask Nurse #2 for medications…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-02-17 · tag F0700 — isolatedTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
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 ensure its staff assessed and obtained informed consent for the use of bed rails for two Residents (#185 and #1), out of a total sample of 26 residents. Findings include: Review of the facility policy titled Bed Rails, revised 10/2/22, indicated that prior to the use of one quarter (1/4) bed rails, the facility will complete an assessment, offer and attempt an alternative of no bed rails, ensure correct installation, and obtain a signed informed consent. The policy also included the following: -a bed rail assessment will be completed for entrapment risk . -nursing will offer and attempt alternatives of no bed rails to resident/Health Care Proxy (HCP- designated person to assist in health care decisions) -maintenance will ensure bed dimensions are appropriate for resident size and weight, follow the manufacturer's recommendations for using and maintaining bed rails and as the resident's condition warrants -the resident/HCP will sign an informed consent which will include the discussion of the risks/benefits…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$8,512 in federal fines across 1 penalty.
- $8,512 — penalty dated 2024-03-28
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
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| HUDSON SECURITY CORPORATION | Organization | 5% OR GREATER MORTGAGE INTEREST | since 03/30/2012 |
| BAUER-MAHONEY, SANDRA | Individual | W-2 MANAGING EMPLOYEE | since 11/02/2015 |
| CUCCHIARA, MICHAEL | Individual | CORPORATE DIRECTOR | since 11/17/2017 |
| LENZO, DANIEL | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | since 11/26/1991 |
| MADELL, JAMES | Individual | CORPORATE DIRECTOR | since 07/18/2010 |
| WALSH, GREGORY | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | since 11/26/1991 |
| THE GRANTHAM GROUP, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/1999 |
CMS files one row per role, so the 9 rows in the source record cover these 7 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.
2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $13K paid to related parties (affiliated landlords or management companies) in its most recent cost report.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in MA
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Massachusetts Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 225385. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-29, 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.