119
of 132 · state avg 114
5
Surveys with findings
15
Deficiencies cited
0
2
Complaint investigations
2
Enforcement actions

This nursing facility met 119 out of the 132 key requirements inall five categories in its last three surveys. The number of deficiencies not met as a result of complaint investigations is: 2 . The facility's score is 116 after adjustment for scope and severity. 39% of all facilities had a score of 116 or lower. The statewide average facility score is 114.

Scores cover the facility's last three standard surveys across five categories, adjusted for the scope and severity of each finding. A higher score means more requirements were met.

Facility details

Phone
(508)430-1717
Most recent inspection
April 7, 2026
Most recent standard survey
December 3, 2025
Complaint investigations
April 7, 2026, August 28, 2025

Category scores

Facility vs. statewide average
CategoryFacilityState averageMaximum
Administration · 1 from complaint investigation363539Above average
Nursing272733At average
Resident rights · 1 from complaint investigation262427Above average
Kitchen / food services111112At average
Environment191921At average

Inspections

5 survey dates with findings · 15 deficiencies
April 7, 2026Administration1 deficiency▼
F658 The services provided or arranged by the facility as outlined by the comprehensive care plan must meet…ADMINISTRATION▼
Requirement not met

The services provided or arranged by the facility as outlined by the comprehensive care plan must meet professional standards of quality.

December 3, 2025Administration, Nursing2 deficiencies▼
F658 The services provided or arranged by the facility as outlined by the comprehensive care plan must meet…ADMINISTRATION▼
Requirement not met

The services provided or arranged by the facility as outlined by the comprehensive care plan must meet professional standards of quality.

F675 F684 F697 F698 F744 The facility ensures that each resident receives and the facility provides the necessary care and services…NURSING▼
Requirement not met

The facility ensures that each resident receives and the facility provides the necessary care and services to attain or maintain the highest practicable physical, mental and psychosocial well-being. / The facility ensures that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices / The facility ensures that pain management is provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences. / The facility ensures that residents who require dialysis receive such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences. / Resident who displays or are diagnosed with dementia, receive the appropriate treatment and services to attain or maintain his or her highest practicable physical, mental, and psychosocial well-being.

August 28, 2025Resident Rights1 deficiency▼
F550 The facility treats each resident with respect and dignity and care for each resident in a manner…RESIDENT RIGHTS▼
Requirement not met

The facility treats each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality; provide equal access to quality care regardless of diagnosis, severity of condition, or payment source; and ensures that residents can exercise his or her rights without interference, coercion, discrimination, or reprisal from the facility.

August 13, 2024Administration, Nursing, Resident Rights, Kitchen/Food Services, Environment5 deficiencies▼
F880 The facility must establish and maintain an infection control program designed to provide a safe, sanitary…ADMINISTRATION▼
Requirement not met

The facility must establish and maintain an infection control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of disease and infection. Identified incidents of infection and corrective measures must be recorded and the infection control program must be reviewed yearly and updated as necessary.

F639 F656 A facility must maintain all resident assessments completed within the previous 15 months in the resident's…NURSING▼
Requirement not met

A facility must maintain all resident assessments completed within the previous 15 months in the resident's active record and use the results of the assessments to develop, review and revise the resident's comprehensive care plan. / The facility develops and implements comprehensive person-centered care plans for each resident that include measurable objectives and time frames to meet each resident's medical, nursing and mental and psychosocial needs which describe services to be furnished to attain or maintain residents highest practical well-being and assess resident or resident representative goals for desired outcomes.

F583 F842 The facility observes resident rights to personal privacy, including personal and medical records…RESIDENT RIGHTS▼
Requirement not met

The facility observes resident rights to personal privacy, including personal and medical records, accommodations, medical treatment, all communications, deliveries, personal care, visits, and meetings of family and resident groups and respects residents' right to refuse the release of personal and medical records when allowed by state and federal law. / The facility maintains medical records containing required information on each resident that are complete, accurately documented, readily accessible and Systematically organized; ensures all identifiable resident records remain confidential and does not release identifiable resident information unless permitted to do so; safeguards medical record information against loss, destruction, or unauthorized use; and retains the medical records for the specified amount of time.

F812 F813 The facility procures food from sources approved or considered satisfactory by federal state or local…KITCHEN/FOOD SERVICES▼
Requirement not met

The facility procures food from sources approved or considered satisfactory by federal state or local authorities and stores, prepares, distributes and serves food in accordance with professional standards for food service safety. / The facility has a policy regarding use and storage of foods brought to residents by family and other visitors to ensure safe and sanitary storage, handling, and consumption.

F584 The facility provides a safe, clean, comfortable, and homelike environment, allowing residents to use…ENVIRONMENT▼
Requirement not met

The facility provides a safe, clean, comfortable, and homelike environment, allowing residents to use their personal belongings to the extent possible by; Ensuring that the physical layout of the facility maximizes resident independence and does not pose a safety risk; Providing housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior; Maintaining clean bed and bath linens that are in good condition; And providing private closet space in each resident room, adequate and comfortable lighting levels in all areas, comfortable and safe temperature levels and the maintenance of comfortable sound levels.

May 3, 2023Administration, Nursing, Environment6 deficiencies▼
F880 The facility must establish and maintain an infection control program designed to provide a safe, sanitary…ADMINISTRATION▼
Requirement not met

The facility must establish and maintain an infection control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of disease and infection. Identified incidents of infection and corrective measures must be recorded and the infection control program must be reviewed yearly and updated as necessary.

F639 F656 A facility must maintain all resident assessments completed within the previous 15 months in the resident's…NURSING▼
Requirement not met

A facility must maintain all resident assessments completed within the previous 15 months in the resident's active record and use the results of the assessments to develop, review and revise the resident's comprehensive care plan. / The facility develops and implements comprehensive person-centered care plans for each resident that include measurable objectives and time frames to meet each resident's medical, nursing and mental and psychosocial needs which describe services to be furnished to attain or maintain residents highest practical well-being and assess resident or resident representative goals for desired outcomes.

F675 F684 F697 F698 F744 The facility ensures that each resident receives and the facility provides the necessary care and services…NURSING▼
Requirement not met

The facility ensures that each resident receives and the facility provides the necessary care and services to attain or maintain the highest practicable physical, mental and psychosocial well-being. / The facility ensures that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices / The facility ensures that pain management is provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences. / The facility ensures that residents who require dialysis receive such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences. / Resident who displays or are diagnosed with dementia, receive the appropriate treatment and services to attain or maintain his or her highest practicable physical, mental, and psychosocial well-being.

F686 The facility ensures residents receive care to prevent pressure ulcers unless resident's clinical condition…NURSING▼
Requirement not met

The facility ensures residents receive care to prevent pressure ulcers unless resident's clinical condition demonstrates that they were unavoidable and residents with pressure ulcers receive treatment and services to promote healing, prevent infection and prevent new ulcers from developing.

F690 The facility ensures that residents continent of bladder and bowel on admission receive services…NURSING▼
Requirement not met

The facility ensures that residents continent of bladder and bowel on admission receive services and assistance to maintain continence unless his or her clinical condition is or becomes such that continence is not possible to maintain. The facility ensures residents incontinent of bladder receive appropriate treatment and services to prevent urinary tract infections and to restore as much normal bladder function as possible, specifically not catheterizing residents incontinent of urine who enter the facility without an indwelling catheter and assessing residents who enter with an indwelling catheter for removal of the catheter as soon as possible.

F921 The facility provides a safe, functional, sanitary and comfortable environment for residents, staff…ENVIRONMENT▼
Requirement not met

The facility provides a safe, functional, sanitary and comfortable environment for residents, staff and the public.

Scope and severity in this report
DIsolated/Minimal harm or potential for actual harm
EPattern/Minimal harm or potential for actual harm

Ratings run from A (least serious) to L (most serious). Click any rating above for the state’s full definition.

Enforcement

Immediate jeopardy
March 18, 2022
Substandard quality of care
March 18, 2022

No actions in the reported time period for: termination, denial of payments, admission freeze.