Cycle 1
Health 2025-06-11 · Fire 2025-06-11
2 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fairhaven, MA
Alden Court Nursing Care & Rehabilitation Center
4-star overall rating with 4-star inspections with $12,386 in total fines with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
389 Alden Road, Fairhaven, MA
(508) 991-8600
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
142
Certified beds
Average residents
131
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1990-06-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.59
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.02
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.79
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
4.39
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.61
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.80
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.31
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.55
CMS adjusted RN staffing hours
Adjusted total hours
4.13
CMS adjusted total nurse staffing hours
Case-mix index
1.45
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
69%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,913
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.62
Composite VBP score used to determine payment impact.
Payment multiplier
0.9885
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.71
Baseline 22.22% · Performance 21.07% · Measure score 1.71 · Achievement 0.78 · Improvement 1.71
Healthcare-associated infections
0
Baseline 6.50% · Performance 8.22% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
8.88
Baseline 38.26% · Performance 27.40% · Measure score 8.88 · Achievement 8.88 · Improvement 7.60
Adjusted total nurse staffing
3.26
Baseline 3.33 hours · Performance 4.01 hours · Measure score 3.26 · Achievement 3.26 · Improvement 2.26
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.02% |
10.72%
1.7 pts better
|
Better than the National Rate · Eligible stays 626 · Observed rate 7.51% · Lower 95% interval 7.1% |
| Discharge to community | 64.16% |
50.57%
13.6 pts better
|
Better than the National Rate · Eligible stays 687 · Observed rate 61.28% · Lower 95% interval 60.61% |
| Medicare spending per beneficiary | 0.98 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.29% |
95.27%
4 pts better
|
Numerator 421 · Denominator 424 |
| Falls with major injury | 0.94% |
0.77%
0.2 pts worse
|
Numerator 4 · Denominator 424 |
| Discharge self-care score | 68.3% |
53.69%
14.6 pts better
|
Numerator 209 · Denominator 306 |
| Discharge mobility score | 76.47% |
50.94%
25.5 pts better
|
Numerator 234 · Denominator 306 |
| Pressure ulcers or injuries, new or worsened | 0.71% |
2.29%
1.6 pts better
|
Numerator 3 · Denominator 424 · Adjusted rate 0.8% |
| Healthcare-associated infections requiring hospitalization | 8.22% |
7.12%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 430 · Observed rate 7.44% · Lower 95% interval 5.75% |
| Staff COVID-19 vaccination coverage | 5.08% |
8.2%
3.1 pts worse
|
Numerator 12 · Denominator 236 |
| Staff flu vaccination coverage | 44.44% |
42%
2.4 pts better
|
Numerator 116 · Denominator 261 |
| Discharge function score | 75.49% |
56.45%
19 pts better
|
Numerator 231 · Denominator 306 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 166 · Denominator 166 |
| Transfer of health information to patient | 98.56% |
96.28%
2.3 pts better
|
Numerator 206 · Denominator 209 |
| Resident COVID-19 vaccinations up to date | 21.78% |
25.2%
3.4 pts worse
|
Numerator 44 · Denominator 202 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.9 |
1.9
1 pts worse
|
1.9
1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.2 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.3 |
1.5
0.8 pts worse
|
1.8
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 1.8 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 76.7% |
92.2%
15.5 pts worse
|
93.4%
16.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 79.6% · Q2 64.2% · Q3 73.7% · Q4 89.4% · 4Q avg 76.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.1% |
94.8%
3.3 pts better
|
95.5%
2.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.8% |
3.5%
2.3 pts worse
|
3.3%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 5.7% · Q3 5.1% · Q4 5.8% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.6% |
12.0%
11.4 pts better
|
11.4%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% |
| Percentage of long-stay residents who lose too much weight | 5.0% |
5.2%
0.2 pts better
|
5.4%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 9.7% · Q3 4.0% · Q4 3.8% · 4Q avg 5.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.6% |
19.2%
6.6 pts better
|
19.6%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.7% · Q2 11.1% · Q3 14.3% · Q4 13.3% · 4Q avg 12.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.4% |
22.5%
12.1 pts better
|
16.7%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 8.6% · Q3 9.7% · Q4 8.8% · 4Q avg 10.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 25.1% |
17.7%
7.4 pts worse
|
16.3%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.1% · Q2 28.0% · Q3 18.4% · Q4 32.1% · 4Q avg 25.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.3% |
17.6%
5.7 pts worse
|
14.9%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.7% · Q2 22.1% · Q3 16.9% · Q4 23.1% · 4Q avg 23.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
1.0%
0.6 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.7% · Q4 0.7% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.3% |
2.0%
3.3 pts worse
|
1.7%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 5.2% · Q3 3.1% · Q4 8.9% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 33.0% |
21.7%
11.3 pts worse
|
19.8%
13.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 41.4% · Q3 32.4% · Q4 32.5% · 4Q avg 33.0% |
| Percentage of long-stay residents with pressure ulcers | 3.5% |
4.6%
1.1 pts better
|
5.1%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 6.2% · Q3 3.6% · Q4 1.3% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 71.7% |
77.1%
5.4 pts worse
|
81.7%
10 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 87.0% · Q2 70.7% · Q3 66.8% · Q4 61.6% · 4Q avg 71.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.3% |
11.8%
0.5 pts better
|
12.0%
0.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.3% · Observed 9.6% · Expected 9.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
1.3%
0.4 pts worse
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.1% · Q3 1.9% · Q4 1.3% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 60.3% |
77.7%
17.4 pts worse
|
79.7%
19.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 60.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.3% |
25.8%
1.5 pts better
|
23.9%
0.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.3% · Observed 22.9% · Expected 22.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-07-23 · Fire 2024-07-23
4 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-03-21 · Fire 2023-03-21
6 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-06-11
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-07-07
E · Potential for more than minimal harm
2025-06-11
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-07-07
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-06-11
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-07-18
E · Potential for more than minimal harm
2025-06-11
F699 · Quality of Life and Care Deficiencies
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-07-18
E · Potential for more than minimal harm
2024-07-23
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-08-16
E · Potential for more than minimal harm
2024-07-23
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-08-16
D · Potential for more than minimal harm
2024-07-23
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-16
D · Potential for more than minimal harm
2024-07-23
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-08-16
D · Potential for more than minimal harm
2023-05-31
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-07-12
G · Actual harm
2023-03-21
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-06
D · Potential for more than minimal harm
2023-03-21
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-04-06
D · Potential for more than minimal harm
2023-03-21
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-04-06
D · Potential for more than minimal harm
2023-03-21
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-04-06
D · Potential for more than minimal harm
2023-03-21
F712 · Nursing and Physician Services Deficiencies
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2023-04-06
Penalties and ownership
What sits behind the stars
$12,386
2023-03-21
Fine
Fine · fine $12,386
Fine
Ownership
Southcoast Health System Inc
5% Or Greater Indirect Ownership Interest · Organization
Southcoast Long-Term Care Services, Inc.
5% Or Greater Direct Ownership Interest · Organization
Buiocchi, Patricia
Operational/Managerial Control · Individual
Buiocchi, Patricia
Corporate Director · Individual
Bushell, Michael
Operational/Managerial Control · Individual
Bushell, Michael
Corporate Officer · Individual
Cabral, Louis
Operational/Managerial Control · Individual
Cabral, Louis
Corporate Director · Individual
Giumetti, Donald
Operational/Managerial Control · Individual
Giumetti, Donald
Corporate Director · Individual
Greenwood-Syron, Andrea
Operational/Managerial Control · Individual
Greenwood-Syron, Andrea
Corporate Director · Individual
Gularek, Jordan
Operational/Managerial Control · Individual
Mccready, David
Operational/Managerial Control · Individual
Mccready, David
Corporate Officer · Individual
Rua, Jason
Operational/Managerial Control · Individual
Rua, Jason
Corporate Officer · Individual
Southcoast Long-Term Care Services, Inc.
Operational/Managerial Control · Organization
Truini, Brad
Operational/Managerial Control · Individual
Truini, Brad
Corporate Director · Individual
Walker & Dunlop, LLC
5% Or Greater Mortgage Interest · Organization
Nearby options
Other facilities in reach
#1
Royal Of Fairhaven Nursing Center
Fairhaven, MA
3-star overall rating with 3-star inspections with $8,648 in total fines with 4 recent health deficiencies
#2
Our Ladys Haven Of Fairhaven Inc
Fairhaven, MA
4-star overall rating with 4-star inspections with 5 recent health deficiencies
#3
Sacred Heart Nursing Home
New Bedford, MA
5-star overall rating with 4-star inspections with 3 recent health deficiencies
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