Baldwinville, MA

Alliance Health At Baldwinville

4-star overall rating with 4-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

51 Hospital Road, Baldwinville, MA

(978) 939-2196

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

94

Certified beds

Average residents

84

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Alliance Health & Human Services

Operator or chain grouping

Approved since

1990-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.70

Registered nurse staffing

LPN hours / resident day

0.76

Licensed practical nurse staffing

Aide hours / resident day

2.35

Nurse aide staffing

Weekend hours

3.14

Weekend nurse staffing

RN turnover

39%

Annual RN turnover

Total nurse turnover

38%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.8
1.9
1.1 pts better
1.9
1.1 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.4
1.5
0.1 pts better
1.8
0.4 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 87.5%
92.2%
4.7 pts worse
93.4%
5.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 89.4%
94.8%
5.4 pts worse
95.5%
6.1 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 5.1%
3.5%
1.6 pts worse
3.3%
1.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.4%
12.0%
11.6 pts better
11.4%
11 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 1.3%
5.2%
3.9 pts better
5.4%
4.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 23.1%
19.2%
3.9 pts worse
19.6%
3.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 20.4%
22.5%
2.1 pts better
16.7%
3.7 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 18.6%
17.7%
0.9 pts worse
16.3%
2.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 24.8%
17.6%
7.2 pts worse
14.9%
9.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.7%
1.0%
0.7 pts worse
1.0%
0.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 7.5%
2.0%
5.5 pts worse
1.7%
5.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 25.4%
21.7%
3.7 pts worse
19.8%
5.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.4%
4.6%
1.2 pts better
5.1%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
77.1%
22.1 pts better
81.7%
17.5 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 11.6%
11.8%
0.2 pts better
12.0%
0.4 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.3%
1.3 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 87.9%
77.7%
10.2 pts better
79.7%
8.2 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 21.7%
25.8%
4.1 pts better
23.9%
2.2 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-05 · Fire 2026-01-05

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-09-19 · Fire 2024-09-19

4 health deficiencies

Top issue: Infection Control (3 deficiencies)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Cycle 3 Health 2023-06-08 · Fire 2023-06-08

0 health deficiencies

No concentrated health issue counts in this cycle.

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 2026-01-05

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-02-20

F · Potential for more than minimal harm 2026-01-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-02-20

D · Potential for more than minimal harm 2026-01-05

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2026-02-20

D · Potential for more than minimal harm 2026-01-05

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2026-02-20

D · Potential for more than minimal harm 2024-09-19

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2024-10-31

D · Potential for more than minimal harm 2024-09-19

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2024-10-31

D · Potential for more than minimal harm 2024-09-19

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2024-10-31

D · Potential for more than minimal harm 2024-09-19

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2024-10-31

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-05

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-02-13

D · Potential for more than minimal harm 2026-01-05

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2026-02-13

D · Potential for more than minimal harm 2026-01-05

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-02-13

D · Potential for more than minimal harm 2026-01-05

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2026-02-13

B · Minimal harm 2026-01-05

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2026-02-13

B · Minimal harm 2026-01-05

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2026-02-13

D · Potential for more than minimal harm 2024-10-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-29

E · Potential for more than minimal harm 2024-09-19

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-10-29

D · Potential for more than minimal harm 2024-09-19

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-10-29

D · Potential for more than minimal harm 2024-09-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-29

Penalties and ownership

What sits behind the stars

Ownership

Alliance Health Inc

5% Or Greater Direct Ownership Interest · Organization

100% 8 facilities 2013-07-15
Alliance Health Management Services LLC

Operational/Managerial Control · Organization

0% 10 facilities 2013-08-01
Brunetti, Tammy

Corporate Director · Individual

0% 8 facilities 2019-03-06
Calkins, Andrew

Corporate Director · Individual

0% 8 facilities 2017-03-06
Corridan, Linda

Corporate Director · Individual

0% 8 facilities 2008-09-17
Gillissen, Christopher

Operational/Managerial Control · Individual

0% 1 facilities 2025-03-17
Grady, Francis

Corporate Director · Individual

0% 8 facilities 2013-07-15
Grady, Francis

Corporate Officer · Individual

0% 8 facilities 2016-06-22
Gray, Alfred

Corporate Director · Individual

0% 8 facilities 2019-03-06
Havlin, David

Operational/Managerial Control · Individual

0% 1 facilities 2013-12-01
Janisko, Jerome

Corporate Director · Individual

0% 8 facilities 2013-07-15
Jennings, Michael

Corporate Director · Individual

0% 9 facilities 2024-09-25
Jones, Erik

Corporate Director · Individual

0% 8 facilities 2018-11-26
Kemp, Paul

Corporate Officer · Individual

0% 8 facilities 2016-06-22
Lavallee, Thomas

Corporate Officer · Individual

0% 8 facilities 2016-06-22
Lument Real Estate Capital LLC

5% Or Greater Mortgage Interest · Organization

0% 36 facilities 2024-12-31
Mourtzinos, Arthur

Corporate Director · Individual

0% 8 facilities 2014-06-19
Riley, James

Corporate Director · Individual

0% 8 facilities 2013-07-15
Robbins, Christopher

Corporate Director · Individual

0% 8 facilities 2013-07-15
Zampine, Peter

Corporate Director · Individual

0% 8 facilities 2016-11-30

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Overall
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Health
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Staffing
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Fines
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#3

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1-star overall rating with 2-star inspections with $62,250 in total fines with 17 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
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Health
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Staffing
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Fines
$62,250

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