Northborough, MA

Beaumont Rehab & Skilled Nursing Ctr - Northboro

5-star overall rating with 4-star inspections with 3 recent health deficiencies

238 West Main Street, Northborough, MA

(508) 393-2368

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

96

Certified beds

Average residents

86

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1990-07-01

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

0.66

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

0.91

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.27

Nurse aide staffing · state 2.26 · national 2.35

Total nurse hours

3.84

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.57

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

3.35

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.34

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.72

CMS adjusted RN staffing hours

Adjusted total hours

4.16

CMS adjusted total nurse staffing hours

Case-mix index

1.26

Higher values indicate more complex resident acuity

RN turnover

30%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

44%

Annual nurse turnover · state 40% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,435

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

16.78

Composite VBP score used to determine payment impact.

Payment multiplier

0.9817

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 20.89% · Performance 21.91% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0

Baseline 7.56% · Performance 7.70% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

3.65

Baseline 63.25% · Performance 48.75% · Measure score 3.65 · Achievement 3.65 · Improvement 3.28

Adjusted total nurse staffing

3.06

Baseline 3.92 hours · Performance 3.95 hours · Measure score 3.06 · Achievement 3.06 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.26%	10.72% 0.5 pts better	No Different than the National Rate · Eligible stays 110 · Observed rate 9.09% · Lower 95% interval 7.42%
Discharge to community	65.48%	50.57% 14.9 pts better	Better than the National Rate · Eligible stays 105 · Observed rate 60% · Lower 95% interval 54.49%
Medicare spending per beneficiary	0.84	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 59 · Denominator 59
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 59
Discharge self-care score	64.58%	53.69% 10.9 pts better	Numerator 31 · Denominator 48
Discharge mobility score	58.33%	50.94% 7.4 pts better	Numerator 28 · Denominator 48
Pressure ulcers or injuries, new or worsened	1.69%	2.29% 0.6 pts better	Numerator 1 · Denominator 59 · Adjusted rate 1.1%
Healthcare-associated infections requiring hospitalization	7.7%	7.12% 0.6 pts worse	No Different than the National Rate · Eligible stays 61 · Observed rate 8.2% · Lower 95% interval 3.98%
Staff COVID-19 vaccination coverage	11.22%	8.2% 3 pts better	Numerator 11 · Denominator 98
Staff flu vaccination coverage	48.59%	42% 6.6 pts better	Numerator 69 · Denominator 142
Discharge function score	75%	56.45% 18.5 pts better	Numerator 36 · Denominator 48
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to patient	92.11%	96.28% 4.2 pts worse	Numerator 35 · Denominator 38
Resident COVID-19 vaccinations up to date	52.94%	25.2% 27.7 pts better	Numerator 18 · Denominator 34

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.1	1.9 0.8 pts better	1.9 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.9 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.5	1.5 1 pts better	1.8 1.3 pts better	Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.4 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.1%	92.2% 6.9 pts better	93.4% 5.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.6% · Q2 98.8% · Q3 100.0% · Q4 100.0% · 4Q avg 99.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.8%	94.8% 4 pts better	95.5% 3.3 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.8%
Percentage of long-stay residents experiencing one or more falls with major injury	5.9%	3.5% 2.4 pts worse	3.3% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 7.4% · Q3 5.2% · Q4 2.5% · 4Q avg 5.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	12.0% 12 pts better	11.4% 11.4 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 who lose too much weight	4.7%	5.2% 0.5 pts better	5.4% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 7.8% · Q3 3.2% · Q4 1.6% · 4Q avg 4.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	16.9%	19.2% 2.3 pts better	19.6% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 15.2% · Q3 18.8% · Q4 17.5% · 4Q avg 16.9%
Percentage of long-stay residents who received an antipsychotic medication	29.5%	22.5% 7 pts worse	16.7% 12.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.1% · Q2 33.3% · Q3 30.8% · Q4 26.8% · 4Q avg 29.5% · 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	21.3%	17.7% 3.6 pts worse	16.3% 5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.1% · Q2 19.1% · Q3 28.5% · Q4 9.3% · 4Q avg 21.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	16.7%	17.6% 0.9 pts better	14.9% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 15.8% · Q3 16.7% · Q4 13.2% · 4Q avg 16.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.0% 1 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	2.0% 2 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	8.6%	21.7% 13.1 pts better	19.8% 11.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 5.0% · Q3 7.6% · Q4 8.3% · 4Q avg 8.6%
Percentage of long-stay residents with pressure ulcers	3.1%	4.6% 1.5 pts better	5.1% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 2.3% · Q3 3.7% · Q4 2.0% · 4Q avg 3.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	94.4%	77.1% 17.3 pts better	81.7% 12.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 95.6% · Q2 91.8% · Q3 95.4% · Q4 94.4% · 4Q avg 94.4%
Percentage of short-stay residents who had an outpatient emergency department visit	3.8%	11.8% 8 pts better	12.0% 8.2 pts better	Short Stay · 20240701-20250630 · Adjusted 3.8% · Observed 3.6% · Expected 10.8% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	92.0%	77.7% 14.3 pts better	79.7% 12.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 92.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	18.8%	25.8% 7 pts better	23.9% 5.1 pts better	Short Stay · 20240701-20250630 · Adjusted 18.8% · Observed 18.2% · Expected 23.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-23 · Fire 2025-06-23

3 health deficiencies

Top issue: Environmental (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-05-10 · Fire 2024-05-10

10 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-12-29 · Fire 2022-12-29

3 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-06-23

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 2025-07-31

D · Potential for more than minimal harm 2025-06-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-31

D · Potential for more than minimal harm 2025-06-23

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2025-07-31

D · Potential for more than minimal harm 2024-08-29

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-10-01

E · Potential for more than minimal harm 2024-05-10

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2024-06-20

D · Potential for more than minimal harm 2024-05-10

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-06-20

D · Potential for more than minimal harm 2024-05-10

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-06-20

D · Potential for more than minimal harm 2024-05-10

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 2024-06-20

D · Potential for more than minimal harm 2024-05-10

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 2024-06-20

D · Potential for more than minimal harm 2024-05-10

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-06-20

D · Potential for more than minimal harm 2024-05-10

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-06-20

D · Potential for more than minimal harm 2024-05-10

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2024-06-20

D · Potential for more than minimal harm 2024-05-10

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 2024-06-20

E · Potential for more than minimal harm 2022-12-29

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 2023-02-08

D · Potential for more than minimal harm 2022-12-29

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 2023-02-08

D · Potential for more than minimal harm 2022-12-29

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-02-08

Penalties and ownership