Stoughton, MA

Blue Hills Health And Rehabilitation Center

2-star overall rating with 2-star inspections with abuse icon flag with $12,735 in total fines with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

1044 Park Street, Stoughton, MA

(781) 344-7300

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

92

Certified beds

Average residents

60

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Alpha SNF Ma

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

0.57

Registered nurse staffing

LPN hours / resident day

0.53

Licensed practical nurse staffing

Aide hours / resident day

2.24

Nurse aide staffing

Weekend hours

3.05

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.7
1.9
0.2 pts better
1.9
0.2 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.6
1.5
0.9 pts better
1.8
1.2 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.0%
92.2%
4.8 pts better
93.4%
3.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.4%
94.8%
3.6 pts better
95.5%
2.9 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 0.9%
3.5%
2.6 pts better
3.3%
2.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 2.1%
12.0%
9.9 pts better
11.4%
9.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 6.2%
5.2%
1 pts worse
5.4%
0.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 15.7%
19.2%
3.5 pts better
19.6%
3.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 26.4%
22.5%
3.9 pts worse
16.7%
9.7 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 23.7%
17.7%
6 pts worse
16.3%
7.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 29.5%
17.6%
11.9 pts worse
14.9%
14.6 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with a urinary tract infection 0.4%
2.0%
1.6 pts better
1.7%
1.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 14.6%
21.7%
7.1 pts better
19.8%
5.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.9%
4.6%
1.7 pts better
5.1%
2.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 44.4%
77.1%
32.7 pts worse
81.7%
37.3 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 3.7%
11.8%
8.1 pts better
12.0%
8.3 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who were rehospitalized after a nursing home admission 21.5%
25.8%
4.3 pts better
23.9%
2.4 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-11-20 · Fire 2025-11-20

1 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2024-10-11 · Fire 2024-10-11

7 health deficiencies

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

6 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2023-07-24 · Fire 2023-07-24

14 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

5 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-11-20

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2026-01-23

F · Potential for more than minimal harm 2025-11-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2026-01-23

F · Potential for more than minimal harm 2025-11-20

K928 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.

Corrected 2026-01-23

F · Potential for more than minimal harm 2024-10-11

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-11-27

F · Potential for more than minimal harm 2024-10-11

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-11-27

F · Potential for more than minimal harm 2024-10-11

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-11-27

D · Potential for more than minimal harm 2024-10-11

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2024-11-27

D · Potential for more than minimal harm 2024-10-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-27

D · Potential for more than minimal harm 2024-10-11

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-11-27

E · Potential for more than minimal harm 2023-07-24

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-08-31

E · Potential for more than minimal harm 2023-07-24

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-08-31

D · Potential for more than minimal harm 2023-07-24

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-08-31

D · Potential for more than minimal harm 2023-07-24

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-08-31

C · Minimal harm 2023-07-24

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-08-31

Inspection history

Recent health citations

G · Actual harm 2026-01-29

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2026-01-26

E · Potential for more than minimal harm 2024-10-11

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 2024-11-04

E · Potential for more than minimal harm 2024-10-11

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 2024-11-04

E · Potential for more than minimal harm 2024-10-11

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 2024-11-04

D · Potential for more than minimal harm 2024-10-11

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-04

D · Potential for more than minimal harm 2024-10-11

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-11-04

B · Minimal harm 2024-10-11

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2024-11-04

B · Minimal harm 2024-10-11

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2024-11-04

E · Potential for more than minimal harm 2023-07-24

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-08-23

E · Potential for more than minimal harm 2023-07-24

F584 · Resident Rights Deficiencies

Health

Honor 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.

Corrected 2023-08-23

E · Potential for more than minimal harm 2023-07-24

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2023-08-23

E · Potential for more than minimal harm 2023-07-24

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 2023-08-23

D · Potential for more than minimal harm 2023-07-24

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-08-23

D · Potential for more than minimal harm 2023-07-24

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-08-23

D · Potential for more than minimal harm 2023-07-24

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 2023-08-23

D · Potential for more than minimal harm 2023-07-24

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2023-08-23

D · Potential for more than minimal harm 2023-07-24

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 2023-08-23

D · Potential for more than minimal harm 2023-07-24

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2023-08-23

D · Potential for more than minimal harm 2023-07-24

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 2023-08-23

D · Potential for more than minimal harm 2023-07-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-08-23

D · Potential for more than minimal harm 2023-07-24

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2023-08-23

C · Minimal harm 2023-07-24

F582 · Resident Rights Deficiencies

Health

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

Corrected 2023-08-23

Penalties and ownership

What sits behind the stars

$12,735 2025-12-16

Fine

Fine · fine $12,735

Fine

Ownership

Ayesiyenga, David

Operational/Managerial Control · Individual

0% 1 facilities 2024-10-04
Bbuye, Steven

Operational/Managerial Control · Individual

0% 3 facilities 2024-10-04
Flanagan, Michael

Corporate Officer · Individual

0% 11 facilities 2024-10-04
Segal, William

General Partnership Interest · Individual

0% 3 facilities 2023-10-15

Nearby options

Other facilities in reach

#1

Copley At Stoughton Nursing Care Center

Stoughton, MA

5-star overall rating with 4-star inspections with $10,517 in total fines with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
4 / 5
Staffing
5 / 5
Fines
$10,517
#2

Alliance Health At West Acres

Brockton, MA

4-star overall rating with 4-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
4 / 5
Staffing
2 / 5
Fines
$0
#3

Brockton Post Acute Care

Brockton, MA

3-star overall rating with 3-star inspections with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
3 / 5
Staffing
3 / 5
Fines
$0

Jump out

Supporting pages