Dorchester, MA

Bostonian Nursing Care & Rehabilitation Ctr, The

4-star overall rating with 4-star inspections with $8,648 in total fines with 1 recent health deficiencies

337 Neponset Avenue, Dorchester, MA

(617) 265-2350

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

121

Certified beds

Average residents

111

Average occupied residents

Ownership

Non-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

0.50

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

1.05

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.16

Nurse aide staffing · state 2.26 · national 2.35

Total nurse hours

3.72

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.56

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

3.45

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.33

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.55

CMS adjusted RN staffing hours

Adjusted total hours

4.09

CMS adjusted total nurse staffing hours

Case-mix index

1.24

Higher values indicate more complex resident acuity

RN turnover

71%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

47%

Annual nurse turnover · state 40% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,674

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

Performance score

32.08

Composite VBP score used to determine payment impact.

Payment multiplier

0.9869

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.95

Baseline 19.32% · Performance 19.14% · Measure score 4.95 · Achievement 4.95 · Improvement 0.30

Healthcare-associated infections

5.19

Baseline 6.38% · Performance 6.28% · Measure score 5.19 · Achievement 5.19 · Improvement 0.19

Total nurse turnover

0

Baseline 42.42% · Performance 97.14% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

2.69

Baseline 3.39 hours · Performance 3.84 hours · Measure score 2.69 · Achievement 2.69 · Improvement 1.39

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 8.39%
10.72%
2.3 pts better
No Different than the National Rate · Eligible stays 124 · Observed rate 4.03% · Lower 95% interval 5.55%
Discharge to community 52.85%
50.57%
2.3 pts better
No Different than the National Rate · Eligible stays 124 · Observed rate 45.16% · Lower 95% interval 44.81%
Medicare spending per beneficiary 0.85
1.02
0.2 pts better
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 74 · Denominator 74
Falls with major injury 1.35%
0.77%
0.6 pts worse
Numerator 1 · Denominator 74
Discharge self-care score 50.98%
53.69%
2.7 pts worse
Numerator 26 · Denominator 51
Discharge mobility score 58.82%
50.94%
7.9 pts better
Numerator 30 · Denominator 51
Pressure ulcers or injuries, new or worsened 4.05%
2.29%
1.8 pts worse
Numerator 3 · Denominator 74 · Adjusted rate 2.85%
Healthcare-associated infections requiring hospitalization 6.28%
7.12%
0.8 pts better
No Different than the National Rate · Eligible stays 66 · Observed rate 4.55% · Lower 95% interval 3.63%
Staff COVID-19 vaccination coverage 25.73%
8.2%
17.5 pts better
Numerator 44 · Denominator 171
Staff flu vaccination coverage 40.38%
42%
1.6 pts worse
Numerator 84 · Denominator 208
Discharge function score 60.78%
56.45%
4.3 pts better
Numerator 31 · Denominator 51
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 39 · Denominator 39
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 14.29%
25.2%
10.9 pts worse
Numerator 6 · Denominator 42

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.3
1.9
0.4 pts worse
1.9
0.4 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.0 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.9
1.5
0.6 pts better
1.8
0.9 pts better
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 93.9%
92.2%
1.7 pts better
93.4%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 92.4% · Q2 91.3% · Q3 93.5% · Q4 98.0% · 4Q avg 93.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 87.9%
94.8%
6.9 pts worse
95.5%
7.6 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 87.9%
Percentage of long-stay residents experiencing one or more falls with major injury 2.7%
3.5%
0.8 pts better
3.3%
0.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 1.1% · Q3 3.2% · Q4 3.0% · 4Q avg 2.7% · 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 3.5%
5.2%
1.7 pts better
5.4%
1.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 3.8% · Q3 2.6% · Q4 3.8% · 4Q avg 3.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 10.2%
19.2%
9 pts better
19.6%
9.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.1% · Q2 8.2% · Q3 7.1% · Q4 10.1% · 4Q avg 10.2%
Percentage of long-stay residents who received an antipsychotic medication 20.8%
22.5%
1.7 pts better
16.7%
4.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 17.2% · Q3 23.9% · Q4 21.1% · 4Q avg 20.8% · 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 16.4%
17.7%
1.3 pts better
16.3%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 26.7% · Q2 10.8% · Q3 8.9% · Q4 17.9% · 4Q avg 16.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 14.9%
17.6%
2.7 pts better
14.9%
About the same
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 8.1% · Q3 9.3% · Q4 27.8% · 4Q avg 14.9% · 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 1.9%
2.0%
0.1 pts better
1.7%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 2.2% · Q4 4.2% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 12.5%
21.7%
9.2 pts better
19.8%
7.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 3.5% · Q3 18.2% · Q4 20.8% · 4Q avg 12.5%
Percentage of long-stay residents with pressure ulcers 5.0%
4.6%
0.4 pts worse
5.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 5.0% · Q3 5.3% · Q4 3.6% · 4Q avg 5.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 50.0%
77.1%
27.1 pts worse
81.7%
31.7 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 46.7% · Q2 40.1% · Q3 57.5% · Q4 57.1% · 4Q avg 50.0%
Percentage of short-stay residents who had an outpatient emergency department visit 5.7%
11.8%
6.1 pts better
12.0%
6.3 pts better
Short Stay · 20240701-20250630 · Adjusted 5.7% · Observed 5.7% · Expected 11.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.0%
1.3%
0.3 pts better
1.6%
0.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 1.3% · Q4 1.5% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 39.7%
77.7%
38 pts worse
79.7%
40 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 39.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 28.8%
25.8%
3 pts worse
23.9%
4.9 pts worse
Short Stay · 20240701-20250630 · Adjusted 28.8% · Observed 28.3% · Expected 23.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-29 · Fire 2025-05-29

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-06-27 · Fire 2024-06-27

4 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-04-06 · Fire 2023-04-06

16 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-04-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-05-29

F · Potential for more than minimal harm 2023-04-06

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-05-29

F · Potential for more than minimal harm 2023-04-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-05-29

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-05-29

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 2025-06-26

D · Potential for more than minimal harm 2024-06-27

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 2024-08-11

D · Potential for more than minimal harm 2024-06-27

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2024-08-11

D · Potential for more than minimal harm 2024-06-27

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 2024-08-11

D · Potential for more than minimal harm 2024-06-27

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 2024-08-11

G · Actual harm 2023-06-13

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-07-21

D · Potential for more than minimal harm 2023-06-13

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-07-21

D · Potential for more than minimal harm 2023-06-13

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-07-21

D · Potential for more than minimal harm 2023-06-13

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 2023-07-21

E · Potential for more than minimal harm 2023-04-06

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-05-21

E · Potential for more than minimal harm 2023-04-06

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-05-21

D · Potential for more than minimal harm 2023-04-06

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-05-21

D · Potential for more than minimal harm 2023-04-06

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 2023-05-21

D · Potential for more than minimal harm 2023-04-06

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-05-21

D · Potential for more than minimal harm 2023-04-06

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 2023-05-21

D · Potential for more than minimal harm 2023-04-06

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-21

D · Potential for more than minimal harm 2023-04-06

F696 · Quality of Life and Care Deficiencies

Health

Provide appropriate care/assistance for a resident with a prosthesis.

Corrected 2023-05-21

D · Potential for more than minimal harm 2023-04-06

F699 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-21

D · Potential for more than minimal harm 2023-04-06

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-05-21

D · Potential for more than minimal harm 2023-04-06

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 2023-05-21

D · Potential for more than minimal harm 2023-04-06

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 2023-05-21

Penalties and ownership

What sits behind the stars

$8,648 2023-06-13

Fine

Fine · fine $8,648

Fine

Ownership

Bostonian Foundation Inc

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2004-11-16
Bane, Richard

Operational/Managerial Control · Individual

0% 1 facilities 2011-11-17
Corey, Samuel

Operational/Managerial Control · Individual

0% 2 facilities 2011-11-17
Corey, Samuel

Corporate Officer · Individual

0% 2 facilities 1995-12-14
Difrancesco, Robert

Operational/Managerial Control · Individual

0% 1 facilities 2014-03-10
Faria, Marie

Corporate Officer · Individual

0% 7 facilities 2022-01-01
Geisinger, Jason

Corporate Officer · Individual

0% 1 facilities 1995-12-14
Morris, Kevin

Operational/Managerial Control · Individual

0% 8 facilities 2022-01-28

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Staffing
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Fines
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Staffing
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#3

Boston Home, Inc (The)

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Overall
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Health
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Staffing
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Fines
$0

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