Webster, MA

Brookside Rehabilitation And Healthcare Center

2-star overall rating with 3-star inspections with 11 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

11 Pontiac Avenue, Webster, MA

(508) 943-3889

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

81

Certified beds

Average residents

67

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Ephram Lahasky

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

0.80

Licensed practical nurse staffing

Aide hours / resident day

2.38

Nurse aide staffing

Weekend hours

3.60

Weekend nurse staffing

RN turnover

30%

Annual RN turnover

Total nurse turnover

37%

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 4.0
1.5
2.5 pts worse
1.8
2.2 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 93.1%
92.2%
0.9 pts better
93.4%
0.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
94.8%
5.2 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
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
Percentage of long-stay residents who have depressive symptoms 4.9%
12.0%
7.1 pts better
11.4%
6.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 3.4%
5.2%
1.8 pts better
5.4%
2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.3%
19.2%
2.9 pts better
19.6%
3.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 23.7%
22.5%
1.2 pts worse
16.7%
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 20.9%
17.7%
3.2 pts worse
16.3%
4.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 19.7%
17.6%
2.1 pts worse
14.9%
4.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.2%
1.0%
2.2 pts worse
1.0%
2.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 6.6%
2.0%
4.6 pts worse
1.7%
4.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 23.4%
21.7%
1.7 pts worse
19.8%
3.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 7.0%
4.6%
2.4 pts worse
5.1%
1.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 75.7%
77.1%
1.4 pts worse
81.7%
6 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 4.9%
1.3%
3.6 pts worse
1.6%
3.3 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 82.8%
77.7%
5.1 pts better
79.7%
3.1 pts better
Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-30 · Fire 2025-07-30

11 health deficiencies

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

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-05-02 · Fire 2024-05-02

10 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

4 fire-safety deficiencies

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

Cycle 3 Health 2022-11-01 · Fire 2022-11-01

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-07-30

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2025-08-21

F · Potential for more than minimal harm 2025-07-30

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-08-21

D · Potential for more than minimal harm 2025-07-30

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2025-08-21

E · Potential for more than minimal harm 2024-05-02

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2024-06-05

E · Potential for more than minimal harm 2024-05-02

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2024-06-05

D · Potential for more than minimal harm 2024-05-02

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-06-05

D · Potential for more than minimal harm 2024-05-02

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-06-05

D · Potential for more than minimal harm 2022-11-01

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2022-12-24

D · Potential for more than minimal harm 2022-11-01

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2022-12-24

D · Potential for more than minimal harm 2022-11-01

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-12-24

D · Potential for more than minimal harm 2022-11-01

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-12-24

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-07-30

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 2025-09-02

D · Potential for more than minimal harm 2025-07-30

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-09-02

D · Potential for more than minimal harm 2025-07-30

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 2025-09-02

D · Potential for more than minimal harm 2025-07-30

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-09-02

D · Potential for more than minimal harm 2025-07-30

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-02

D · Potential for more than minimal harm 2025-07-30

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-02

D · Potential for more than minimal harm 2025-07-30

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 2025-09-02

D · Potential for more than minimal harm 2025-07-30

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 2025-09-02

D · Potential for more than minimal harm 2025-07-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-02

D · Potential for more than minimal harm 2025-07-30

F883 · Infection Control Deficiencies

Health

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

Corrected 2025-09-02

B · Minimal harm 2025-07-30

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-09-02

E · Potential for more than minimal harm 2024-05-02

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 2024-06-07

D · Potential for more than minimal harm 2024-05-02

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-05-02

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 2024-06-07

D · Potential for more than minimal harm 2024-05-02

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-05-02

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-05-02

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-05-02

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 2024-06-07

D · Potential for more than minimal harm 2024-05-02

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 2024-06-07

D · Potential for more than minimal harm 2024-05-02

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-07

B · Minimal harm 2024-05-02

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-06-07

G · Actual harm 2022-11-01

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 2022-12-16

E · Potential for more than minimal harm 2022-11-01

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2022-12-13

D · Potential for more than minimal harm 2022-11-01

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2022-12-13

D · Potential for more than minimal harm 2022-11-01

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2022-12-13

D · Potential for more than minimal harm 2022-11-01

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2022-12-13

D · Potential for more than minimal harm 2022-11-01

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-12-13

D · Potential for more than minimal harm 2022-11-01

F885 · Infection Control Deficiencies

Health

Report COVID19 data to residents and families.

Corrected 2022-12-13

D · Potential for more than minimal harm 2022-11-01

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2022-12-13

Penalties and ownership

What sits behind the stars

Ownership

Biderman, Michael

5% Or Greater Direct Ownership Interest · Individual

42% 5 facilities 2017-05-16
Biderman, Yehuda

5% Or Greater Direct Ownership Interest · Individual

10% 1 facilities 2017-05-16
Bnb Health Care Funds LLC

5% Or Greater Direct Ownership Interest · Organization

7% 5 facilities 2017-05-16
Kohn, Brian

5% Or Greater Direct Ownership Interest · Individual

6% 47 facilities 2017-05-16
Fuchs, Tova

5% Or Greater Direct Ownership Interest · Individual

5% 5 facilities 2017-05-16
Martin, Bradley

5% Or Greater Direct Ownership Interest · Individual

5% 1 facilities 2017-05-16
Biderman, Michael

Operational/Managerial Control · Individual

0% 5 facilities 2017-05-16
Lahasky, Ephram

5% Or Greater Direct Ownership Interest · Individual

0% 60 facilities 2017-05-16
Lahasky, Ephram

Operational/Managerial Control · Individual

0% 60 facilities 2017-05-16
Presutti, Mark

W-2 Managing Employee · Individual

0% 2 facilities 2017-07-24

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2-star overall rating with 2-star inspections with 13 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

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Health
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Staffing
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Fines
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#2

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1-star overall rating with 1-star inspections with $119,962 in total fines with 26 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
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#3

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4-star overall rating with 4-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

Overall
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Health
4 / 5
Staffing
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Fines
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