Cycle 1
Health 2025-01-23 · Fire 2025-01-23
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
W Concord, MA
Care One At Concord
5-star overall rating with 5-star inspections with $7,901 in total fines with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
57 Old Road To Nine Acre Corner, W Concord, MA
(978) 371-3400
Overall
5 / 5
CMS overall stars
Health inspections
5 / 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
135
Certified beds
Average residents
122
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Careone
Operator or chain grouping
Approved since
1995-02-10
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
37 facilities
Chain averages 3 overall / 3 health / 3 staffing / 5 quality stars
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
0.37
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.19
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.06
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
3.63
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
3.40
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.13
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.39
CMS adjusted RN staffing hours
Adjusted total hours
3.75
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
22%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,647
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.13
Composite VBP score used to determine payment impact.
Payment multiplier
0.9921
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.05
Baseline 24.34% · Performance 21.74% · Measure score 3.05 · Achievement 0 · Improvement 3.05
Healthcare-associated infections
2.84
Baseline 6.16% · Performance 6.99% · Measure score 2.84 · Achievement 2.84 · Improvement 0
Total nurse turnover
7.82
Baseline 37.90% · Performance 31.71% · Measure score 7.82 · Achievement 7.82 · Improvement 4.24
Adjusted total nurse staffing
1.94
Baseline 3.46 hours · Performance 3.63 hours · Measure score 1.94 · Achievement 1.94 · Improvement 0.22
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.33% |
10.72%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 419 · Observed rate 10.98% · Lower 95% interval 8.8% |
| Discharge to community | 63.29% |
50.57%
12.7 pts better
|
Better than the National Rate · Eligible stays 408 · Observed rate 57.84% · Lower 95% interval 58.68% |
| Medicare spending per beneficiary | 0.91 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 257 · Denominator 257 |
| Falls with major injury | 0.39% |
0.77%
0.4 pts better
|
Numerator 1 · Denominator 257 |
| Discharge self-care score | 51.5% |
53.69%
2.2 pts worse
|
Numerator 86 · Denominator 167 |
| Discharge mobility score | 41.32% |
50.94%
9.6 pts worse
|
Numerator 69 · Denominator 167 |
| Pressure ulcers or injuries, new or worsened | 0.78% |
2.29%
1.5 pts better
|
Numerator 2 · Denominator 257 · Adjusted rate 0.71% |
| Healthcare-associated infections requiring hospitalization | 6.99% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 242 · Observed rate 6.61% · Lower 95% interval 4.68% |
| Staff COVID-19 vaccination coverage | 11.52% |
8.2%
3.3 pts better
|
Numerator 19 · Denominator 165 |
| Staff flu vaccination coverage | 74.55% |
42%
32.5 pts better
|
Numerator 123 · Denominator 165 |
| Discharge function score | 54.49% |
56.45%
2 pts worse
|
Numerator 91 · Denominator 167 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 106 · Denominator 106 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 100 · Denominator 100 |
| Resident COVID-19 vaccinations up to date | 37.76% |
25.2%
12.6 pts better
|
Numerator 54 · Denominator 143 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.9
0.7 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.2 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.5
0.5 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 80.0% |
92.2%
12.2 pts worse
|
93.4%
13.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 74.7% · Q2 80.5% · Q3 80.0% · Q4 84.6% · 4Q avg 80.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.6% |
94.8%
2.2 pts worse
|
95.5%
2.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.3% |
3.5%
1.2 pts better
|
3.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.1% · Q3 2.4% · Q4 4.4% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.2% |
12.0%
10.8 pts better
|
11.4%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 1.2% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% |
| Percentage of long-stay residents who lose too much weight | 2.1% |
5.2%
3.1 pts better
|
5.4%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.9% · Q3 2.8% · Q4 1.3% · 4Q avg 2.1% |
| 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 · Q1 24.0% · Q2 25.3% · Q3 23.6% · Q4 19.8% · 4Q avg 23.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 24.5% |
22.5%
2 pts worse
|
16.7%
7.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.8% · Q2 18.9% · Q3 25.4% · Q4 27.0% · 4Q avg 24.5% · 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 | 20.0% |
17.7%
2.3 pts worse
|
16.3%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.4% · Q2 35.3% · Q3 17.8% · Q4 15.0% · 4Q avg 20.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.5% |
17.6%
2.1 pts better
|
14.9%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 19.4% · Q3 10.0% · Q4 15.6% · 4Q avg 15.5% · 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 | 0.9% |
2.0%
1.1 pts better
|
1.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 0.0% · Q4 2.4% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.2% |
21.7%
4.5 pts worse
|
19.8%
6.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.8% · Q2 26.0% · Q3 31.2% · Q4 22.1% · 4Q avg 26.2% |
| Percentage of long-stay residents with pressure ulcers | 4.4% |
4.6%
0.2 pts better
|
5.1%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 4.0% · Q3 3.9% · Q4 6.3% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 69.1% |
77.1%
8 pts worse
|
81.7%
12.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 76.1% · Q2 72.8% · Q3 67.8% · Q4 60.2% · 4Q avg 69.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.5% |
11.8%
1.7 pts worse
|
12.0%
1.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.5% · Observed 13.1% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.3%
0.6 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.5% · Q3 0.6% · Q4 1.2% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 59.5% |
77.7%
18.2 pts worse
|
79.7%
20.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 59.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.9% |
25.8%
6.1 pts worse
|
23.9%
8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.9% · Observed 29.0% · Expected 21.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-01-03 · Fire 2024-01-03
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-11-14 · Fire 2022-11-14
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-01-23
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-02-07
F · Potential for more than minimal harm
2025-01-23
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-02-07
D · Potential for more than minimal harm
2025-01-23
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-07
D · Potential for more than minimal harm
2022-11-14
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2022-12-20
D · Potential for more than minimal harm
2022-11-14
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-12-20
D · Potential for more than minimal harm
2022-11-14
K541 · Services Deficiencies
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2022-12-20
D · Potential for more than minimal harm
2022-11-14
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-12-20
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-05-05
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-04-11
D · Potential for more than minimal harm
2025-01-23
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 2025-02-05
D · Potential for more than minimal harm
2025-01-23
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 2025-02-05
G · Actual harm
2023-11-07
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 2023-10-06
Penalties and ownership
What sits behind the stars
$7,901
2023-11-07
Fine
Fine · fine $7,901
Fine
Ownership
Baruch, David
Corporate Officer · Individual
Baruch, David
W-2 Managing Employee · Individual
Care Realty, LLC
5% Or Greater Indirect Ownership Interest · Organization
Des 2009 Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Healthbridge Management LLC
Operational/Managerial Control · Organization
Straus, Daniel
5% Or Greater Indirect Ownership Interest · Individual
Thci Of Massachusetts, LLC
5% Or Greater Direct Ownership Interest · Organization
Nearby options
Other facilities in reach
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Rivercrest Long Term Care
W Concord, MA
5-star overall rating with 5-star inspections
#2
The Commons Skilled Nursing & Rehabilitation
Lincoln, MA
5-star overall rating with 4-star inspections with 8 recent health deficiencies
#3
Life Care Center Of Acton
Acton, MA
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
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