0 health deficiencies
No concentrated health issue counts in this cycle.
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Beverly, MA
5-star overall rating with 4-star inspections with $35,968 in total fines with 7 fire-safety deficiencies in the latest cycle
265 Essex Street, Beverly, MA
(978) 927-3260
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
202
Certified beds
Average residents
157
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Careone
Operator or chain grouping
Approved since
1982-10-01
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
RN hours / resident day
0.44
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.03
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.03
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
3.50
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.47
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.25
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.32
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
0.44
CMS adjusted RN staffing hours
Adjusted total hours
3.54
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
27%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
29%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Program rank
3,074
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
46.15
Composite VBP score used to determine payment impact.
Payment multiplier
0.9995
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4
Baseline 21.98% · Performance 19.75% · Measure score 4 · Achievement 3.62 · Improvement 4
Healthcare-associated infections
4.07
Baseline 6.37% · Performance 6.62% · Measure score 4.07 · Achievement 4.07 · Improvement 0
Total nurse turnover
8.46
Baseline 34.21% · Performance 29.09% · Measure score 8.46 · Achievement 8.46 · Improvement 4.97
Adjusted total nurse staffing
1.93
Baseline 3.41 hours · Performance 3.63 hours · Measure score 1.93 · Achievement 1.93 · Improvement 0.43
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.38% |
10.72%
1.7 pts worse
|
No Different than the National Rate · Eligible stays 442 · Observed rate 12.9% · Lower 95% interval 10.17% |
| Discharge to community | 63.38% |
50.57%
12.8 pts better
|
Better than the National Rate · Eligible stays 417 · Observed rate 55.4% · Lower 95% interval 57.49% |
| Medicare spending per beneficiary | 0.93 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 64.6% |
95.27%
30.7 pts worse
|
Numerator 188 · Denominator 291 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 291 |
| Discharge self-care score | 64.56% |
53.69%
10.9 pts better
|
Numerator 133 · Denominator 206 |
| Discharge mobility score | 61.65% |
50.94%
10.7 pts better
|
Numerator 127 · Denominator 206 |
| Pressure ulcers or injuries, new or worsened | 1.37% |
2.29%
0.9 pts better
|
Numerator 4 · Denominator 291 · Adjusted rate 1.66% |
| Healthcare-associated infections requiring hospitalization | 6.62% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 274 · Observed rate 6.2% · Lower 95% interval 4.7% |
| Staff COVID-19 vaccination coverage | 22.47% |
8.2%
14.3 pts better
|
Numerator 40 · Denominator 178 |
| Staff flu vaccination coverage | 80% |
42%
38 pts better
|
Numerator 144 · Denominator 180 |
| Discharge function score | 71.84% |
56.45%
15.4 pts better
|
Numerator 148 · Denominator 206 |
| Transfer of health information to provider | 96.08% |
95.95%
0.1 pts better
|
Numerator 147 · Denominator 153 |
| Transfer of health information to patient | 99.07% |
96.28%
2.8 pts better
|
Numerator 106 · Denominator 107 |
| Resident COVID-19 vaccinations up to date | 11.7% |
25.2%
13.5 pts worse
|
Numerator 20 · Denominator 171 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.9
0.5 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.3 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
1.5
0.7 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.8 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 87.3% |
92.2%
4.9 pts worse
|
93.4%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 91.1% · Q2 89.3% · Q3 85.2% · Q4 83.3% · 4Q avg 87.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.5% |
94.8%
0.7 pts better
|
95.5%
About the same
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.3% |
3.5%
0.8 pts worse
|
3.3%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 3.3% · Q3 4.9% · Q4 4.2% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.7% |
12.0%
11.3 pts better
|
11.4%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.9% · Q3 0.0% · Q4 0.9% · 4Q avg 0.7% |
| 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 · Q1 4.2% · Q2 4.1% · Q3 2.1% · Q4 3.2% · 4Q avg 3.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.4% |
19.2%
9.2 pts worse
|
19.6%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.7% · Q2 28.0% · Q3 29.7% · Q4 29.0% · 4Q avg 28.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 25.8% |
22.5%
3.3 pts worse
|
16.7%
9.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.1% · Q2 23.8% · Q3 26.4% · Q4 30.7% · 4Q avg 25.8% · 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 | 14.5% |
17.7%
3.2 pts better
|
16.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 11.6% · Q3 10.9% · Q4 12.4% · 4Q avg 14.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.9% |
17.6%
3.7 pts better
|
14.9%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 8.3% · Q3 10.5% · Q4 11.6% · 4Q avg 13.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
1.0%
0.6 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.7% · Q3 0.8% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.6% |
2.0%
1.4 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 0.9% · Q4 0.9% · 4Q avg 0.6% · Used in QM five-star |
| 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 · Q1 15.9% · Q2 13.1% · Q3 18.2% · Q4 11.6% · 4Q avg 14.6% |
| 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 4.2% · Q2 2.3% · Q3 5.3% · Q4 5.8% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 73.1% |
77.1%
4 pts worse
|
81.7%
8.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 86.1% · Q2 74.7% · Q3 64.3% · Q4 66.8% · 4Q avg 73.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.9% |
11.8%
0.9 pts better
|
12.0%
1.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.9% · Observed 11.5% · Expected 11.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.3%
0.1 pts worse
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 1.4% · Q4 2.9% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 74.0% |
77.7%
3.7 pts worse
|
79.7%
5.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 74.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.3% |
25.8%
1.5 pts better
|
23.9%
0.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.3% · Observed 23.0% · Expected 22.6% · Used in QM five-star |
Survey summary
No concentrated health issue counts in this cycle.
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-05-23
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-05-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-23
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-05-23
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-05-23
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-05-23
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-05-23
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 2024-05-31
Inspection history
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-05-24
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 2024-05-24
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 2024-05-24
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2024-05-28
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-05-24
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 2024-05-24
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-05-28
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 2023-03-21
Health
Provide and implement an infection prevention and control program.
Corrected 2023-03-21
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-03-21
Health
Respond appropriately to all alleged violations.
Corrected 2023-03-21
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-03-21
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 2023-03-21
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-03-21
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-03-21
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 2023-03-21
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 2023-03-21
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-03-21
Penalties and ownership
Fine · fine $35,968
Fine
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
Nearby options
Beverly, MA
1-star overall rating with 1-star inspections with $231,459 in total fines with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Beverly, MA
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Danvers, MA
3-star overall rating with 3-star inspections with 12 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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