10 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Weymouth, MA
3-star overall rating with 3-star inspections with 10 recent health deficiencies
64 Performance Drive, Weymouth, MA
(781) 443-4829
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
154
Certified beds
Average residents
145
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Careone
Operator or chain grouping
Approved since
1994-05-05
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
0.65
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.99
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.02
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
3.66
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.64
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.28
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.37
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.63
CMS adjusted RN staffing hours
Adjusted total hours
3.59
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
42%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
25%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Program rank
4,827
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.42
Composite VBP score used to determine payment impact.
Payment multiplier
0.9915
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 23.82% · Performance 24.06% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
3.21
Baseline 6.17% · Performance 6.87% · Measure score 3.21 · Achievement 3.21 · Improvement 0
Total nurse turnover
10
Baseline 19.36% · Performance 23.85% · Measure score 10 · Achievement 10 · Improvement 0
Adjusted total nurse staffing
2.15
Baseline 3.36 hours · Performance 3.69 hours · Measure score 2.15 · Achievement 2.15 · Improvement 0.85
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 15.33% |
10.72%
4.6 pts worse
|
Worse than the National Rate · Eligible stays 788 · Observed rate 17.89% · Lower 95% interval 13.23% |
| Discharge to community | 59.44% |
50.57%
8.9 pts better
|
Better than the National Rate · Eligible stays 802 · Observed rate 50.25% · Lower 95% interval 55.53% |
| Medicare spending per beneficiary | 0.92 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 99% |
95.27%
3.7 pts better
|
Numerator 496 · Denominator 501 |
| Falls with major injury | 0.6% |
0.77%
0.2 pts better
|
Numerator 3 · Denominator 501 |
| Discharge self-care score | 48.36% |
53.69%
5.3 pts worse
|
Numerator 177 · Denominator 366 |
| Discharge mobility score | 43.17% |
50.94%
7.8 pts worse
|
Numerator 158 · Denominator 366 |
| Pressure ulcers or injuries, new or worsened | 2% |
2.29%
0.3 pts better
|
Numerator 10 · Denominator 501 · Adjusted rate 1.9% |
| Healthcare-associated infections requiring hospitalization | 6.87% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 509 · Observed rate 6.88% · Lower 95% interval 5.06% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 208 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 50% |
56.45%
6.5 pts worse
|
Numerator 183 · Denominator 366 |
| Transfer of health information to provider | 98.9% |
95.95%
3 pts better
|
Numerator 269 · Denominator 272 |
| Transfer of health information to patient | 97.01% |
96.28%
0.7 pts better
|
Numerator 162 · Denominator 167 |
| Resident COVID-19 vaccinations up to date | 10.59% |
25.2%
14.6 pts worse
|
Numerator 25 · Denominator 236 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
1.9
0.9 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.1 · Expected 2.1 · 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 0.9 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 80.1% |
92.2%
12.1 pts worse
|
93.4%
13.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 76.2% · Q2 84.7% · Q3 81.8% · Q4 77.8% · 4Q avg 80.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 87.1% |
94.8%
7.7 pts worse
|
95.5%
8.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 87.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.7% |
3.5%
0.2 pts worse
|
3.3%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.7% · Q3 1.1% · Q4 4.4% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.8% |
12.0%
10.2 pts better
|
11.4%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 1.4% · Q3 0.0% · Q4 2.7% · 4Q avg 1.8% |
| Percentage of long-stay residents who lose too much weight | 4.0% |
5.2%
1.2 pts better
|
5.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 5.8% · Q3 2.7% · Q4 2.9% · 4Q avg 4.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.0% |
19.2%
6.2 pts better
|
19.6%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.1% · Q2 9.7% · Q3 15.8% · Q4 15.8% · 4Q avg 13.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.9% |
22.5%
8.6 pts better
|
16.7%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 14.9% · Q3 15.4% · Q4 12.7% · 4Q avg 13.9% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.6% |
0.1%
0.5 pts worse
|
0.1%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 1.1% · Q4 0.0% · 4Q avg 0.6% |
| Percentage of long-stay residents whose ability to walk independently worsened | 20.1% |
17.7%
2.4 pts worse
|
16.3%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.6% · Q2 27.1% · Q3 3.5% · Q4 18.5% · 4Q avg 20.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.8% |
17.6%
5.8 pts better
|
14.9%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 7.1% · Q3 8.0% · Q4 14.9% · 4Q avg 11.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.6% |
1.0%
0.6 pts worse
|
1.0%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.4% · Q3 2.1% · Q4 2.0% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.7% |
2.0%
0.7 pts worse
|
1.7%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 3.7% · Q3 1.2% · Q4 1.2% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.7% |
21.7%
6 pts worse
|
19.8%
7.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.7% · Q2 27.2% · Q3 33.1% · Q4 24.5% · 4Q avg 27.7% |
| Percentage of long-stay residents with pressure ulcers | 5.9% |
4.6%
1.3 pts worse
|
5.1%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 7.6% · Q3 7.9% · Q4 3.7% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 46.7% |
77.1%
30.4 pts worse
|
81.7%
35 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 59.4% · Q2 47.9% · Q3 36.4% · Q4 40.6% · 4Q avg 46.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.0% |
11.8%
0.2 pts worse
|
12.0%
About the same
|
Short Stay · 20240701-20250630 · Adjusted 12.0% · Observed 12.9% · Expected 12.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.3%
0.2 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.1% · Q3 1.2% · Q4 0.4% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 45.1% |
77.7%
32.6 pts worse
|
79.7%
34.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 45.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.3% |
25.8%
6.5 pts worse
|
23.9%
8.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.3% · Observed 32.7% · Expected 24.1% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Administration (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-11-19
Inspection history
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2026-02-13
Health
Provide and implement an infection prevention and control program.
Corrected 2026-02-13
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-02-13
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2026-02-13
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2026-02-13
Health
Ensure that residents are free from significant medication errors.
Corrected 2026-02-13
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-02-13
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-12-29
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-12-29
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-10
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-11-15
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-11-15
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 2024-11-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-15
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2024-11-15
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-11-15
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-11-15
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-15
Health
Keep all essential equipment working safely.
Corrected 2024-11-15
Health
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
Corrected 2024-11-15
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-08-22
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-08-22
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-08-22
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-08-22
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-08-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-22
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2023-08-22
Health
Provide and implement an infection prevention and control program.
Corrected 2023-08-22
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
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
Nearby options
Hingham, MA
5-star overall rating with 5-star inspections with 2 recent health deficiencies
Weymouth, MA
2-star overall rating with 2-star inspections with 14 recent health deficiencies with 22 fire-safety deficiencies in the latest cycle
Braintree, MA
4-star overall rating with 3-star inspections with 8 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
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