1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Wilmington, MA
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
750 Woburn Street, Wilmington, MA
(978) 988-0888
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
132
Certified beds
Average residents
110
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Careone
Operator or chain grouping
Approved since
1990-07-01
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
0.42
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.44
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
1.96
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
3.82
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.86
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.46
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.36
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.13
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.40
CMS adjusted RN staffing hours
Adjusted total hours
3.65
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
18%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
17%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Program rank
2,161
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
51.36
Composite VBP score used to determine payment impact.
Payment multiplier
1.0057
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.35
Baseline 23.83% · Performance 20.53% · Measure score 4.35 · Achievement 1.94 · Improvement 4.35
Healthcare-associated infections
5.77
Baseline 8.34% · Performance 6.24% · Measure score 5.77 · Achievement 5.33 · Improvement 5.77
Total nurse turnover
8.51
Baseline 38.46% · Performance 28.92% · Measure score 8.51 · Achievement 8.51 · Improvement 6.51
Adjusted total nurse staffing
1.92
Baseline 3.73 hours · Performance 3.62 hours · Measure score 1.92 · Achievement 1.92 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.76% |
10.72%
2 pts worse
|
No Different than the National Rate · Eligible stays 657 · Observed rate 13.24% · Lower 95% interval 10.3% |
| Discharge to community | 68.33% |
50.57%
17.8 pts better
|
Better than the National Rate · Eligible stays 675 · Observed rate 61.78% · Lower 95% interval 64.07% |
| Medicare spending per beneficiary | 0.91 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 99.78% |
95.27%
4.5 pts better
|
Numerator 451 · Denominator 452 |
| Falls with major injury | 0.44% |
0.77%
0.3 pts better
|
Numerator 2 · Denominator 452 |
| Discharge self-care score | 59.18% |
53.69%
5.5 pts better
|
Numerator 203 · Denominator 343 |
| Discharge mobility score | 48.4% |
50.94%
2.5 pts worse
|
Numerator 166 · Denominator 343 |
| Pressure ulcers or injuries, new or worsened | 1.77% |
2.29%
0.5 pts better
|
Numerator 8 · Denominator 452 · Adjusted rate 1.64% |
| Healthcare-associated infections requiring hospitalization | 6.24% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 423 · Observed rate 5.44% · Lower 95% interval 4.5% |
| Staff COVID-19 vaccination coverage | 13.04% |
8.2%
4.8 pts better
|
Numerator 27 · Denominator 207 |
| Staff flu vaccination coverage | 39.17% |
42%
2.8 pts worse
|
Numerator 85 · Denominator 217 |
| Discharge function score | 61.22% |
56.45%
4.8 pts better
|
Numerator 210 · Denominator 343 |
| Transfer of health information to provider | 99.6% |
95.95%
3.6 pts better
|
Numerator 250 · Denominator 251 |
| Transfer of health information to patient | 99.32% |
96.28%
3 pts better
|
Numerator 146 · Denominator 147 |
| Resident COVID-19 vaccinations up to date | 34.3% |
25.2%
9.1 pts better
|
Numerator 83 · Denominator 242 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.9
0.4 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.1 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.5
1 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.4 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.9% |
92.2%
5.7 pts better
|
93.4%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.2% · Q3 96.7% · Q4 96.6% · 4Q avg 97.9% |
| 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 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
3.5%
0.9 pts better
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 3.6% · Q3 3.3% · Q4 1.7% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.7% |
12.0%
4.3 pts better
|
11.4%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 7.4% · Q3 6.9% · Q4 3.4% · 4Q avg 7.7% |
| Percentage of long-stay residents who lose too much weight | 6.0% |
5.2%
0.8 pts worse
|
5.4%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 4.9% · Q3 8.9% · Q4 5.0% · 4Q avg 6.0% |
| 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 6.7% · Q2 9.1% · Q3 8.0% · Q4 17.0% · 4Q avg 10.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.0% |
22.5%
5.5 pts better
|
16.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 16.2% · Q3 19.5% · Q4 19.0% · 4Q avg 17.0% · 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 | 8.8% |
17.7%
8.9 pts better
|
16.3%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 13.3% · Q3 3.3% · Q4 0.0% · 4Q avg 8.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.7% |
17.6%
7.9 pts better
|
14.9%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 9.5% · Q3 12.8% · Q4 0.0% · 4Q avg 9.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.5% |
1.0%
0.5 pts worse
|
1.0%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.8% · Q4 3.2% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
2.0%
1.6 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.9% |
21.7%
3.2 pts worse
|
19.8%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.2% · Q2 31.3% · Q3 26.7% · Q4 10.2% · 4Q avg 24.9% |
| Percentage of long-stay residents with pressure ulcers | 5.8% |
4.6%
1.2 pts worse
|
5.1%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 4.5% · Q3 6.7% · Q4 3.9% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.1% |
77.1%
15 pts better
|
81.7%
10.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 93.4% · Q2 95.6% · Q3 89.1% · Q4 90.0% · 4Q avg 92.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.1% |
11.8%
4.7 pts better
|
12.0%
4.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.1% · Observed 6.7% · Expected 10.5% · 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 1.4% · Q2 0.8% · Q3 0.8% · Q4 1.4% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.4% |
77.7%
11.7 pts better
|
79.7%
9.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.9% |
25.8%
1.9 pts better
|
23.9%
About the same
|
Short Stay · 20240701-20250630 · Adjusted 23.9% · Observed 20.5% · Expected 20.5% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (1 deficiency)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
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 an enclosure around a vertical opening shaft.
Corrected 2025-08-19
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-09-02
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-08-20
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-08-22
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-08-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-08-26
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-14
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-06-28
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-06-28
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 2023-06-28
Penalties and ownership
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 Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
Nearby options
Wilmington, MA
2-star overall rating with 2-star inspections with abuse icon flag with $15,935 in total fines with 12 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
Reading, MA
1-star overall rating with 1-star inspections with Special Focus status with $54,360 in total fines with 24 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
Stoneham, MA
4-star overall rating with 3-star inspections with $16,146 in total fines with 4 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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