Somerset, MA

Clifton Rehabilitation Nursing Center

4-star overall rating with 4-star inspections with 1 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

500 Wilbur Avenue, Somerset, MA

(508) 675-7589

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 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

142

Certified beds

Average residents

132

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Michael Feist

Operator or chain grouping

Approved since

1990-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

7 facilities

Chain averages 4 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

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

0.68

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

0.78

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.67

Nurse aide staffing · state 2.26 · national 2.35

Total nurse hours

4.13

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

3.48

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.41

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.25

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.57

CMS adjusted RN staffing hours

Adjusted total hours

3.42

CMS adjusted total nurse staffing hours

Case-mix index

1.65

Higher values indicate more complex resident acuity

RN turnover

43%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

39%

Annual nurse turnover · state 40% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,613

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

16.07

Composite VBP score used to determine payment impact.

Payment multiplier

0.9816

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 17.54% · Performance 21.83% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 5.75% · Performance 7.92% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

6.43

Baseline 39.84% · Performance 37.41% · Measure score 6.43 · Achievement 6.43 · Improvement 1.12

Adjusted total nurse staffing

Baseline 3.84 hours · Performance 3.20 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	8.1%	10.72% 2.6 pts better	Better than the National Rate · Eligible stays 539 · Observed rate 5.75% · Lower 95% interval 6.11%
Discharge to community	65.2%	50.57% 14.6 pts better	Better than the National Rate · Eligible stays 571 · Observed rate 64.1% · Lower 95% interval 61.82%
Medicare spending per beneficiary	1.46	1.02 0.4 pts worse
Drug regimen review with follow-up	99.57%	95.27% 4.3 pts better	Numerator 462 · Denominator 464
Falls with major injury	0.86%	0.77% 0.1 pts worse	Numerator 4 · Denominator 464
Discharge self-care score	64.76%	53.69% 11.1 pts better	Numerator 226 · Denominator 349
Discharge mobility score	69.91%	50.94% 19 pts better	Numerator 244 · Denominator 349
Pressure ulcers or injuries, new or worsened	4.74%	2.29% 2.5 pts worse	Numerator 22 · Denominator 464 · Adjusted rate 6.38%
Healthcare-associated infections requiring hospitalization	7.93%	7.12% 0.8 pts worse	No Different than the National Rate · Eligible stays 387 · Observed rate 6.72% · Lower 95% interval 6.03%
Staff COVID-19 vaccination coverage	1.71%	8.2% 6.5 pts worse	Numerator 5 · Denominator 292
Staff flu vaccination coverage	62.15%	42% 20.1 pts better	Numerator 197 · Denominator 317
Discharge function score	73.93%	56.45% 17.5 pts better	Numerator 258 · Denominator 349
Transfer of health information to provider	99.16%	95.95% 3.2 pts better	Numerator 118 · Denominator 119
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 287 · Denominator 287
Resident COVID-19 vaccinations up to date	29.27%	25.2% 4.1 pts better	Numerator 72 · Denominator 246

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.7	1.9 0.8 pts worse	1.9 0.8 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.0 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.5	1.5 About the same	1.8 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.2 · Expected 1.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.3%	92.2% 7.1 pts better	93.4% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.6% · Q3 100.0% · Q4 98.6% · 4Q avg 99.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.6%	94.8% 2.8 pts better	95.5% 2.1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.6%
Percentage of long-stay residents experiencing one or more falls with major injury	4.5%	3.5% 1 pts worse	3.3% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 5.4% · Q3 2.8% · Q4 1.4% · 4Q avg 4.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	11.0%	12.0% 1 pts better	11.4% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.1% · Q2 8.3% · Q3 5.6% · Q4 16.4% · 4Q avg 11.0%
Percentage of long-stay residents who lose too much weight	3.9%	5.2% 1.3 pts better	5.4% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 8.9% · Q4 5.0% · 4Q avg 3.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.7%	19.2% 1.5 pts worse	19.6% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 20.0% · Q3 23.4% · Q4 25.0% · 4Q avg 20.7%
Percentage of long-stay residents who received an antipsychotic medication	8.5%	22.5% 14 pts better	16.7% 8.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 9.8% · Q3 5.4% · Q4 8.8% · 4Q avg 8.5% · 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	14.0%	17.7% 3.7 pts better	16.3% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 8.6% · Q3 20.3% · Q4 17.4% · 4Q avg 14.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	18.7%	17.6% 1.1 pts worse	14.9% 3.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 14.0% · Q3 14.9% · Q4 31.8% · 4Q avg 18.7% · 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	0.7%	2.0% 1.3 pts better	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.9% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	16.6%	21.7% 5.1 pts better	19.8% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 9.4% · Q3 18.1% · Q4 27.1% · 4Q avg 16.6%
Percentage of long-stay residents with pressure ulcers	3.7%	4.6% 0.9 pts better	5.1% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 5.3% · Q3 5.1% · Q4 1.8% · 4Q avg 3.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	95.9%	77.1% 18.8 pts better	81.7% 14.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 92.3% · Q2 93.8% · Q3 98.6% · Q4 98.9% · 4Q avg 95.9%
Percentage of short-stay residents who had an outpatient emergency department visit	14.5%	11.8% 2.7 pts worse	12.0% 2.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.5% · Observed 12.1% · Expected 9.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.6%	1.3% 0.7 pts better	1.6% 1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	86.5%	77.7% 8.8 pts better	79.7% 6.8 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 86.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.5%	25.8% 1.7 pts worse	23.9% 3.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.5% · Observed 23.2% · Expected 20.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-30 · Fire 2025-05-30

1 health deficiencies

Top issue: Infection Control (1 deficiency)

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2024-04-10 · Fire 2024-04-10

9 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

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

16 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-30

K321 · Smoke Deficiencies

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 2025-07-11

F · Potential for more than minimal harm 2025-05-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-07-11

F · Potential for more than minimal harm 2025-05-30

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2025-07-11

D · Potential for more than minimal harm 2025-05-30

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2025-07-11

D · Potential for more than minimal harm 2025-05-30

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-07-11

D · Potential for more than minimal harm 2025-05-30

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2025-07-11

D · Potential for more than minimal harm 2024-04-10

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-04-10

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-04-10

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-06-07

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-05-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-20

E · Potential for more than minimal harm 2024-04-10

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2024-05-24

E · Potential for more than minimal harm 2024-04-10

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 2024-05-24

E · Potential for more than minimal harm 2024-04-10

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-05-24

E · Potential for more than minimal harm 2024-04-10

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 2024-05-24

E · Potential for more than minimal harm 2024-04-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-24

D · Potential for more than minimal harm 2024-04-10

F585 · Resident Rights Deficiencies

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 2024-05-24

D · Potential for more than minimal harm 2024-04-10

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-05-24

D · Potential for more than minimal harm 2024-04-10

F758 · Pharmacy Service Deficiencies

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 2024-05-24

D · Potential for more than minimal harm 2024-04-10

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 2024-05-24

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

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 2022-12-15

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

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2022-12-15

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

F761 · Pharmacy Service Deficiencies

Health

Corrected 2022-12-15

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

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2022-12-15

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

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2022-12-15

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 2022-12-15