Cycle 1
Health 2024-12-04 · Fire 2024-12-04
0 health deficiencies
No concentrated health issue counts in this cycle.
6 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Weymouth, MA
Dwyer Home
5-star overall rating with 5-star inspections with 6 fire-safety deficiencies in the latest cycle
25 Stonehaven Drive, Weymouth, MA
(781) 660-5000
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
50
Certified beds
Average residents
47
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1998-04-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.55
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.79
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
1.91
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
3.26
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.34
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
2.99
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.46
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.51
CMS adjusted RN staffing hours
Adjusted total hours
3.02
CMS adjusted total nurse staffing hours
Case-mix index
1.47
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
33%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Value-based purchasing
Program rank
974
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
61.50
Composite VBP score used to determine payment impact.
Payment multiplier
1.0165
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.24
Baseline 22.60% · Performance 18.29% · Measure score 7.24 · Achievement 6.78 · Improvement 7.24
Healthcare-associated infections
8.34
Baseline 5.91% · Performance 5.34% · Measure score 8.34 · Achievement 8.34 · Improvement 5.71
Total nurse turnover
6.54
Baseline 45.28% · Performance 36.96% · Measure score 6.54 · Achievement 6.54 · Improvement 3.57
Adjusted total nurse staffing
2.48
Baseline 3.68 hours · Performance 3.78 hours · Measure score 2.48 · Achievement 2.48 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.73% |
10.72%
3 pts worse
|
No Different than the National Rate · Eligible stays 541 · Observed rate 12.01% · Lower 95% interval 10.67% |
| Discharge to community | 66.97% |
50.57%
16.4 pts better
|
Better than the National Rate · Eligible stays 564 · Observed rate 68.26% · Lower 95% interval 63.26% |
| Medicare spending per beneficiary | 0.84 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 94.75% |
95.27%
0.5 pts worse
|
Numerator 325 · Denominator 343 |
| Falls with major injury | 0.87% |
0.77%
0.1 pts worse
|
Numerator 3 · Denominator 343 |
| Discharge self-care score | 69.73% |
53.69%
16 pts better
|
Numerator 205 · Denominator 294 |
| Discharge mobility score | 57.48% |
50.94%
6.5 pts better
|
Numerator 169 · Denominator 294 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 343 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.34% |
7.12%
1.8 pts better
|
No Different than the National Rate · Eligible stays 316 · Observed rate 2.85% · Lower 95% interval 2.94% |
| Staff COVID-19 vaccination coverage | 3.37% |
8.2%
4.8 pts worse
|
Numerator 3 · Denominator 89 |
| Staff flu vaccination coverage | 79.69% |
42%
37.7 pts better
|
Numerator 102 · Denominator 128 |
| Discharge function score | 62.93% |
56.45%
6.5 pts better
|
Numerator 185 · Denominator 294 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 48 · Denominator 48 |
| Transfer of health information to patient | 99.29% |
96.28%
3 pts better
|
Numerator 280 · Denominator 282 |
| Resident COVID-19 vaccinations up to date | 4.59% |
25.2%
20.6 pts worse
|
Numerator 9 · Denominator 196 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.6 |
1.9
1.3 pts better
|
1.9
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.4 |
1.5
1.1 pts better
|
1.8
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.3 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.7% |
92.2%
5.5 pts better
|
93.4%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 90.0% · Q3 100.0% · Q4 100.0% · 4Q avg 97.7% |
| 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 | 1.1% |
3.5%
2.4 pts better
|
3.3%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
12.0%
12 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q4 0.0% · 4Q avg 0.0% |
| 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 9.1% · Q4 0.0% · 4Q avg 3.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.6% |
19.2%
10.6 pts better
|
19.6%
11 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q4 13.6% · 4Q avg 8.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.4% |
22.5%
1.1 pts better
|
16.7%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · 4Q avg 21.4% · 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 | 18.3% |
17.7%
0.6 pts worse
|
16.3%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 18.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.0% |
17.6%
6.4 pts worse
|
14.9%
9.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q4 27.3% · 4Q avg 24.0% · 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% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.4% |
2.0%
0.4 pts worse
|
1.7%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q3 0.0% · Q4 4.8% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.4% |
21.7%
7.7 pts worse
|
19.8%
9.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.0% · Q4 34.4% · 4Q avg 29.4% |
| Percentage of long-stay residents with pressure ulcers | 8.0% |
4.6%
3.4 pts worse
|
5.1%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q3 10.3% · Q4 12.1% · 4Q avg 8.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.2% |
77.1%
16.1 pts better
|
81.7%
11.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 92.5% · Q3 89.4% · Q4 92.8% · 4Q avg 93.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.2% |
11.8%
4.6 pts better
|
12.0%
4.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.2% · Observed 6.3% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.3%
1 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.6% · Q3 0.6% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 63.3% |
77.7%
14.4 pts worse
|
79.7%
16.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 63.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.4% |
25.8%
1.4 pts better
|
23.9%
0.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.4% · Observed 20.7% · Expected 20.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-12-12 · Fire 2023-12-12
4 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
12 fire-safety deficiencies
Top issue: Emergency Preparedness (10 deficiencies)
Cycle 3
Health 2022-03-17 · Fire 2022-03-17
6 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-12-04
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-01-15
F · Potential for more than minimal harm
2024-12-04
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-01-15
F · Potential for more than minimal harm
2024-12-04
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-01-15
F · Potential for more than minimal harm
2024-12-04
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-01-15
F · Potential for more than minimal harm
2024-12-04
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-01-15
F · Potential for more than minimal harm
2024-12-04
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-01-15
F · Potential for more than minimal harm
2023-12-12
E13 · Emergency Preparedness Deficiencies
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2024-01-19
F · Potential for more than minimal harm
2023-12-12
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-12-12
F · Potential for more than minimal harm
2023-12-12
E22 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2024-01-19
F · Potential for more than minimal harm
2023-12-12
E23 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2024-01-19
F · Potential for more than minimal harm
2023-12-12
E26 · Emergency Preparedness Deficiencies
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2024-01-19
F · Potential for more than minimal harm
2023-12-12
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-01-19
F · Potential for more than minimal harm
2023-12-12
E31 · Emergency Preparedness Deficiencies
Fire Safety
Provide emergency officials' contact information.
Corrected 2024-01-19
F · Potential for more than minimal harm
2023-12-12
E36 · Emergency Preparedness Deficiencies
Fire Safety
Establish emergency prep training and testing.
Corrected 2024-01-19
F · Potential for more than minimal harm
2023-12-12
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-01-19
F · Potential for more than minimal harm
2023-12-12
E9 · Emergency Preparedness Deficiencies
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2024-01-19
F · Potential for more than minimal harm
2023-12-12
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-01-19
F · Potential for more than minimal harm
2023-12-12
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-01-19
F · Potential for more than minimal harm
2022-03-17
E24 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2022-05-06
F · Potential for more than minimal harm
2022-03-17
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2022-05-06
F · Potential for more than minimal harm
2022-03-17
K226 · Egress Deficiencies
Fire Safety
Have horizontal exits used in accordance with safety requirements.
Corrected 2022-05-06
F · Potential for more than minimal harm
2022-03-17
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-05-06
F · Potential for more than minimal harm
2022-03-17
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-05-06
Inspection history
Recent health citations
D · Potential for more than minimal harm
2023-12-12
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 2024-01-10
D · Potential for more than minimal harm
2023-12-12
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-01-10
D · Potential for more than minimal harm
2023-12-12
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 2024-01-10
D · Potential for more than minimal harm
2023-12-12
F849 · Administration Deficiencies
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 2024-01-10
F · Potential for more than minimal harm
2022-03-17
F726 · Nursing and Physician Services Deficiencies
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2022-04-29
F · Potential for more than minimal harm
2022-03-17
F813 · Nutrition and Dietary Deficiencies
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2022-04-29
E · Potential for more than minimal harm
2022-03-17
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 2022-04-29
D · Potential for more than minimal harm
2022-03-17
F657 · Resident Assessment and Care Planning Deficiencies
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 2022-04-29
D · Potential for more than minimal harm
2022-03-17
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-04-29
B · Minimal harm
2022-03-17
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2022-04-29
Penalties and ownership
What sits behind the stars
Ownership
Freedman, Brian
Operational/Managerial Control · Individual
Moniz, John
5% Or Greater Direct Ownership Interest · Individual
Moniz, John
Operational/Managerial Control · Individual
Moniz, John
Corporate Officer · Individual
Reeves, Leslie
Corporate Director · Individual
Ross, Amy
Corporate Officer · Individual
William B Rice Eventide Home
5% Or Greater Direct Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Southshore Health Care Center
Rockland, MA
2-star overall rating with 1-star inspections with $26,395 in total fines with 19 recent health deficiencies
#2
Care One At Weymouth
Weymouth, MA
3-star overall rating with 3-star inspections with 10 recent health deficiencies
#3
Queen Anne Nursing Home, Inc
Hingham, MA
5-star overall rating with 5-star inspections
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