Wakefield, MA

Greenwood Nursing & Rehabilitation Center

5-star overall rating with 4-star inspections with 8 recent health deficiencies

90 Greenwood Street, Wakefield, MA

(781) 246-0211

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

36

Certified beds

Average residents

31

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1997-12-31

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

0.51

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

0.89

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.40

Nurse aide staffing · state 2.26 · national 2.35

Total nurse hours

3.80

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.40

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

3.41

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.39

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.53

CMS adjusted RN staffing hours

Adjusted total hours

3.97

CMS adjusted total nurse staffing hours

Case-mix index

1.31

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

36%

Annual nurse turnover · state 40% · national 46%

SNF VBP

Value-based purchasing

Program rank

627

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

Performance score

66.31

Composite VBP score used to determine payment impact.

Payment multiplier

1.0202

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

9.46

Baseline 19.23% · Performance 25.00% · Measure score 9.46 · Achievement 9.46 · Improvement 0

Adjusted total nurse staffing

3.80

Baseline 4.23 hours · Performance 4.16 hours · Measure score 3.80 · Achievement 3.80 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 2 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · No data were submitted for this measure.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Staff COVID-19 vaccination coverage	78.72%	8.2% 70.5 pts better	Numerator 37 · Denominator 47
Staff flu vaccination coverage	95.74%	42% 53.7 pts better	Numerator 45 · Denominator 47
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.3	1.9 0.6 pts better	1.9 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 0.7 · Expected 1.1 · 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 0.6 · Expected 1.1 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	90.3%	92.2% 1.9 pts worse	93.4% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 95.8% · Q2 89.7% · Q3 80.0% · Q4 96.7% · 4Q avg 90.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.6%	94.8% 1.8 pts better	95.5% 1.1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.6%
Percentage of long-stay residents experiencing one or more falls with major injury	2.7%	3.5% 0.8 pts better	3.3% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.3% · Q4 6.7% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.5%	12.0% 7.5 pts better	11.4% 6.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 3.4% · Q3 6.7% · Q4 3.6% · 4Q avg 4.5%
Percentage of long-stay residents who lose too much weight	2.1%	5.2% 3.1 pts better	5.4% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 8.0% · Q4 0.0% · 4Q avg 2.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	11.5%	19.2% 7.7 pts better	19.6% 8.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 11.5% · Q3 12.0% · Q4 8.7% · 4Q avg 11.5%
Percentage of long-stay residents who received an antipsychotic medication	5.2%	22.5% 17.3 pts better	16.7% 11.5 pts better	Long Stay · 2024Q4-2025Q3 · Q2 5.0% · Q3 4.8% · Q4 10.0% · 4Q avg 5.2% · 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	10.1%	17.7% 7.6 pts better	16.3% 6.2 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 10.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.2%	17.6% 9.4 pts better	14.9% 6.7 pts better	Long Stay · 2024Q4-2025Q3 · Q2 10.0% · 4Q avg 8.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.6%	1.0% 0.4 pts better	1.0% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.2% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.8%	2.0% 0.2 pts better	1.7% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.4% · Q3 3.3% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	10.5%	21.7% 11.2 pts better	19.8% 9.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 3.8% · Q3 25.3% · Q4 7.4% · 4Q avg 10.5%
Percentage of long-stay residents with pressure ulcers	3.1%	4.6% 1.5 pts better	5.1% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.7% · Q3 4.6% · Q4 4.4% · 4Q avg 3.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	30.4%	77.1% 46.7 pts worse	81.7% 51.3 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 30.4%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-07 · Fire 2025-08-07

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-08-21 · Fire 2024-08-21

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-04-20 · Fire 2023-04-20

5 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-08-07

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-08-29

E · Potential for more than minimal harm 2025-08-07

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 2025-08-29

E · Potential for more than minimal harm 2025-08-07