Cycle 1
Health 2025-02-13 · Fire 2025-02-13
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Holden, MA
Holden Rehabilitation & Nursing Center
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
32 Mayo Road, Holden, MA
(508) 829-4327
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
123
Certified beds
Average residents
112
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-01-01
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
0.97
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.29
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.34
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
4.60
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.26
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
4.22
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.69
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.67
CMS adjusted RN staffing hours
Adjusted total hours
3.16
CMS adjusted total nurse staffing hours
Case-mix index
1.99
Higher values indicate more complex resident acuity
RN turnover
34%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,067
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
18.14
Composite VBP score used to determine payment impact.
Payment multiplier
0.9819
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3
Baseline 19.01% · Performance 20.04% · Measure score 3 · Achievement 3 · Improvement 0
Healthcare-associated infections
0
Baseline 4.00% · Performance 7.98% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.43
Baseline 38.69% · Performance 49.68% · Measure score 3.43 · Achievement 3.43 · Improvement 0
Adjusted total nurse staffing
0.83
Baseline 3.37 hours · Performance 3.31 hours · Measure score 0.83 · Achievement 0.83 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.02% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 272 · Observed rate 10.29% · Lower 95% interval 8.06% |
| Discharge to community | 65.66% |
50.57%
15.1 pts better
|
Better than the National Rate · Eligible stays 280 · Observed rate 57.5% · Lower 95% interval 58.66% |
| Medicare spending per beneficiary | 0.85 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 147 · Denominator 147 |
| Falls with major injury | 0.68% |
0.77%
0.1 pts better
|
Numerator 1 · Denominator 147 |
| Discharge self-care score | 38.46% |
53.69%
15.2 pts worse
|
Numerator 45 · Denominator 117 |
| Discharge mobility score | 29.91% |
50.94%
21 pts worse
|
Numerator 35 · Denominator 117 |
| Pressure ulcers or injuries, new or worsened | 2.04% |
2.29%
0.2 pts better
|
Numerator 3 · Denominator 147 · Adjusted rate 2.47% |
| Healthcare-associated infections requiring hospitalization | 7.98% |
7.12%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 166 · Observed rate 9.64% · Lower 95% interval 5.49% |
| Staff COVID-19 vaccination coverage | 32.28% |
8.2%
24.1 pts better
|
Numerator 61 · Denominator 189 |
| Staff flu vaccination coverage | 51.1% |
42%
9.1 pts better
|
Numerator 93 · Denominator 182 |
| Discharge function score | 33.33% |
56.45%
23.1 pts worse
|
Numerator 39 · Denominator 117 |
| Transfer of health information to provider | 96.63% |
95.95%
0.7 pts better
|
Numerator 86 · Denominator 89 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 36 · Denominator 36 |
| Resident COVID-19 vaccinations up to date | 21.82% |
25.2%
3.4 pts worse
|
Numerator 12 · Denominator 55 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
1.9
0.4 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.8 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.5
0.4 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.2 · Expected 1.7 · 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 97.8% · Q2 98.9% · Q3 97.6% · Q4 96.7% · 4Q avg 97.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.9% |
94.8%
2.1 pts better
|
95.5%
1.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% |
3.5%
0.1 pts better
|
3.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 4.6% · Q3 2.4% · Q4 3.3% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.4% |
12.0%
10.6 pts better
|
11.4%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.4% · Q3 1.3% · Q4 1.4% · 4Q avg 1.4% |
| Percentage of long-stay residents who lose too much weight | 4.5% |
5.2%
0.7 pts better
|
5.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 7.8% · Q3 4.1% · Q4 3.8% · 4Q avg 4.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.7% |
19.2%
8.5 pts worse
|
19.6%
8.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 27.8% · Q3 28.9% · Q4 28.0% · 4Q avg 27.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.0% |
22.5%
0.5 pts worse
|
16.7%
6.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.5% · Q2 25.8% · Q3 22.0% · Q4 22.6% · 4Q avg 23.0% · 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 | 25.0% |
17.7%
7.3 pts worse
|
16.3%
8.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.4% · Q2 23.5% · 4Q avg 25.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.3% |
17.6%
0.7 pts worse
|
14.9%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.5% · Q2 14.3% · Q3 17.0% · Q4 16.7% · 4Q avg 18.3% · 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 | 3.2% |
2.0%
1.2 pts worse
|
1.7%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.5% · Q3 0.0% · Q4 5.8% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.5% |
21.7%
5.2 pts better
|
19.8%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 31.8% · Q2 16.7% · Q3 4.8% · Q4 12.3% · 4Q avg 16.5% |
| Percentage of long-stay residents with pressure ulcers | 5.3% |
4.6%
0.7 pts worse
|
5.1%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 3.8% · Q3 3.2% · Q4 5.3% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% |
77.1%
20.9 pts better
|
81.7%
16.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.3% · Q2 97.9% · Q3 98.1% · Q4 98.6% · 4Q avg 98.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.5% |
11.8%
3.7 pts worse
|
12.0%
3.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.5% · Observed 15.3% · Expected 11.0% · 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 0.8% · Q2 0.0% · Q3 1.6% · Q4 1.7% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.0% |
77.7%
13.3 pts better
|
79.7%
11.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.8% |
25.8%
9 pts better
|
23.9%
7.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.8% · Observed 16.0% · Expected 22.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-12-15 · Fire 2023-12-15
4 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Cycle 3
Health 2022-05-16 · Fire 2022-05-16
4 health deficiencies
Top issue: Infection Control (1 deficiency)
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
2025-02-13
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-02-19
F · Potential for more than minimal harm
2025-02-13
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-03-06
F · Potential for more than minimal harm
2025-02-13
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-06
D · Potential for more than minimal harm
2025-02-13
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 2025-02-20
D · Potential for more than minimal harm
2025-02-13
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-03-03
D · Potential for more than minimal harm
2025-02-13
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-03-05
F · Potential for more than minimal harm
2023-12-15
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-12-26
F · Potential for more than minimal harm
2023-12-15
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-12-26
D · Potential for more than minimal harm
2023-12-15
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-22
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-02-13
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-03-13
D · Potential for more than minimal harm
2025-02-13
F646 · Resident Assessment and Care Planning Deficiencies
Health
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected 2025-03-14
D · Potential for more than minimal harm
2025-02-13
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-03-14
D · Potential for more than minimal harm
2025-02-13
F740 · Quality of Life and Care Deficiencies
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-03-13
B · Minimal harm
2025-02-13
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-02-28
E · Potential for more than minimal harm
2023-12-15
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-01-12
E · Potential for more than minimal harm
2023-12-15
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 2024-01-12
D · Potential for more than minimal harm
2023-12-15
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 2024-01-12
D · Potential for more than minimal harm
2023-12-15
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-12
E · Potential for more than minimal harm
2022-05-16
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2022-06-10
E · Potential for more than minimal harm
2022-05-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-06-10
D · Potential for more than minimal harm
2022-05-16
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 2022-06-10
B · Minimal harm
2022-05-16
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2022-06-10
Penalties and ownership
What sits behind the stars
Ownership
Oriol Holding Inc
5% Or Greater Direct Ownership Interest · Organization
Oriol, David
5% Or Greater Indirect Ownership Interest · Individual
Oriol, Robert
5% Or Greater Indirect Ownership Interest · Individual
Mahoney, Christine
5% Or Greater Indirect Ownership Interest · Individual
Boyce, John
5% Or Greater Indirect Ownership Interest · Individual
Baghdady, Sami
Corporate Director · Individual
Bain, Karen
Operational/Managerial Control · Individual
Barakian, Susan
Operational/Managerial Control · Individual
Boyce, John
Corporate Director · Individual
D'andrea, Tara
Operational/Managerial Control · Individual
Ef And Associates LLC
Operational/Managerial Control · Organization
Integral Health Partners LLC
Operational/Managerial Control · Organization
Mahoney, Christine
Corporate Director · Individual
Mahoney, Christine
Corporate Officer · Individual
Matson, Elizabeth
Corporate Officer · Individual
Oriol Health Care Inc
Operational/Managerial Control · Organization
Oriol, David
Corporate Director · Individual
Oriol, David
Corporate Officer · Individual
Oriol, Nathan
Operational/Managerial Control · Individual
Oriol, Robert
Corporate Director · Individual
Oriol, Robert
Corporate Officer · Individual
Paragon Outpatient Rehabilitation Services LLC
Operational/Managerial Control · Organization
Sahijwala, Natasha
Operational/Managerial Control · Individual
Snyder, Cynthia
Operational/Managerial Control · Individual
U.s. Department Of Housing And Urban Development
5% Or Greater Mortgage Interest · Organization
Veno, Joseph
Operational/Managerial Control · Individual
Whj, Inc.
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Jewish Healthcare Center
Worcester, MA
5-star overall rating with 4-star inspections with $10,517 in total fines with 2 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Odd Fellows Home Of Massachusetts
Worcester, MA
2-star overall rating with 2-star inspections with $106,301 in total fines with 11 recent health deficiencies with 19 fire-safety deficiencies in the latest cycle
#3
Holy Trinity Eastern Orthodox N & R Center
Worcester, MA
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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