Cycle 1
Health 2024-12-16 · Fire 2024-12-16
9 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
17 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fall River, MA
Kimwell Nursing And Rehabilitation
2-star overall rating with 2-star inspections with $8,278 in total fines with 9 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle
495 New Boston Road, Fall River, MA
(508) 679-0106
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
124
Certified beds
Average residents
105
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Best Care Services
Operator or chain grouping
Approved since
1970-02-16
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
10 facilities
Chain averages 2 overall / 2 health / 2 staffing / 2 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
Hours and turnover
RN hours / resident day
0.39
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.15
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.04
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
3.59
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.54
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.11
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.22
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.38
CMS adjusted RN staffing hours
Adjusted total hours
3.48
CMS adjusted total nurse staffing hours
Case-mix index
1.41
Higher values indicate more complex resident acuity
RN turnover
50%
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
5,935
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.54
Composite VBP score used to determine payment impact.
Payment multiplier
0.9884
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.28
Baseline 19.91% · Performance 20.38% · Measure score 2.28 · Achievement 2.28 · Improvement 0
Healthcare-associated infections
4.58
Baseline 7.31% · Performance 6.47% · Measure score 4.58 · Achievement 4.58 · Improvement 3.14
Total nurse turnover
5.16
Baseline 40.43% · Performance 42.59% · Measure score 5.16 · Achievement 5.16 · Improvement 0
Adjusted total nurse staffing
1.80
Baseline 3.74 hours · Performance 3.59 hours · Measure score 1.80 · Achievement 1.80 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.63% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 200 · Observed rate 9.5% · Lower 95% interval 6.71% |
| Discharge to community | 60.29% |
50.57%
9.7 pts better
|
Better than the National Rate · Eligible stays 156 · Observed rate 52.56% · Lower 95% interval 53.94% |
| Medicare spending per beneficiary | 0.91 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 136 · Denominator 136 |
| Falls with major injury | 1.47% |
0.77%
0.7 pts worse
|
Numerator 2 · Denominator 136 |
| Discharge self-care score | 44.83% |
53.69%
8.9 pts worse
|
Numerator 39 · Denominator 87 |
| Discharge mobility score | 39.08% |
50.94%
11.9 pts worse
|
Numerator 34 · Denominator 87 |
| Pressure ulcers or injuries, new or worsened | 2.21% |
2.29%
0.1 pts better
|
Numerator 3 · Denominator 136 · Adjusted rate 2.12% |
| Healthcare-associated infections requiring hospitalization | 6.47% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 110 · Observed rate 5.45% · Lower 95% interval 4.01% |
| Staff COVID-19 vaccination coverage | 98.33% |
8.2%
90.1 pts better
|
Numerator 177 · Denominator 180 |
| Staff flu vaccination coverage | 88.02% |
42%
46 pts better
|
Numerator 147 · Denominator 167 |
| Discharge function score | 42.53% |
56.45%
13.9 pts worse
|
Numerator 37 · Denominator 87 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 36 · Denominator 36 |
| Transfer of health information to patient | 98.18% |
96.28%
1.9 pts better
|
Numerator 54 · Denominator 55 |
| Resident COVID-19 vaccinations up to date | 10.13% |
25.2%
15.1 pts worse
|
Numerator 8 · Denominator 79 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
1.9
0.2 pts better
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.8 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.0 |
1.5
1.5 pts worse
|
1.8
1.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 3.0 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 87.4% |
92.2%
4.8 pts worse
|
93.4%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 91.2% · Q2 86.6% · Q3 85.5% · Q4 86.2% · 4Q avg 87.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 84.4% |
94.8%
10.4 pts worse
|
95.5%
11.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 84.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.8% |
3.5%
2.3 pts worse
|
3.3%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 6.1% · Q3 6.0% · Q4 6.2% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.1% |
12.0%
8.9 pts better
|
11.4%
8.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.6% · Q3 3.9% · Q4 5.6% · 4Q avg 3.1% |
| Percentage of long-stay residents who lose too much weight | 7.7% |
5.2%
2.5 pts worse
|
5.4%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 10.8% · Q3 9.5% · Q4 1.7% · 4Q avg 7.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.1% |
19.2%
6.9 pts worse
|
19.6%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.6% · Q2 25.0% · Q3 24.6% · Q4 28.1% · 4Q avg 26.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.1% |
22.5%
16.4 pts better
|
16.7%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 2.3% · Q3 6.2% · Q4 10.9% · 4Q avg 6.1% · 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 | 33.9% |
17.7%
16.2 pts worse
|
16.3%
17.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.9% · Q2 29.7% · Q3 26.8% · Q4 48.1% · 4Q avg 33.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 29.2% |
17.6%
11.6 pts worse
|
14.9%
14.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.1% · Q2 31.8% · Q3 27.9% · Q4 25.8% · 4Q avg 29.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.1% |
1.0%
1.1 pts worse
|
1.0%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 2.3% · Q3 1.9% · Q4 1.1% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.3% |
2.0%
0.3 pts worse
|
1.7%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 1.3% · Q3 2.5% · Q4 1.4% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 34.4% |
21.7%
12.7 pts worse
|
19.8%
14.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.6% · Q2 36.2% · Q3 28.7% · Q4 32.4% · 4Q avg 34.4% |
| Percentage of long-stay residents with pressure ulcers | 4.5% |
4.6%
0.1 pts better
|
5.1%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 5.3% · Q3 6.1% · Q4 2.7% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 52.9% |
77.1%
24.2 pts worse
|
81.7%
28.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 55.5% · Q2 40.7% · Q3 52.0% · Q4 64.7% · 4Q avg 52.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.0% |
11.8%
2.2 pts worse
|
12.0%
2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.0% · Observed 17.4% · Expected 13.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.3%
0.3 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.0% · Q3 0.9% · Q4 1.1% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 55.0% |
77.7%
22.7 pts worse
|
79.7%
24.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 55.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 35.5% |
25.8%
9.7 pts worse
|
23.9%
11.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 35.5% · Observed 41.7% · Expected 28.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-18 · Fire 2023-08-18
8 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2020-02-12 · Fire 2020-02-12
6 health deficiencies
Top issue: Resident Assessment and Care Planning (2 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
2024-12-16
E20 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2025-02-13
F · Potential for more than minimal harm
2024-12-16
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-02-13
F · Potential for more than minimal harm
2024-12-16
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2025-02-13
F · Potential for more than minimal harm
2024-12-16
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-02-13
F · Potential for more than minimal harm
2024-12-16
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-02-13
F · Potential for more than minimal harm
2024-12-16
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-02-13
F · Potential for more than minimal harm
2024-12-16
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-02-13
E · Potential for more than minimal harm
2024-12-16
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 2025-02-13
E · Potential for more than minimal harm
2024-12-16
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-13
E · Potential for more than minimal harm
2024-12-16
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-02-13
E · Potential for more than minimal harm
2024-12-16
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-02-13
E · Potential for more than minimal harm
2024-12-16
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-02-13
D · Potential for more than minimal harm
2024-12-16
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-02-13
D · Potential for more than minimal harm
2024-12-16
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-02-13
D · Potential for more than minimal harm
2024-12-16
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-02-13
D · Potential for more than minimal harm
2024-12-16
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-02-13
D · Potential for more than minimal harm
2024-12-16
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-02-13
E · Potential for more than minimal harm
2023-08-18
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-09-29
E · Potential for more than minimal harm
2023-08-18
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 2023-09-29
E · Potential for more than minimal harm
2023-08-18
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-29
E · Potential for more than minimal harm
2023-08-18
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-09-29
E · Potential for more than minimal harm
2023-08-18
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-09-29
D · Potential for more than minimal harm
2023-08-18
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-09-29
D · Potential for more than minimal harm
2023-08-18
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2023-09-29
Inspection history
Recent health citations
G · Actual harm
2025-10-07
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-20
E · Potential for more than minimal harm
2024-12-16
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-16
E · Potential for more than minimal harm
2024-12-16
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-01-16
D · Potential for more than minimal harm
2024-12-16
F551 · Resident Rights Deficiencies
Health
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2025-01-16
D · Potential for more than minimal harm
2024-12-16
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-01-16
D · Potential for more than minimal harm
2024-12-16
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-01-16
D · Potential for more than minimal harm
2024-12-16
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2025-01-16
D · Potential for more than minimal harm
2024-12-16
F745 · Quality of Life and Care Deficiencies
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2025-01-16
B · Minimal harm
2024-12-16
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-01-16
D · Potential for more than minimal harm
2024-10-29
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-12-06
D · Potential for more than minimal harm
2024-10-29
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-12-06
E · Potential for more than minimal harm
2023-08-18
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-09-29
E · Potential for more than minimal harm
2023-08-18
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 2023-09-29
E · Potential for more than minimal harm
2023-08-18
F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2023-09-29
D · Potential for more than minimal harm
2023-08-18
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-10-13
D · Potential for more than minimal harm
2023-08-18
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-29
D · Potential for more than minimal harm
2023-08-18
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-29
D · Potential for more than minimal harm
2023-03-15
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-04-18
D · Potential for more than minimal harm
2020-02-12
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-04-01
D · Potential for more than minimal harm
2020-02-12
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 2020-04-01
D · Potential for more than minimal harm
2020-02-12
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2020-04-01
D · Potential for more than minimal harm
2020-02-12
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2020-04-01
B · Minimal harm
2020-02-12
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2020-04-01
Penalties and ownership
What sits behind the stars
$8,278
2025-10-07
Fine
Fine · fine $8,278
Fine
Ownership
Cksst Holding Company LLC
5% Or Greater Direct Ownership Interest · Organization
Al-Madi, Sami
Operational/Managerial Control · Individual
Bonadio & Co Llp
Operational/Managerial Control · Organization
Chapler, Yaakov
Operational/Managerial Control · Individual
Hinedi, Tamim
Operational/Managerial Control · Individual
Mcnaughton, James
Operational/Managerial Control · Individual
Reliant Rehabilitation Holdings Inc
Operational/Managerial Control · Organization
Steinberg, Moshe
Operational/Managerial Control · Individual
Steinberg, Moshe
Corporate Director · Individual
Twomagnets LLC
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Fall River Jewish Home
Fall River, MA
2-star overall rating with 2-star inspections with $52,702 in total fines with 12 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Carvalho Grove Health And Rehabilitation Center
Fall River, MA
1-star overall rating with 1-star inspections with $22,526 in total fines with 22 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Fall River Healthcare
Fall River, MA
1-star overall rating with 1-star inspections with abuse icon flag with $557,805 in total fines with 12 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Jump out