3 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Boston, MA
5-star overall rating with 4-star inspections with 3 recent health deficiencies
174 Forest Hills Street, Boston, MA
(617) 522-1550
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
Beds
120
Certified beds
Average residents
110
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Ascentria Care Alliance
Operator or chain grouping
Approved since
1990-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 4 overall / 4 health / 4 staffing / 4 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
RN hours / resident day
0.45
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.33
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.50
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
4.27
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.78
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.70
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.28
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.46
CMS adjusted RN staffing hours
Adjusted total hours
4.38
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
26%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Program rank
1,643
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
55.06
Composite VBP score used to determine payment impact.
Payment multiplier
1.0100
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.72
Baseline 21.16% · Performance 20.17% · Measure score 2.72 · Achievement 2.72 · Improvement 1.90
Healthcare-associated infections
6.17
Baseline 6.73% · Performance 5.99% · Measure score 6.17 · Achievement 6.17 · Improvement 3.76
Total nurse turnover
8.87
Baseline 9.23% · Performance 27.43% · Measure score 8.87 · Achievement 8.87 · Improvement 0
Adjusted total nurse staffing
4.27
Baseline 3.30 hours · Performance 4.29 hours · Measure score 4.27 · Achievement 4.27 · Improvement 3.49
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.65% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 143 · Observed rate 8.39% · Lower 95% interval 7.16% |
| Discharge to community | 61.69% |
50.57%
11.1 pts better
|
Better than the National Rate · Eligible stays 109 · Observed rate 55.05% · Lower 95% interval 51.75% |
| Medicare spending per beneficiary | 0.72 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 122 · Denominator 122 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 122 |
| Discharge self-care score | 57.14% |
53.69%
3.5 pts better
|
Numerator 48 · Denominator 84 |
| Discharge mobility score | 48.81% |
50.94%
2.1 pts worse
|
Numerator 41 · Denominator 84 |
| Pressure ulcers or injuries, new or worsened | 4.1% |
2.29%
1.8 pts worse
|
Numerator 5 · Denominator 122 · Adjusted rate 3.05% |
| Healthcare-associated infections requiring hospitalization | 5.99% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 107 · Observed rate 4.67% · Lower 95% interval 3.64% |
| Staff COVID-19 vaccination coverage | 4.85% |
8.2%
3.3 pts worse
|
Numerator 11 · Denominator 227 |
| Staff flu vaccination coverage | 28.16% |
42%
13.8 pts worse
|
Numerator 69 · Denominator 245 |
| Discharge function score | 63.1% |
56.45%
6.6 pts better
|
Numerator 53 · Denominator 84 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 28 · Denominator 28 |
| Transfer of health information to patient | 94.87% |
96.28%
1.4 pts worse
|
Numerator 37 · Denominator 39 |
| Resident COVID-19 vaccinations up to date | 21.88% |
25.2%
3.3 pts worse
|
Numerator 14 · Denominator 64 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.6 |
1.9
0.7 pts worse
|
1.9
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.6 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
1.5
0.1 pts worse
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.5 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 37.4% |
92.2%
54.8 pts worse
|
93.4%
56 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 72.4% · Q2 41.7% · Q3 17.2% · Q4 17.3% · 4Q avg 37.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 73.1% |
94.8%
21.7 pts worse
|
95.5%
22.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 73.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.8% |
3.5%
1.7 pts better
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.1% · Q3 1.1% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.8% |
12.0%
10.2 pts better
|
11.4%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.5% · Q3 1.2% · Q4 3.7% · 4Q avg 1.8% |
| 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 6.2% · Q2 11.7% · Q3 7.3% · Q4 6.0% · 4Q avg 7.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.9% |
19.2%
9.3 pts better
|
19.6%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 11.9% · Q3 9.3% · Q4 7.9% · 4Q avg 9.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.0% |
22.5%
8.5 pts better
|
16.7%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 15.4% · Q3 13.0% · Q4 12.5% · 4Q avg 14.0% · 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 | 10.5% |
17.7%
7.2 pts better
|
16.3%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.5% · Q2 3.3% · Q3 5.0% · Q4 10.8% · 4Q avg 10.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.3% |
17.6%
4.3 pts better
|
14.9%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 13.2% · Q3 9.0% · Q4 15.0% · 4Q avg 13.3% · 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 | 0.3% |
2.0%
1.7 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · 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 22.0% · Q2 21.0% · Q3 11.9% · Q4 10.6% · 4Q avg 16.5% |
| Percentage of long-stay residents with pressure ulcers | 5.4% |
4.6%
0.8 pts worse
|
5.1%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 7.1% · Q3 6.0% · Q4 4.6% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 41.5% |
77.1%
35.6 pts worse
|
81.7%
40.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 56.8% · Q2 46.9% · Q3 31.8% · Q4 28.4% · 4Q avg 41.5% |
| 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 7.3% · Expected 11.3% · 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 0.0% · Q3 1.3% · 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 | 50.8% |
77.7%
26.9 pts worse
|
79.7%
28.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 50.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.7% |
25.8%
1.1 pts better
|
23.9%
0.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.7% · Observed 25.7% · Expected 24.8% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
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 2024-07-18
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-07-18
Inspection history
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-06-18
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-06-18
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-06-18
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-07-25
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-07-25
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 2024-07-25
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-07-25
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-07-25
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-07-25
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-07-25
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-07-25
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-07-25
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-07-25
Health
Post nurse staffing information every day.
Corrected 2024-07-25
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-06-01
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-06-01
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Nearby options
Boston, MA
1-star overall rating with 1-star inspections with Special Focus status with $95,036 in total fines with 22 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Boston, MA
4-star overall rating with 4-star inspections with 2 recent health deficiencies
Boston, MA
2-star overall rating with 2-star inspections with 16 recent health deficiencies
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