Federal inspection record · CMS data as of October 1, 2026

Leominster Rehabilitation and Nursing Center

44 Keystone Drive, Leominster, MA · (978) 537-9327

CMS overall rating

1 of 5

Compare with a nearby home →
Certified beds
106
Residents per day
70
Ownership
For-Profit
Chain
Ephram Lahasky
Medicare / Medicaid
Medicare + Medicaid
Certified since
May 1, 1989

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Massachusetts.

  2. Staffing

    −1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Massachusetts homes

Leominster Rehabilitation and Nursing Center carries 49 inspection points. That is fewer than 34% of Massachusetts's 339 rated homes.

5★4★3★2★1★+11 homes above 148.505102550100inspection points → fewer is better on the leftThis home · 49 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Massachusetts: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–6 pts
  • 4★ 6–24 pts
  • 3★ 24–41 pts
  • 2★ 41–76 pts
  • 1★ over 76 pts

Bars show every rated home in Massachusetts by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

43 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 36 4 pts
E 5 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    July 2, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected July 26, 2024

Everything else, by area of care

Quality of Life and Care14D
  1. D

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    November 19, 2025 · Standard · F688 · Corrected December 3, 2025

  2. D

    Provide care or services that was trauma informed and/or culturally competent.

    November 19, 2025 · Standard · F699 · Corrected December 3, 2025

  3. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    July 29, 2025 · Complaint · F690 · Corrected August 6, 2025

  4. D

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    July 29, 2025 · Complaint · F693 · Corrected August 6, 2025

  5. D

    Provide activities to meet all resident's needs.

    September 12, 2024 · Standard · F679 · Corrected October 11, 2024

  6. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 12, 2024 · Standard · F689 · Corrected October 11, 2024

  7. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    September 12, 2024 · Standard · F690 · Corrected October 11, 2024

  8. D

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

    September 12, 2024 · Standard · F742 · Corrected October 11, 2024

  9. D

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    August 29, 2024 · Complaint · F700 · Corrected September 26, 2024

  10. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    June 27, 2023 · Standard · F677 · Corrected July 18, 2023

  11. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    June 27, 2023 · Standard · F689 · Corrected July 18, 2023

  12. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    June 27, 2023 · Standard · F698 · Corrected July 18, 2023

  13. D

    Provide care or services that was trauma informed and/or culturally competent.

    June 27, 2023 · Standard · F699 · Corrected July 18, 2023

  14. D

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

    June 27, 2023 · Standard · F742 · Corrected July 18, 2023

Resident Assessment and Care Planning8E
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    November 19, 2025 · Standard · F656 · Corrected December 3, 2025

  2. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    September 12, 2024 · Standard · F657 · Corrected October 11, 2024

  3. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    September 12, 2024 · Standard · F658 · Corrected October 11, 2024

  4. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    September 12, 2024 · Standard · F842 · Corrected October 11, 2024

  5. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    February 14, 2024 · Complaint · F656 · Corrected March 11, 2024

  6. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    February 14, 2024 · Complaint · F842 · Corrected March 11, 2024

  7. E

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    June 27, 2023 · Standard · F636 · Corrected July 18, 2023

  8. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    June 27, 2023 · Standard · F655 · Corrected July 18, 2023

Freedom from Abuse, Neglect, and Exploitation6E
  1. D

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    August 29, 2024 · Complaint · F604 · Corrected September 26, 2024

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    August 29, 2024 · Complaint · F609 · Corrected September 26, 2024

  3. D

    Respond appropriately to all alleged violations.

    August 29, 2024 · Complaint · F610 · Corrected September 26, 2024

  4. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    July 2, 2024 · Complaint · F607 · Corrected July 26, 2024

  5. E

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    June 27, 2023 · Standard · F607 · Corrected July 18, 2023

  6. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    June 27, 2023 · Standard · F609 · Corrected July 18, 2023

Resident Rights5D
  1. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    November 19, 2025 · Standard · F584 · Corrected December 3, 2025

  2. D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    September 12, 2024 · Standard · F552 · Corrected October 11, 2024

  3. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    September 12, 2024 · Standard · F580 · Corrected October 11, 2024

  4. D

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    August 29, 2024 · Complaint · F557 · Corrected September 26, 2024

  5. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    June 27, 2023 · Standard · F580 · Corrected July 18, 2023

Pharmacy Service4E
  1. E

    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.

    November 19, 2025 · Standard · F761 · Corrected December 3, 2025

  2. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    September 12, 2024 · Standard · F756 · Corrected October 11, 2024

  3. D

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    September 12, 2024 · Standard · F758 · Corrected October 11, 2024

  4. D

    Ensure that residents are free from significant medication errors.

    June 27, 2023 · Standard · F760 · Corrected July 18, 2023

Nursing and Physician Services2E
  1. E

    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.

    September 12, 2024 · Standard · F726 · Corrected October 11, 2024

  2. E

    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.

    September 12, 2024 · Standard · F727 · Corrected October 11, 2024

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    September 12, 2024 · Standard · F880 · Corrected October 11, 2024

Environmental1F
  1. F

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    June 27, 2023 · Standard · F909 · Corrected July 18, 2023

Administration1D
  1. D

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    June 27, 2023 · Standard · F868 · Corrected July 18, 2023

Inspection history

  1. 2025-11-19

    5 health deficiencies · 1 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  2. 2024-09-12

    16 health deficiencies · 21 fire-safety deficiencies

    Top issue: Quality of Life and Care (6 deficiencies)

  3. 2023-06-27

    22 health deficiencies · 3 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (7 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 34 min of nursing staff time a day, 24 min of it from a registered nurse.

This home

3 h 34 min

Massachusetts average

3 h 56 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 43% of nursing staff and 86% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$26,033 in federal fines on record over the past three years.

DatePenaltyAmount
2024-07-02Fine$26,033

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.1 pts better1.71.81.8
Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same1.41.41.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.1 pts better100.0%92.9%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.5 pts better100.0%93.5%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1 pts better2.4%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms42.5 pts worse59.9%17.4%13.5%
Percentage of long-stay residents who lose too much weight1.1 pts worse6.1%5.0%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication8.9 pts worse28.4%19.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication6.5 pts better15.0%21.5%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened6.3 pts better7.6%13.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased6.4 pts worse22.2%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better0.0%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection1.3 pts better0.4%1.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.6 pts better16.8%20.4%18.3%
Percentage of long-stay residents with pressure ulcers1.1 pts better3.1%4.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.7 pts better96.6%78.9%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4.9 pts better6.9%11.8%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better0.8%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.6 pts better92.7%78.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission1.2 pts better24.5%25.7%23.4%

·

Who owns and runs it

4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Katz, MichelleManaging Control - Governing Body · Individual0%1 facilities
Katz, MichelleOperational/Managerial Control · Individual0%1 facilities
Katz, MichelleAdp Of The SNF · Individual0%1 facilities
Majekodunmi, AkindeleAdp Of The SNF · Individual0%10 facilities

·

Fire safety

25 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Egress7F
  1. D

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    November 19, 2025 · K222 · Corrected December 4, 2025

  2. F

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

    September 12, 2024 · K225 · Corrected November 13, 2024

  3. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    September 12, 2024 · K211 · Corrected November 13, 2024

  4. D

    Provide rooms that can be unlocked from inside without a key.

    September 12, 2024 · K221 · Corrected November 13, 2024

  5. D

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    September 12, 2024 · K222 · Corrected November 13, 2024

  6. D

    Provide hallway or ground-level exits in all residents' rooms.

    September 12, 2024 · K254 · Corrected November 13, 2024

  7. D

    Have properly located and lighted "Exit" signs.

    September 12, 2024 · K293 · Corrected November 13, 2024

Smoke5E
  1. E

    Install an approved automatic sprinkler system.

    September 12, 2024 · K351 · Corrected November 14, 2024

  2. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    September 12, 2024 · K321 · Corrected November 13, 2024

  3. D

    Provide properly protected cooking facilities.

    September 12, 2024 · K324 · Corrected November 13, 2024

  4. D

    Have approved installation, maintenance and testing program for fire alarm systems.

    September 12, 2024 · K345 · Corrected November 13, 2024

  5. D

    Inspect, test, and maintain automatic sprinkler systems.

    September 12, 2024 · K353 · Corrected November 13, 2024

Gas, Vacuum, and Electrical Systems5F
  1. E

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    September 12, 2024 · K914 · Corrected November 13, 2024

  2. E

    Have generator or other power source capable of supplying service within 10 seconds.

    September 12, 2024 · K918 · Corrected November 13, 2024

  3. D

    Meet requirements for the installation and maintenance of electrical systems.

    September 12, 2024 · K911 · Corrected November 13, 2024

  4. D

    Have proper medical gas storage and administration areas.

    September 12, 2024 · K923 · Corrected November 14, 2024

  5. F

    Have generator or other power source capable of supplying service within 10 seconds.

    June 27, 2023 · K918 · Corrected July 18, 2023

Emergency Preparedness4F
  1. E

    Implement emergency and standby power systems.

    September 12, 2024 · E41 · Corrected November 13, 2024

  2. D

    Establish emergency prep training and testing.

    September 12, 2024 · E36 · Corrected November 13, 2024

  3. D

    Develop and maintain an Emergency Preparedness Program (EP).

    September 12, 2024 · E4 · Corrected November 13, 2024

  4. F

    Implement emergency and standby power systems.

    June 27, 2023 · E41 · Corrected July 18, 2023

Miscellaneous3F
  1. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    September 12, 2024 · K761 · Corrected November 13, 2024

  2. D

    Have simulated fire drills held at unexpected times.

    September 12, 2024 · K712 · Corrected November 13, 2024

  3. F

    Have simulated fire drills held at unexpected times.

    June 27, 2023 · K712 · Corrected July 18, 2023

Services1E
  1. E

    Install properly constructed and protected linen or trash chutes.

    September 12, 2024 · K541 · Corrected November 13, 2024

·

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