Cycle 1
Health 2025-11-20 · Fire 2025-11-20
3 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Chelsea, MA
Leonard Florence Center For Living
5-star overall rating with 5-star inspections with 3 recent health deficiencies
165 Captain's Row, Chelsea, MA
(617) 887-0001
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
100
Certified beds
Average residents
98
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Chelsea Jewish Lifecare
Operator or chain grouping
Approved since
2010-02-26
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 5 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
Hours and turnover
RN hours / resident day
1.44
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.95
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
5.23
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
7.62
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.39
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
7.14
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
1.12
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.85
CMS adjusted RN staffing hours
Adjusted total hours
4.52
CMS adjusted total nurse staffing hours
Case-mix index
2.30
Higher values indicate more complex resident acuity
RN turnover
14%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
24%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,188
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
51.14
Composite VBP score used to determine payment impact.
Payment multiplier
1.0054
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 22.84% · Performance 23.52% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
7.40
Baseline 5.61% · Performance 5.62% · Measure score 7.40 · Achievement 7.40 · Improvement 0
Total nurse turnover
7.33
Performance 33.73% · Measure score 7.33 · Achievement 7.33 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
5.73
Baseline 5.47 hours · Performance 4.71 hours · Measure score 5.73 · Achievement 5.73 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.27% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 541 · Observed rate 8.87% · Lower 95% interval 8.28% |
| Discharge to community | 67.76% |
50.57%
17.2 pts better
|
Better than the National Rate · Eligible stays 515 · Observed rate 66.41% · Lower 95% interval 63.64% |
| Medicare spending per beneficiary | 0.74 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 388 · Denominator 388 |
| Falls with major injury | 0.26% |
0.77%
0.5 pts better
|
Numerator 1 · Denominator 388 |
| Discharge self-care score | 42.11% |
53.69%
11.6 pts worse
|
Numerator 136 · Denominator 323 |
| Discharge mobility score | 57.59% |
50.94%
6.7 pts better
|
Numerator 186 · Denominator 323 |
| Pressure ulcers or injuries, new or worsened | 2.32% |
2.29%
About the same
|
Numerator 9 · Denominator 388 · Adjusted rate 2.95% |
| Healthcare-associated infections requiring hospitalization | 5.62% |
7.12%
1.5 pts better
|
No Different than the National Rate · Eligible stays 331 · Observed rate 4.23% · Lower 95% interval 3.52% |
| Staff COVID-19 vaccination coverage | 2.53% |
8.2%
5.7 pts worse
|
Numerator 5 · Denominator 198 |
| Staff flu vaccination coverage | 37.73% |
42%
4.3 pts worse
|
Numerator 123 · Denominator 326 |
| Discharge function score | 53.25% |
56.45%
3.2 pts worse
|
Numerator 172 · Denominator 323 |
| Transfer of health information to provider | 98.25% |
95.95%
2.3 pts better
|
Numerator 56 · Denominator 57 |
| Transfer of health information to patient | 99.63% |
96.28%
3.3 pts better
|
Numerator 267 · Denominator 268 |
| Resident COVID-19 vaccinations up to date | 55.61% |
25.2%
30.4 pts better
|
Numerator 104 · Denominator 187 |
Quality measures
Resident outcomes and process scores
| 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 2.7 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
1.5
0.7 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.9% |
92.2%
1.7 pts better
|
93.4%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.2% · Q2 93.1% · Q3 92.5% · Q4 93.9% · 4Q avg 93.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.8%
5.2 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.2% |
3.5%
0.3 pts better
|
3.3%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 4.2% · Q3 2.5% · Q4 2.4% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 36.5% |
12.0%
24.5 pts worse
|
11.4%
25.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 36.6% · Q3 38.0% · Q4 38.0% · 4Q avg 36.5% |
| Percentage of long-stay residents who lose too much weight | 3.8% |
5.2%
1.4 pts better
|
5.4%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.5% · Q3 5.5% · Q4 6.5% · 4Q avg 3.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 37.9% |
19.2%
18.7 pts worse
|
19.6%
18.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.7% · Q2 35.3% · Q3 39.0% · Q4 42.3% · 4Q avg 37.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.7% |
22.5%
7.8 pts better
|
16.7%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 11.9% · Q3 14.8% · Q4 17.5% · 4Q avg 14.7% · 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 | 19.2% |
17.7%
1.5 pts worse
|
16.3%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 19.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.2% |
17.6%
4.4 pts better
|
14.9%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 10.8% · Q3 12.8% · Q4 8.1% · 4Q avg 13.2% · 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 | 0.7% |
2.0%
1.3 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 0.0% · Q4 1.2% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.0% |
21.7%
16.7 pts better
|
19.8%
14.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 8.2% · Q3 4.9% · Q4 2.3% · 4Q avg 5.0% |
| Percentage of long-stay residents with pressure ulcers | 10.5% |
4.6%
5.9 pts worse
|
5.1%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.1% · Q2 11.3% · Q3 11.2% · Q4 9.5% · 4Q avg 10.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
77.1%
22 pts better
|
81.7%
17.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.9% · Q2 98.9% · Q3 98.7% · Q4 100.0% · 4Q avg 99.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.7% |
11.8%
3.1 pts better
|
12.0%
3.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.7% · Observed 8.5% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.3%
1.1 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.0% |
77.7%
9.3 pts better
|
79.7%
7.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.0% |
25.8%
1.2 pts worse
|
23.9%
3.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.0% · Observed 24.3% · Expected 21.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-10-02 · Fire 2024-10-02
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 2023-09-14 · Fire 2023-09-14
5 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-11-20
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-12-12
D · Potential for more than minimal harm
2025-11-20
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 2025-12-12
D · Potential for more than minimal harm
2025-06-25
F557 · Resident Rights Deficiencies
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-06-10
D · Potential for more than minimal harm
2023-09-14
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-11-02
D · Potential for more than minimal harm
2023-09-14
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-11-02
D · Potential for more than minimal harm
2023-09-14
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-11-02
D · Potential for more than minimal harm
2023-09-14
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 2023-11-02
D · Potential for more than minimal harm
2023-09-14
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-11-02
Penalties and ownership
What sits behind the stars
Ownership
Chelsea Jewish Lifecare Inc
5% Or Greater Direct Ownership Interest · Organization
Legacy Lifecare Inc
5% Or Greater Indirect Ownership Interest · Organization
Almeida, Amalia
Operational/Managerial Control · Individual
Anfang, Stuart
Operational/Managerial Control · Individual
Anfang, Stuart
Corporate Director · Individual
Baker Tilly Us, Llp
Operational/Managerial Control · Organization
Batista, Jaired
Operational/Managerial Control · Individual
Berman, Adam
Operational/Managerial Control · Individual
Berman, Adam
Corporate Director · Individual
Berman, Adam
Corporate Officer · Individual
Berman, Barry
Operational/Managerial Control · Individual
Berman, Barry
Corporate Director · Individual
Berman, Barry
Corporate Officer · Individual
Birle, Hans
Operational/Managerial Control · Individual
Brudnick, Jeffrey
Operational/Managerial Control · Individual
Brudnick, Jeffrey
Corporate Director · Individual
Cadet, Reginald
Operational/Managerial Control · Individual
Chelsea Jewish Lifecare Inc
Operational/Managerial Control · Organization
Crescenzo, Donna
Operational/Managerial Control · Individual
Donovan, Michelle
Operational/Managerial Control · Individual
Fiebelkorn, Douglas
Operational/Managerial Control · Individual
Fiebelkorn, Douglas
Corporate Director · Individual
Foreman, Sharon
Operational/Managerial Control · Individual
Foreman, Sharon
Corporate Director · Individual
Goldsmith, Susan
Operational/Managerial Control · Individual
Goldsmith, Susan
Corporate Director · Individual
Greenspan, Howard
Operational/Managerial Control · Individual
Greenspan, Howard
Corporate Director · Individual
Jean, Maclise
Operational/Managerial Control · Individual
Legacy Lifecare Inc
Operational/Managerial Control · Organization
M&T Bank
5% Or Greater Mortgage Interest · Organization
Maclellan, Genevieve
Operational/Managerial Control · Individual
Minteh, Kitabou
Operational/Managerial Control · Individual
Modesto, Aracely
Operational/Managerial Control · Individual
Mullen, Elizabeth
Operational/Managerial Control · Individual
Mullen, Elizabeth
Corporate Officer · Individual
Nisar, Saira
Operational/Managerial Control · Individual
Reyes, Josephine
Operational/Managerial Control · Individual
Richman, Gilda
Operational/Managerial Control · Individual
Richman, Gilda
Corporate Director · Individual
Santerre, Jennifer
Operational/Managerial Control · Individual
Santerre, Jennifer
Corporate Officer · Individual
Spinney, Savanah
Operational/Managerial Control · Individual
Villefranche, Linda
Operational/Managerial Control · Individual
Weiss, Judy
Operational/Managerial Control · Individual
Weiss, Judy
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Katzman Family Center For Living
Chelsea, MA
5-star overall rating with 5-star inspections with 9 fire-safety deficiencies in the latest cycle
#2
Highland Park Rehabilitation And Healthcare Center
Chelsea, MA
1-star overall rating with 1-star inspections with 18 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
The Massachusetts Veterans Home At Chelsea
Chelsea, MA
3-star overall rating with 4-star inspections with 5 recent health deficiencies
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