Raynham, MA

Life Care Center Of Raynham

4-star overall rating with 3-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

546 South Street East, Raynham, MA

(508) 821-5700

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

154

Certified beds

Average residents

143

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Life Care Centers Of America

Operator or chain grouping

Approved since

1994-12-21

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

194 facilities

Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars

Changed ownership

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

0.55

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

1.02

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.13

Nurse aide staffing · state 2.26 · national 2.35

Total nurse hours

3.70

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.57

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

3.21

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.36

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.08

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.52

CMS adjusted RN staffing hours

Adjusted total hours

3.52

CMS adjusted total nurse staffing hours

Case-mix index

1.44

Higher values indicate more complex resident acuity

RN turnover

16%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

28%

Annual nurse turnover · state 40% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,748

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

35.15

Composite VBP score used to determine payment impact.

Payment multiplier

0.9889

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 20.78% · Performance 24.72% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

4.68

Baseline 7.50% · Performance 6.44% · Measure score 4.68 · Achievement 4.68 · Improvement 3.74

Total nurse turnover

8.04

Baseline 31.25% · Performance 30.83% · Measure score 8.04 · Achievement 8.04 · Improvement 0.16

Adjusted total nurse staffing

1.34

Baseline 3.28 hours · Performance 3.46 hours · Measure score 1.34 · Achievement 1.34 · Improvement 0.23

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.18%	10.72% 1.5 pts worse	No Different than the National Rate · Eligible stays 841 · Observed rate 12.01% · Lower 95% interval 10.12%
Discharge to community	58.41%	50.57% 7.8 pts better	Better than the National Rate · Eligible stays 881 · Observed rate 54.37% · Lower 95% interval 55.07%
Medicare spending per beneficiary	0.95	1.02 0.1 pts better
Drug regimen review with follow-up	99.16%	95.27% 3.9 pts better	Numerator 592 · Denominator 597
Falls with major injury	0.34%	0.77% 0.4 pts better	Numerator 2 · Denominator 597
Discharge self-care score	80.93%	53.69% 27.2 pts better	Numerator 314 · Denominator 388
Discharge mobility score	73.2%	50.94% 22.3 pts better	Numerator 284 · Denominator 388
Pressure ulcers or injuries, new or worsened	1.84%	2.29% 0.4 pts better	Numerator 11 · Denominator 597 · Adjusted rate 2%
Healthcare-associated infections requiring hospitalization	6.44%	7.12% 0.7 pts better	No Different than the National Rate · Eligible stays 591 · Observed rate 5.41% · Lower 95% interval 4.47%
Staff COVID-19 vaccination coverage	17.84%	8.2% 9.6 pts better	Numerator 48 · Denominator 269
Staff flu vaccination coverage	46.18%	42% 4.2 pts better	Numerator 139 · Denominator 301
Discharge function score	81.96%	56.45% 25.5 pts better	Numerator 318 · Denominator 388
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 406 · Denominator 406
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 64 · Denominator 64
Resident COVID-19 vaccinations up to date	31.95%	25.2% 6.8 pts better	Numerator 100 · Denominator 313

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	1.9 0.1 pts better	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.2 · 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 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	96.8%	92.2% 4.6 pts better	93.4% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 90.1% · Q2 98.2% · Q3 100.0% · Q4 99.0% · 4Q avg 96.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	90.9%	94.8% 3.9 pts worse	95.5% 4.6 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 90.9%
Percentage of long-stay residents experiencing one or more falls with major injury	2.3%	3.5% 1.2 pts better	3.3% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.8% · Q3 3.7% · Q4 2.9% · 4Q avg 2.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.9%	12.0% 7.1 pts better	11.4% 6.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 1.1% · Q3 1.1% · Q4 6.5% · 4Q avg 4.9%
Percentage of long-stay residents who lose too much weight	6.6%	5.2% 1.4 pts worse	5.4% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 7.5% · Q3 5.1% · Q4 2.4% · 4Q avg 6.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.2%	19.2% 7 pts better	19.6% 7.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.7% · Q2 13.1% · Q3 13.1% · Q4 10.8% · 4Q avg 12.2%
Percentage of long-stay residents who received an antipsychotic medication	12.0%	22.5% 10.5 pts better	16.7% 4.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 12.2% · Q3 11.4% · Q4 12.2% · 4Q avg 12.0% · 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	3.3%	17.7% 14.4 pts better	16.3% 13 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 2.3% · Q3 2.0% · Q4 1.9% · 4Q avg 3.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	3.2%	17.6% 14.4 pts better	14.9% 11.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 1.1% · Q3 0.0% · Q4 2.4% · 4Q avg 3.2% · 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	1.2%	2.0% 0.8 pts better	1.7% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.9% · Q3 0.0% · Q4 1.1% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	28.4%	21.7% 6.7 pts worse	19.8% 8.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.7% · Q2 35.8% · Q3 25.3% · Q4 32.6% · 4Q avg 28.4%
Percentage of long-stay residents with pressure ulcers	4.4%	4.6% 0.2 pts better	5.1% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 4.2% · Q3 4.7% · Q4 2.1% · 4Q avg 4.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	93.7%	77.1% 16.6 pts better	81.7% 12 pts better	Short Stay · 2024Q4-2025Q3 · Q1 91.8% · Q2 91.6% · Q3 96.3% · Q4 94.9% · 4Q avg 93.7%
Percentage of short-stay residents who had an outpatient emergency department visit	12.7%	11.8% 0.9 pts worse	12.0% 0.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 12.7% · Observed 12.0% · Expected 10.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.3%	1.3% About the same	1.6% 0.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.6% · Q3 1.7% · Q4 2.7% · 4Q avg 1.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	85.4%	77.7% 7.7 pts better	79.7% 5.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 85.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	30.6%	25.8% 4.8 pts worse	23.9% 6.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 30.6% · Observed 29.1% · Expected 22.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-07 · Fire 2025-01-07

7 health deficiencies

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

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2023-11-14 · Fire 2023-11-14

11 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2021-07-20 · Fire 2021-07-20

14 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-07

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-01-27

D · Potential for more than minimal harm 2023-11-14

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-12-01

D · Potential for more than minimal harm 2023-11-14

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-11-28

D · Potential for more than minimal harm 2023-11-14

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-12-08

D · Potential for more than minimal harm 2023-11-14

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2023-12-08

D · Potential for more than minimal harm 2023-11-14

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-12-08

F · Potential for more than minimal harm 2021-07-20

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2021-09-10

F · Potential for more than minimal harm 2021-07-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2021-09-06

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-01-07

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 2025-01-30

E · Potential for more than minimal harm 2025-01-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-30

D · Potential for more than minimal harm 2025-01-07

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-01-30

D · Potential for more than minimal harm 2025-01-07

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-01-30

D · Potential for more than minimal harm 2025-01-07

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-01-30

D · Potential for more than minimal harm 2025-01-07

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 2025-01-30

D · Potential for more than minimal harm 2025-01-07

F756 · Pharmacy Service Deficiencies

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 2025-01-30

E · Potential for more than minimal harm 2023-11-14

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 2023-12-15

E · Potential for more than minimal harm 2023-11-14

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 2023-12-15

E · Potential for more than minimal harm 2023-11-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-12-15

E · Potential for more than minimal harm 2023-11-14

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-14

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-14

F551 · Resident Rights Deficiencies

Health

Give the resident's representative the ability to exercise the resident's rights.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-14

F655 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-14

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-14

F693 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-14

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-14

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-12-15

F · Potential for more than minimal harm 2021-07-20

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2021-08-27

E · Potential for more than minimal harm 2021-07-20

F756 · Pharmacy Service Deficiencies

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 2021-08-27