0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
West Bridgewater, MA
5-star overall rating with 5-star inspections
765 West Center Street, West Bridgewater, MA
(508) 580-4400
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
150
Certified beds
Average residents
138
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Life Care Centers Of America
Operator or chain grouping
Approved since
1996-05-24
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
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
0.77
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.99
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
1.99
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
3.74
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.75
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.23
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.43
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.74
CMS adjusted RN staffing hours
Adjusted total hours
3.62
CMS adjusted total nurse staffing hours
Case-mix index
1.41
Higher values indicate more complex resident acuity
RN turnover
21%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
34%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Program rank
2,738
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
48.05
Composite VBP score used to determine payment impact.
Payment multiplier
1.0017
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.80
Baseline 17.73% · Performance 18.75% · Measure score 5.80 · Achievement 5.80 · Improvement 0
Healthcare-associated infections
6.96
Baseline 5.04% · Performance 5.75% · Measure score 6.96 · Achievement 6.96 · Improvement 0
Total nurse turnover
4.4
Baseline 39.52% · Performance 45.70% · Measure score 4.4 · Achievement 4.4 · Improvement 0
Adjusted total nurse staffing
2.06
Baseline 3.89 hours · Performance 3.66 hours · Measure score 2.06 · Achievement 2.06 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.2% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 787 · Observed rate 9.78% · Lower 95% interval 9.2% |
| Discharge to community | 67.73% |
50.57%
17.2 pts better
|
Better than the National Rate · Eligible stays 845 · Observed rate 67.34% · Lower 95% interval 64.33% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.07% |
95.27%
3.8 pts better
|
Numerator 535 · Denominator 540 |
| Falls with major injury | 0.93% |
0.77%
0.2 pts worse
|
Numerator 5 · Denominator 540 |
| Discharge self-care score | 87.75% |
53.69%
34.1 pts better
|
Numerator 358 · Denominator 408 |
| Discharge mobility score | 81.62% |
50.94%
30.7 pts better
|
Numerator 333 · Denominator 408 |
| Pressure ulcers or injuries, new or worsened | 3.89% |
2.29%
1.6 pts worse
|
Numerator 21 · Denominator 540 · Adjusted rate 5.17% |
| Healthcare-associated infections requiring hospitalization | 5.75% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 525 · Observed rate 4% · Lower 95% interval 3.99% |
| Staff COVID-19 vaccination coverage | 6.29% |
8.2%
1.9 pts worse
|
Numerator 19 · Denominator 302 |
| Staff flu vaccination coverage | 29.57% |
42%
12.4 pts worse
|
Numerator 110 · Denominator 372 |
| Discharge function score | 87.01% |
56.45%
30.6 pts better
|
Numerator 355 · Denominator 408 |
| Transfer of health information to provider | 99.06% |
95.95%
3.1 pts better
|
Numerator 105 · Denominator 106 |
| Transfer of health information to patient | 99.48% |
96.28%
3.2 pts better
|
Numerator 383 · Denominator 385 |
| Resident COVID-19 vaccinations up to date | 25.89% |
25.2%
0.7 pts better
|
Numerator 73 · Denominator 282 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.9
0.7 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
1.5
0.8 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.4 · 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 93.6% · Q2 88.5% · Q3 93.3% · Q4 100.0% · 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 | 3.5% |
3.5%
About the same
|
3.3%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 1.1% · Q3 3.3% · Q4 6.7% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.3% |
12.0%
11.7 pts better
|
11.4%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.2% · Q4 0.0% · 4Q avg 0.3% |
| Percentage of long-stay residents who lose too much weight | 5.8% |
5.2%
0.6 pts worse
|
5.4%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 7.8% · Q3 8.5% · Q4 3.8% · 4Q avg 5.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.6% |
19.2%
2.6 pts better
|
19.6%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 14.8% · Q3 17.6% · Q4 16.3% · 4Q avg 16.6% |
| 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 4.8% · Q2 2.9% · Q3 7.1% · Q4 9.2% · 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 | 15.4% |
17.7%
2.3 pts better
|
16.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 22.5% · Q3 16.3% · Q4 11.3% · 4Q avg 15.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.0% |
17.6%
1.4 pts worse
|
14.9%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 18.7% · Q3 21.5% · Q4 19.0% · 4Q avg 19.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
1.0%
0.2 pts better
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.8% · Q3 0.8% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.5% |
2.0%
0.5 pts worse
|
1.7%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 3.4% · Q4 4.8% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 33.2% |
21.7%
11.5 pts worse
|
19.8%
13.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.1% · Q2 29.6% · Q3 39.9% · Q4 24.1% · 4Q avg 33.2% |
| Percentage of long-stay residents with pressure ulcers | 5.9% |
4.6%
1.3 pts worse
|
5.1%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 7.4% · Q3 3.6% · Q4 4.6% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.5% |
77.1%
19.4 pts better
|
81.7%
14.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 96.3% · Q3 94.5% · Q4 96.1% · 4Q avg 96.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.9% |
11.8%
3.9 pts better
|
12.0%
4.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.9% · Observed 6.7% · Expected 9.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.3%
0.7 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.8% · Q3 0.8% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.4% |
77.7%
21.7 pts better
|
79.7%
19.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.5% |
25.8%
1.3 pts better
|
23.9%
0.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.5% · Observed 21.0% · Expected 20.4% · Used in QM five-star |
Survey summary
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-09-27
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-27
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-09-27
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-09-27
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-09-27
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 2024-09-27
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-06-21
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-06-21
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-06-21
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-06-21
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2023-06-21
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
East Bridgewater, MA
1-star overall rating with 1-star inspections with $65,753 in total fines with 7 recent health deficiencies
North Easton, MA
1-star overall rating with 1-star inspections with $11,947 in total fines with 28 recent health deficiencies
Brockton, MA
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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