Cycle 1
Health 2025-03-10 · Fire 2025-03-10
6 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Taunton, MA
Marian Manor Of Taunton
2-star overall rating with 3-star inspections with $8,788 in total fines with 6 recent health deficiencies
33 Summer Street, Taunton, MA
(508) 822-4885
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
116
Certified beds
Average residents
64
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Diocesan Health Facilities
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 / 3 health / 5 staffing / 3 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
1.06
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.41
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.52
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
3.99
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.47
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.87
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.92
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.13
CMS adjusted RN staffing hours
Adjusted total hours
4.24
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,320
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23.99
Composite VBP score used to determine payment impact.
Payment multiplier
0.9833
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 20.65% · Performance 21.64% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.07
Baseline 6.96% · Performance 7.22% · Measure score 2.07 · Achievement 2.07 · Improvement 0
Total nurse turnover
2.80
Baseline 37.50% · Performance 52.22% · Measure score 2.80 · Achievement 2.80 · Improvement 0
Adjusted total nurse staffing
4.73
Baseline 4.43 hours · Performance 4.42 hours · Measure score 4.73 · Achievement 4.73 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.28% |
10.72%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 65 · Observed rate 12.31% · Lower 95% interval 7.04% |
| Discharge to community | 35.97% |
50.57%
14.6 pts worse
|
Worse than the National Rate · Eligible stays 31 · Observed rate 22.58% · Lower 95% interval 22.94% |
| Medicare spending per beneficiary | 0.93 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 86.36% |
95.27%
8.9 pts worse
|
Numerator 19 · Denominator 22 |
| Falls with major injury | 4.55% |
0.77%
3.8 pts worse
|
Numerator 1 · Denominator 22 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 4.55% |
2.29%
2.3 pts worse
|
Numerator 1 · Denominator 22 · Adjusted rate 2.56% |
| Healthcare-associated infections requiring hospitalization | 7.22% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 27 · Observed rate 7.41% · Lower 95% interval 4.16% |
| Staff COVID-19 vaccination coverage | 25.61% |
8.2%
17.4 pts better
|
Numerator 21 · Denominator 82 |
| Staff flu vaccination coverage | 40.38% |
42%
1.6 pts worse
|
Numerator 42 · Denominator 104 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.9
0.4 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 0.9 · Expected 1.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.5
0.5 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.7 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.3% |
92.2%
4.1 pts better
|
93.4%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 93.7% · Q2 94.9% · Q3 98.3% · Q4 98.4% · 4Q avg 96.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 87.9% |
94.8%
6.9 pts worse
|
95.5%
7.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 87.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.9% |
3.5%
4.4 pts worse
|
3.3%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 5.1% · Q3 10.3% · Q4 9.8% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.6% |
12.0%
8.4 pts better
|
11.4%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.9% · Q3 3.6% · Q4 7.0% · 4Q avg 3.6% |
| Percentage of long-stay residents who lose too much weight | 5.1% |
5.2%
0.1 pts better
|
5.4%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 5.5% · Q3 5.8% · Q4 5.7% · 4Q avg 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.1% |
19.2%
2.9 pts worse
|
19.6%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.6% · Q2 24.6% · Q3 22.2% · Q4 17.2% · 4Q avg 22.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.8% |
22.5%
1.7 pts better
|
16.7%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.2% · Q2 21.6% · Q3 18.4% · Q4 24.0% · 4Q avg 20.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.8% |
0.1%
0.7 pts worse
|
0.1%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.7% · Q4 1.6% · 4Q avg 0.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | 29.6% |
17.7%
11.9 pts worse
|
16.3%
13.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.3% · Q2 33.7% · Q3 30.8% · Q4 28.5% · 4Q avg 29.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 28.0% |
17.6%
10.4 pts worse
|
14.9%
13.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.0% · Q2 34.7% · Q3 15.6% · Q4 28.6% · 4Q avg 28.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.7% |
1.0%
2.7 pts worse
|
1.0%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 3.2% · Q3 4.0% · Q4 3.5% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 9.5% |
2.0%
7.5 pts worse
|
1.7%
7.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 8.8% · Q3 7.1% · Q4 8.9% · 4Q avg 9.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.0% |
21.7%
1.7 pts better
|
19.8%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q2 34.1% · Q3 13.7% · Q4 8.6% · 4Q avg 20.0% |
| Percentage of long-stay residents with pressure ulcers | 3.5% |
4.6%
1.1 pts better
|
5.1%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 0.0% · Q3 5.4% · Q4 1.9% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.0% |
77.1%
10.9 pts better
|
81.7%
6.3 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 88.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.4% |
11.8%
1.6 pts worse
|
12.0%
1.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.4% · Observed 12.5% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.5% |
1.3%
3.2 pts worse
|
1.6%
2.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 4.5% · Used in QM five-star |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.2% |
25.8%
1.6 pts better
|
23.9%
0.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.2% · Observed 21.9% · Expected 21.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-01-18 · Fire 2024-01-18
7 health deficiencies
Top issue: Resident Rights (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-02-23 · Fire 2022-02-23
15 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire-safety citations
C · Minimal harm
2022-02-23
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2022-03-16
Inspection history
Recent health citations
D · Potential for more than minimal harm
2026-01-15
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-02-12
G · Actual harm
2025-08-19
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 2025-09-08
D · Potential for more than minimal harm
2025-03-10
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-04-07
D · Potential for more than minimal harm
2025-03-10
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-04-07
D · Potential for more than minimal harm
2025-03-10
F868 · Administration Deficiencies
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2025-03-26
B · Minimal harm
2025-03-10
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-04-07
E · Potential for more than minimal harm
2024-01-18
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 2024-02-16
E · Potential for more than minimal harm
2024-01-18
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-02-16
E · Potential for more than minimal harm
2024-01-18
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-16
D · Potential for more than minimal harm
2024-01-18
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2024-02-16
D · Potential for more than minimal harm
2024-01-18
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 2024-02-16
B · Minimal harm
2024-01-18
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-02-16
B · Minimal harm
2024-01-18
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-02-16
D · Potential for more than minimal harm
2023-09-27
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-11-15
E · Potential for more than minimal harm
2022-02-23
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-03-21
E · Potential for more than minimal harm
2022-02-23
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-03-21
E · Potential for more than minimal harm
2022-02-23
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-03-21
D · Potential for more than minimal harm
2022-02-23
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2022-03-21
D · Potential for more than minimal harm
2022-02-23
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-03-21
D · Potential for more than minimal harm
2022-02-23
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2022-03-21
D · Potential for more than minimal harm
2022-02-23
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 2022-03-21
D · Potential for more than minimal harm
2022-02-23
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 2022-03-21
D · Potential for more than minimal harm
2022-02-23
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 2022-03-21
D · Potential for more than minimal harm
2022-02-23
F742 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2022-03-21
D · Potential for more than minimal harm
2022-02-23
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 2022-03-21
D · Potential for more than minimal harm
2022-02-23
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-03-21
D · Potential for more than minimal harm
2022-02-23
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 2022-03-21
D · Potential for more than minimal harm
2022-02-23
F773 · Administration Deficiencies
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2022-03-21
Penalties and ownership
What sits behind the stars
$8,788
2025-08-19
Fine
Fine · fine $8,788
Fine
Ownership
Hoye, James
Contracted Managing Employee · Individual
Melchert, Jo-Ann
W-2 Managing Employee · Individual
Mitchell, Laura
Operational/Managerial Control · Individual
Roque, Joanne
Operational/Managerial Control · Individual
Roque, Joanne
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Wedgemere Healthcare
Taunton, MA
1-star overall rating with 1-star inspections with $129,794 in total fines with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Regalcare At Taunton
Taunton, MA
1-star overall rating with 1-star inspections with abuse icon flag with 16 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#3
Life Care Center Of Raynham
Raynham, MA
4-star overall rating with 3-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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