Natick, MA

Mary Ann Morse Nursing & Rehabilitation

4-star overall rating with 4-star inspections with $30,186 in total fines

45 Union Street, Natick, MA

(857) 654-5321

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

124

Certified beds

Average residents

102

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1992-06-08

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.66

Registered nurse staffing

LPN hours / resident day

0.82

Licensed practical nurse staffing

Aide hours / resident day

2.53

Nurse aide staffing

Weekend hours

3.76

Weekend nurse staffing

RN turnover

67%

Annual RN turnover

Total nurse turnover

39%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.0
1.9
1.1 pts worse
1.9
1.1 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.5
1.5
About the same
1.8
0.3 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.1%
92.2%
4.9 pts better
93.4%
3.7 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents experiencing one or more falls with major injury 2.9%
3.5%
0.6 pts better
3.3%
0.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
12.0%
12 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 6.1%
5.2%
0.9 pts worse
5.4%
0.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 9.7%
19.2%
9.5 pts better
19.6%
9.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 17.2%
22.5%
5.3 pts better
16.7%
0.5 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 22.3%
17.7%
4.6 pts worse
16.3%
6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 14.3%
17.6%
3.3 pts better
14.9%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.5%
1.0%
0.5 pts better
1.0%
0.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 3.2%
2.0%
1.2 pts worse
1.7%
1.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 24.0%
21.7%
2.3 pts worse
19.8%
4.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.8%
4.6%
0.8 pts better
5.1%
1.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 69.6%
77.1%
7.5 pts worse
81.7%
12.1 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 8.4%
11.8%
3.4 pts better
12.0%
3.6 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.8%
1.3%
0.5 pts better
1.6%
0.8 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 92.0%
77.7%
14.3 pts better
79.7%
12.3 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 21.5%
25.8%
4.3 pts better
23.9%
2.4 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-23 · Fire 2026-01-23

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 2 Health 2024-09-20 · Fire 2024-09-20

11 health deficiencies

Top issue: Infection Control (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-06-27 · Fire 2023-06-27

6 health deficiencies

Top issue: Quality of Life and Care (3 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 2024-09-20

F552 · Resident Rights Deficiencies

Health

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

Corrected 2024-10-30

D · Potential for more than minimal harm 2024-09-20

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-10-30

D · Potential for more than minimal harm 2024-09-20

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-30

D · Potential for more than minimal harm 2024-09-20

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2024-10-30

D · Potential for more than minimal harm 2024-09-20

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-10-30

D · Potential for more than minimal harm 2024-09-20

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-10-30

D · Potential for more than minimal harm 2024-09-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-30

D · Potential for more than minimal harm 2024-09-20

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-10-30

D · Potential for more than minimal harm 2024-09-20

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2024-10-30

B · Minimal harm 2024-09-20

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-10-30

D · Potential for more than minimal harm 2024-03-06

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-04-03

G · Actual harm 2023-06-27

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-07-11

F · Potential for more than minimal harm 2023-06-27

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 2023-08-02

E · Potential for more than minimal harm 2023-06-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-07-11

D · Potential for more than minimal harm 2023-06-27

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 2023-07-11

D · Potential for more than minimal harm 2023-06-27

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-07-11

D · Potential for more than minimal harm 2023-06-27

F691 · Quality of Life and Care Deficiencies

Health

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Corrected 2023-07-11

Penalties and ownership

What sits behind the stars

$30,186 2023-06-27

Fine

Fine · fine $30,186

Fine

Ownership

Calcio, John

Corporate Director · Individual

0% 1 facilities 2017-04-18
Calcio, John

Corporate Officer · Individual

0% 1 facilities 2017-04-18
Celeste, Katie

Operational/Managerial Control · Individual

0% 1 facilities 2023-03-13
Celeste, Katie

W-2 Managing Employee · Individual

0% 1 facilities 2023-03-13
Fegley, Mark

Corporate Director · Individual

0% 1 facilities 2023-09-01
Goodman, William

Corporate Director · Individual

0% 1 facilities 2017-04-18
Gottlieb, Michael

Corporate Director · Individual

0% 1 facilities 2017-04-18
Heffernan, Rebecca

Corporate Director · Individual

0% 1 facilities 2017-04-18
Heffernan, Rebecca

Corporate Officer · Individual

0% 1 facilities 2017-04-18
Kubiak, Lisa

Operational/Managerial Control · Individual

0% 1 facilities 2007-11-09
Kubiak, Lisa

Corporate Officer · Individual

0% 1 facilities 2018-06-01
Kubiak, Lisa

W-2 Managing Employee · Individual

0% 1 facilities 2007-11-09
Maguire, Robert

W-2 Managing Employee · Individual

0% 1 facilities 2016-04-11
Mclean, Allan

Corporate Director · Individual

0% 1 facilities 2017-04-18
Mclean, Allan

Corporate Officer · Individual

0% 1 facilities 2017-04-18
Nagelschmidt, John

Corporate Director · Individual

0% 1 facilities 2023-09-01
Upton, David

Corporate Director · Individual

0% 1 facilities 2017-04-18
Upton, David

Corporate Officer · Individual

0% 1 facilities 2023-09-01
Walsh, Barbara

Corporate Director · Individual

0% 1 facilities 2017-04-18

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3-star overall rating with 4-star inspections with $10,517 in total fines with 3 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle

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#3

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Health
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Staffing
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Fines
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