Federal inspection record · CMS data as of October 1, 2026
Mary Ann Morse Nursing & Rehabilitation
45 Union Street, Natick, MA · (508) 433-4403
- CMS high-performer trophy
- Certified beds
- 124
- Residents per day
- 110
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 8, 1992
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Massachusetts.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Massachusetts homes
Mary Ann Morse Nursing & Rehabilitation carries 13 inspection points. That is fewer than 81% of Massachusetts's 339 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Massachusetts: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–6 pts
- 4★ 6–24 pts
- 3★ 24–41 pts
- 2★ 41–76 pts
- 1★ over 76 pts
Bars show every rated home in Massachusetts by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
18 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
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G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Quality of Life and Care5D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Infection Control4E
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
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.
- E
Provide and implement an infection prevention and control program.
Resident Rights3D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
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.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Assessment and Care Planning2D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- B
Ensure each resident receives an accurate assessment.
Pharmacy Service1D
- D
Ensure that residents are free from significant medication errors.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-01-23
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2024-09-20
10 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
2023-06-27
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 8 min of nursing staff time a day, 47 min of it from a registered nurse.
This home
4 h 8 min
Massachusetts average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 24% of nursing staff and 32% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.4 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 0.9 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.2 pts better | 99.1% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.5 pts better | 100.0% | 93.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts better | 1.5% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms17.4 pts better | 0.0% | 17.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.9 pts worse | 8.9% | 5.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.8 pts better | 11.7% | 19.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.3 pts better | 19.2% | 21.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.9 pts worse | 17.8% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.2 pts better | 9.6% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.4% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts worse | 2.4% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.8 pts worse | 21.2% | 20.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts better | 2.7% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine0.1 pts worse | 78.8% | 78.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.8 pts better | 10.0% | 11.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better | 0.5% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.7 pts better | 89.8% | 78.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.7 pts better | 24.0% | 25.7% | 23.4% |
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Who owns and runs it
19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Calcio, John | Corporate Director · Individual | 0% | 1 facilities |
| Calcio, John | Corporate Officer · Individual | 0% | 1 facilities |
| Celeste, Katie | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Celeste, Katie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Fegley, Mark | Corporate Director · Individual | 0% | 1 facilities |
| Goodman, William | Corporate Director · Individual | 0% | 1 facilities |
| Gottlieb, Michael | Corporate Director · Individual | 0% | 1 facilities |
| Heffernan, Rebecca | Corporate Director · Individual | 0% | 1 facilities |
| Heffernan, Rebecca | Corporate Officer · Individual | 0% | 1 facilities |
| Kubiak, Lisa | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Kubiak, Lisa | Corporate Officer · Individual | 0% | 1 facilities |
| Kubiak, Lisa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Maguire, Robert | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Mclean, Allan | Corporate Director · Individual | 0% | 1 facilities |
| Mclean, Allan | Corporate Officer · Individual | 0% | 1 facilities |
| Nagelschmidt, John | Corporate Director · Individual | 0% | 1 facilities |
| Upton, David | Corporate Director · Individual | 0% | 1 facilities |
| Upton, David | Corporate Officer · Individual | 0% | 1 facilities |
| Walsh, Barbara | Corporate Director · Individual | 0% | 1 facilities |
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