Federal inspection record · CMS data as of October 1, 2026
Medway Country Manor Skilled Nursing & Rehabilitat
115 Holliston Street, Medway, MA · (508) 259-7883
- Special Focus Facility
- Certified beds
- 123
- Residents per day
- 113
- Ownership
- For-Profit
- Chain
- Shimon Lefkowitz
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1990
3
What inspectors found
63 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 (5)
-
G
Provide safe, appropriate pain management for a resident who requires such services.
-
L
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
-
L
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
-
L
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
-
L
Provide and implement an infection prevention and control program.
Everything else, by area of care
Quality of Life and Care14E
- E
Assist a resident in gaining access to vision and hearing services.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide care or services that was trauma informed and/or culturally competent.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
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.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide care or services that was trauma informed and/or culturally competent.
Resident Assessment and Care Planning10E
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Assess the resident when there is a significant change in condition
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service9E
- D
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
- E
Ensure medication error rates are not 5 percent or greater.
- D
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.
- D
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.
Freedom from Abuse, Neglect, and Exploitation6D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident Rights5F
- F
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- E
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.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
Nursing and Physician Services5F
- F
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- F
Observe each nurse aide's job performance and give regular training.
- F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- E
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nutrition and Dietary4E
- E
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Environmental1D
- D
Put firmly secured handrails on each side of hallways.
Administration1D
- D
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.
Inspection history
2026-03-19
9 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-11-25
26 health deficiencies · 3 fire-safety deficiencies
Top issue: Nursing and Physician Services (5 deficiencies)
2023-08-10
28 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 19 min of nursing staff time a day, 20 min of it from a registered nurse.
This home
3 h 19 min
Massachusetts average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 29% of nursing staff and 39% 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
Fines and payment denials
$330,196 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-08-31 | Fine | $137,775 |
| 2026-03-19 | Fine | $58,136 |
| 2025-01-29 | Fine | $134,285 |
6
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 days0.5 pts worse | 2.3 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.2 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine26.9 pts worse | 66.0% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2 pts better | 95.5% | 93.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.4 pts worse | 5.8% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms9 pts better | 8.4% | 17.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.1 pts worse | 10.1% | 5.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.2 pts better | 18.3% | 19.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.4 pts worse | 23.9% | 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 worsened3.3 pts worse | 17.2% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased16 pts worse | 31.8% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.5 pts worse | 2.2% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts better | 1.5% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.3 pts worse | 29.7% | 20.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.5 pts worse | 4.7% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine60.5 pts worse | 18.4% | 78.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.8 pts better | 11.0% | 11.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts worse | 3.5% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine48.5 pts worse | 29.6% | 78.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.5 pts worse | 26.2% | 25.7% | 23.4% |
·
Who owns and runs it
12 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 |
|---|---|---|---|
| Lefkowitz, Shimon | 5% Or Greater Direct Ownership Interest · Individual | 65% | 6 facilities |
| Bbuye, Steven | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bbuye, Steven | Adp Of The SNF · Individual | 0% | 1 facilities |
| Castiglioni, Aimee | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Castiglioni, Aimee | Adp Of The SNF · Individual | 0% | 1 facilities |
| Lefkowitz, Shimon | Corporate Director · Individual | 0% | 6 facilities |
| Mavado Management LLC | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Mavado Management LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Simha, David | Corporate Director · Individual | 0% | 3 facilities |
| Simha, David | Corporate Officer · Individual | 0% | 3 facilities |
| Simha, David | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Simha, David | Adp Of The SNF · Individual | 0% | 3 facilities |
·
Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- D
Provide properly protected cooking facilities.
- D
Install an approved automatic sprinkler system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Install an approved automatic sprinkler system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Egress2F
- F
Have exits that are accessible at all times.
- E
Install emergency lighting that can last at least 1 1/2 hours.
Services2D
- D
Have an externally vented heating system.
- D
Install properly constructed and protected linen or trash chutes.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
Emergency Preparedness1D
- D
Implement emergency and standby power systems.
·
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