17 health deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Amesbury, MA
1-star overall rating with 1-star inspections with $239,195 in total fines with 17 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
22 Maple Street, Amesbury, MA
(978) 388-4682
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
130
Certified beds
Average residents
65
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1988-12-07
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.56
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.75
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
1.87
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
3.18
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.31
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.05
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.50
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
0.64
CMS adjusted RN staffing hours
Adjusted total hours
3.60
CMS adjusted total nurse staffing hours
Case-mix index
1.21
Higher values indicate more complex resident acuity
RN turnover
68%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
56%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Program rank
8,922
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.27
Composite VBP score used to determine payment impact.
Payment multiplier
0.9837
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.10
Baseline 22.66% · Performance 20.63% · Measure score 3.10 · Achievement 1.73 · Improvement 3.10
Healthcare-associated infections
5.24
Baseline 10.20% · Performance 7.21% · Measure score 5.24 · Achievement 2.08 · Improvement 5.24
Total nurse turnover
0
Baseline 64.29% · Performance 73.40% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
1.77
Baseline 3.29 hours · Performance 3.58 hours · Measure score 1.77 · Achievement 1.77 · Improvement 0.66
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.78% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 112 · Observed rate 8.04% · Lower 95% interval 6.99% |
| Discharge to community | 46.61% |
50.57%
4 pts worse
|
No Different than the National Rate · Eligible stays 79 · Observed rate 36.71% · Lower 95% interval 34.43% |
| Medicare spending per beneficiary | 0.72 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 92.11% |
95.27%
3.2 pts worse
|
Numerator 35 · Denominator 38 |
| Falls with major injury | 2.63% |
0.77%
1.9 pts worse
|
Numerator 1 · Denominator 38 |
| Discharge self-care score | 40% |
53.69%
13.7 pts worse
|
Numerator 10 · Denominator 25 |
| Discharge mobility score | 44% |
50.94%
6.9 pts worse
|
Numerator 11 · Denominator 25 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 38 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.21% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 53 · Observed rate 7.55% · Lower 95% interval 4.26% |
| Staff COVID-19 vaccination coverage | 5.88% |
8.2%
2.3 pts worse
|
Numerator 7 · Denominator 119 |
| Staff flu vaccination coverage | 16% |
42%
26 pts worse
|
Numerator 28 · Denominator 175 |
| Discharge function score | 52% |
56.45%
4.5 pts worse
|
Numerator 13 · Denominator 25 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.9
0.5 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.3 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
1.5
0.6 pts worse
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.2 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 83.4% |
92.2%
8.8 pts worse
|
93.4%
10 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 63.2% · Q2 85.3% · Q3 87.1% · Q4 100.0% · 4Q avg 83.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 81.5% |
94.8%
13.3 pts worse
|
95.5%
14 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 81.5% |
| 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 3.9% · Q2 2.7% · Q3 2.9% · Q4 4.4% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.4% |
12.0%
6.6 pts better
|
11.4%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 6.2% · Q3 6.7% · Q4 8.1% · 4Q avg 5.4% |
| Percentage of long-stay residents who lose too much weight | 7.4% |
5.2%
2.2 pts worse
|
5.4%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 7.8% · Q3 8.3% · Q4 7.0% · 4Q avg 7.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 30.7% |
19.2%
11.5 pts worse
|
19.6%
11.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 28.8% · Q3 33.9% · Q4 35.6% · 4Q avg 30.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 56.1% |
22.5%
33.6 pts worse
|
16.7%
39.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 59.5% · Q2 55.8% · Q3 53.7% · Q4 55.3% · 4Q avg 56.1% · 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 | 29.1% |
17.7%
11.4 pts worse
|
16.3%
12.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.8% · Q2 32.8% · Q3 38.8% · Q4 24.5% · 4Q avg 29.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 35.2% |
17.6%
17.6 pts worse
|
14.9%
20.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.7% · Q2 33.9% · Q3 55.6% · Q4 31.5% · 4Q avg 35.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
1.0%
0.1 pts better
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 1.2% · Q4 1.1% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
2.0%
1.6 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.5% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.0% |
21.7%
1.3 pts worse
|
19.8%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 22.1% · Q3 27.6% · Q4 35.9% · 4Q avg 23.0% |
| Percentage of long-stay residents with pressure ulcers | 3.9% |
4.6%
0.7 pts better
|
5.1%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.2% · Q3 6.8% · Q4 5.2% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 73.0% |
77.1%
4.1 pts worse
|
81.7%
8.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q3 81.0% · 4Q avg 73.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.2% |
11.8%
6.4 pts worse
|
12.0%
6.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.2% · Observed 25.0% · Expected 15.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 17.4% |
1.3%
16.1 pts worse
|
1.6%
15.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 17.4% · Used in QM five-star |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.6% |
25.8%
2.8 pts worse
|
23.9%
4.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.6% · Observed 37.5% · Expected 31.2% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (9 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
3 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
4 fire-safety deficiencies
Top issue: Services (2 deficiencies)
Fire safety
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-07-11
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-07-11
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-07-11
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-07-11
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-07-11
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-07-11
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-11
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-07-11
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-07-11
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-07-11
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-07-11
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-07-11
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-13
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-08-13
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-08-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-12
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-09-12
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-09-12
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-09-12
Inspection history
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-07-08
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-07-08
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-07-08
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-08
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 2025-07-08
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-07-08
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-07-08
Health
Respond appropriately to all alleged violations.
Corrected 2025-07-08
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-07-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-08
Health
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.
Corrected 2025-07-08
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2025-07-08
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-07-08
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2025-07-08
Health
Provide or obtain dental services for each resident.
Corrected 2025-07-08
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-08
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-07-08
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-03-18
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-03-18
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-08-06
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-06
Health
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.
Corrected 2024-08-06
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-06
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-08-06
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-08-06
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-06
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-08-06
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-08-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-06
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-08-06
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 2024-08-06
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2024-08-06
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-08-06
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2023-09-01
Health
Implement a program that monitors antibiotic use.
Corrected 2023-09-01
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-09-01
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-09-01
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-09-01
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-09-01
Health
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.
Corrected 2023-09-01
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-09-01
Health
Respond appropriately to all alleged violations.
Corrected 2023-09-01
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-09-01
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-01
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-09-01
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-09-01
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-09-01
Health
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.
Corrected 2023-09-01
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-09-01
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 2023-09-01
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-09-01
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-01
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-04-04
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-04-04
Penalties and ownership
Fine · fine $77,808
Fine
Fine · fine $161,387
Fine
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Nearby options
Amesbury, MA
1-star overall rating with 1-star inspections with Special Focus status with $226,445 in total fines with 29 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
Newburyport, MA
3-star overall rating with 3-star inspections with $322,104 in total fines with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Newburyport, MA
3-star overall rating with 3-star inspections with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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