Cycle 1
Health 2025-03-19 · Fire 2025-03-19
5 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
9 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Middleborough, MA
Nemasket Rehabilitation And Healthcare Center
3-star overall rating with 4-star inspections with 5 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
314 Marion Road, Middleborough, MA
(508) 947-8632
Overall
3 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
102
Certified beds
Average residents
98
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Atlas Healthcare
Operator or chain grouping
Approved since
1994-03-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
28 facilities
Chain averages 4 overall / 3 health / 2 staffing / 4 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
0.50
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.92
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.05
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
3.47
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.42
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
2.79
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.26
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.45
CMS adjusted RN staffing hours
Adjusted total hours
3.09
CMS adjusted total nurse staffing hours
Case-mix index
1.54
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,898
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
47.08
Composite VBP score used to determine payment impact.
Payment multiplier
1.0006
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.29
Baseline 21.36% · Performance 18.98% · Measure score 5.29 · Achievement 5.29 · Improvement 5
Healthcare-associated infections
6.16
Baseline 7.94% · Performance 5.99% · Measure score 6.16 · Achievement 6.16 · Improvement 6.11
Total nurse turnover
5.59
Baseline 48.35% · Performance 40.82% · Measure score 5.59 · Achievement 5.59 · Improvement 2.71
Adjusted total nurse staffing
1.79
Baseline 3.41 hours · Performance 3.59 hours · Measure score 1.79 · Achievement 1.79 · Improvement 0.24
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.85% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 241 · Observed rate 8.71% · Lower 95% interval 7.39% |
| Discharge to community | 56.38% |
50.57%
5.8 pts better
|
No Different than the National Rate · Eligible stays 253 · Observed rate 52.57% · Lower 95% interval 48.36% |
| Medicare spending per beneficiary | 1.06 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.41% |
95.27%
4.1 pts better
|
Numerator 168 · Denominator 169 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 169 |
| Discharge self-care score | 60% |
53.69%
6.3 pts better
|
Numerator 75 · Denominator 125 |
| Discharge mobility score | 52% |
50.94%
1.1 pts better
|
Numerator 65 · Denominator 125 |
| Pressure ulcers or injuries, new or worsened | 0.59% |
2.29%
1.7 pts better
|
Numerator 1 · Denominator 169 · Adjusted rate 0.62% |
| Healthcare-associated infections requiring hospitalization | 5.99% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 164 · Observed rate 4.27% · Lower 95% interval 3.23% |
| Staff COVID-19 vaccination coverage | 13.49% |
8.2%
5.3 pts better
|
Numerator 17 · Denominator 126 |
| Staff flu vaccination coverage | 64.33% |
42%
22.3 pts better
|
Numerator 110 · Denominator 171 |
| Discharge function score | 60.8% |
56.45%
4.3 pts better
|
Numerator 76 · Denominator 125 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 36 · Denominator 36 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 103 · Denominator 103 |
| Resident COVID-19 vaccinations up to date | 42.99% |
25.2%
17.8 pts better
|
Numerator 46 · Denominator 107 |
Quality measures
Resident outcomes and process scores
| 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 1.2 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.5
0.2 pts better
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.2 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
92.2%
7.8 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.0% |
3.5%
2.5 pts better
|
3.3%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 0.0% · Q4 1.3% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 31.6% |
12.0%
19.6 pts worse
|
11.4%
20.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 15.2% · Q3 36.4% · Q4 57.5% · 4Q avg 31.6% |
| 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 · Q1 6.9% · Q2 7.0% · Q3 8.1% · Q4 3.0% · 4Q avg 6.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 33.2% |
19.2%
14 pts worse
|
19.6%
13.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.9% · Q2 32.2% · Q3 33.9% · Q4 32.9% · 4Q avg 33.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.6% |
22.5%
2.9 pts better
|
16.7%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q3 18.8% · Q4 22.6% · 4Q avg 19.6% · 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 | 18.4% |
17.7%
0.7 pts worse
|
16.3%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 26.6% · Q3 22.2% · Q4 8.6% · 4Q avg 18.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.4% |
17.6%
1.2 pts better
|
14.9%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.8% · Q2 24.6% · Q3 6.6% · Q4 13.0% · 4Q avg 16.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% |
1.0%
About the same
|
1.0%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 1.3% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.2% |
2.0%
2.2 pts worse
|
1.7%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 5.6% · Q3 2.8% · Q4 1.4% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.5% |
21.7%
1.8 pts worse
|
19.8%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.5% · Q2 27.6% · Q3 15.3% · Q4 26.8% · 4Q avg 23.5% |
| Percentage of long-stay residents with pressure ulcers | 1.7% |
4.6%
2.9 pts better
|
5.1%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 1.5% · Q3 1.7% · Q4 2.6% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
77.1%
22.9 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.2% |
11.8%
3.4 pts worse
|
12.0%
3.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.2% · Observed 14.9% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
1.3%
0.6 pts worse
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.7% · Q3 2.7% · Q4 2.3% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.9% |
77.7%
19.2 pts better
|
79.7%
17.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.6% |
25.8%
4.2 pts better
|
23.9%
2.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.6% · Observed 21.1% · Expected 23.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-05 · Fire 2024-03-05
7 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-09-13 · Fire 2022-09-13
5 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-03-19
E18 · Emergency Preparedness Deficiencies
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2025-04-04
F · Potential for more than minimal harm
2025-03-19
E20 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2025-04-04
F · Potential for more than minimal harm
2025-03-19
E7 · Emergency Preparedness Deficiencies
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2025-04-04
D · Potential for more than minimal harm
2025-03-19
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-04-03
D · Potential for more than minimal harm
2025-03-19
K352 · Smoke Deficiencies
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2025-04-04
D · Potential for more than minimal harm
2025-03-19
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-03-28
D · Potential for more than minimal harm
2025-03-19
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-04
C · Minimal harm
2025-03-19
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-04-03
C · Minimal harm
2025-03-19
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-04-03
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-07-15
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-08-07
D · Potential for more than minimal harm
2025-07-15
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-08-07
E · Potential for more than minimal harm
2025-03-19
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 2025-04-04
D · Potential for more than minimal harm
2025-03-19
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-04
D · Potential for more than minimal harm
2025-03-19
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-04-04
E · Potential for more than minimal harm
2024-03-05
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-03-20
D · Potential for more than minimal harm
2024-03-05
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 2024-03-20
D · Potential for more than minimal harm
2024-03-05
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-03-20
D · Potential for more than minimal harm
2024-03-05
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2024-03-20
D · Potential for more than minimal harm
2024-03-05
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-20
D · Potential for more than minimal harm
2024-03-05
F699 · Quality of Life and Care Deficiencies
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-03-20
D · Potential for more than minimal harm
2024-03-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-20
D · Potential for more than minimal harm
2024-01-09
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-02-02
D · Potential for more than minimal harm
2024-01-09
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 2024-02-02
D · Potential for more than minimal harm
2022-09-13
F661 · Resident Assessment and Care Planning Deficiencies
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2022-09-26
D · Potential for more than minimal harm
2022-09-13
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2022-09-26
D · Potential for more than minimal harm
2022-09-13
F758 · Pharmacy Service Deficiencies
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 2022-09-26
Penalties and ownership
What sits behind the stars
Ownership
Whittier Nsh Operations Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Bak, Pinchos
Corporate Officer · Individual
Eckstrom, Mariah
Operational/Managerial Control · Individual
Glen Oak 11, LLC
Limited Partnership Interest · Organization
Gularek, Jordan
Operational/Managerial Control · Individual
Jmh Family LLC
5% Or Greater Indirect Ownership Interest · Organization
Jmh Family LLC
Limited Partnership Interest · Organization
Jmh Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Jmh Family Trust
Limited Partnership Interest · Organization
Malt Family Trust
Limited Partnership Interest · Organization
Miller, Nachum
5% Or Greater Indirect Ownership Interest · Individual
Miller, Nachum
Limited Partnership Interest · Individual
Miller, Nachum
Operational/Managerial Control · Individual
Mls Family LLC
5% Or Greater Indirect Ownership Interest · Organization
Mls Family LLC
Limited Partnership Interest · Organization
Mls Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Mls Family Trust
Limited Partnership Interest · Organization
Sgs 2010 Family Trust
Limited Partnership Interest · Organization
Sgs Family LLC
5% Or Greater Indirect Ownership Interest · Organization
Sgs Family LLC
Limited Partnership Interest · Organization
Sgs Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Sgs Family Trust
Limited Partnership Interest · Organization
Sonnenschein, Moshe
Operational/Managerial Control · Individual
Tyh 2017 Trust
Limited Partnership Interest · Organization
Valenzuela, Kelly
Operational/Managerial Control · Individual
Whittier 6 Operations Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Whittier 6 Operations Holdings LLC
Limited Partnership Interest · Organization
Whittier Opco Manager LLC
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Hannah B G Shaw Home
Middleboro, MA
4-star overall rating with 3-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
Oakhill Healthcare
Middleboro, MA
2-star overall rating with 2-star inspections with 21 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Oaks, The
New Bedford, MA
4-star overall rating with 4-star inspections with 4 recent health deficiencies
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