Cycle 1
Health 2025-05-28 · Fire 2025-05-28
6 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cambridge, MA
Neville Center At Fresh Pond For Nursing & Rehab
4-star overall rating with 4-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
640 Concord Avenue, Cambridge, MA
(617) 497-0600
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
112
Certified beds
Average residents
96
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1990-07-01
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
Hours and turnover
RN hours / resident day
0.94
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.19
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.11
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
4.24
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.12
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.63
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.49
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.20
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.87
CMS adjusted RN staffing hours
Adjusted total hours
3.92
CMS adjusted total nurse staffing hours
Case-mix index
1.48
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
3,670
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
43.21
Composite VBP score used to determine payment impact.
Payment multiplier
0.9962
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 20.79% · Performance 21.32% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
7.32
Baseline 4.57% · Performance 5.65% · Measure score 7.32 · Achievement 7.32 · Improvement 0
Total nurse turnover
6.66
Baseline 57.48% · Performance 36.45% · Measure score 6.66 · Achievement 6.66 · Improvement 5.95
Adjusted total nurse staffing
3.30
Baseline 3.20 hours · Performance 4.02 hours · Measure score 3.30 · Achievement 3.30 · Improvement 2.66
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.52% |
10.72%
1.2 pts better
|
No Different than the National Rate · Eligible stays 534 · Observed rate 7.68% · Lower 95% interval 7.6% |
| Discharge to community | 61.83% |
50.57%
11.3 pts better
|
Better than the National Rate · Eligible stays 554 · Observed rate 57.76% · Lower 95% interval 57.59% |
| Medicare spending per beneficiary | 0.86 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 368 · Denominator 368 |
| Falls with major injury | 0.27% |
0.77%
0.5 pts better
|
Numerator 1 · Denominator 368 |
| Discharge self-care score | 40.91% |
53.69%
12.8 pts worse
|
Numerator 117 · Denominator 286 |
| Discharge mobility score | 50% |
50.94%
0.9 pts worse
|
Numerator 143 · Denominator 286 |
| Pressure ulcers or injuries, new or worsened | 2.72% |
2.29%
0.4 pts worse
|
Numerator 10 · Denominator 368 · Adjusted rate 2.62% |
| Healthcare-associated infections requiring hospitalization | 5.65% |
7.12%
1.5 pts better
|
No Different than the National Rate · Eligible stays 331 · Observed rate 4.23% · Lower 95% interval 3.87% |
| Staff COVID-19 vaccination coverage | 12.12% |
8.2%
3.9 pts better
|
Numerator 20 · Denominator 165 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 41.61% |
56.45%
14.8 pts worse
|
Numerator 119 · Denominator 286 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 284 · Denominator 284 |
| Transfer of health information to patient | 97.14% |
96.28%
0.9 pts better
|
Numerator 34 · Denominator 35 |
| Resident COVID-19 vaccinations up to date | 20.86% |
25.2%
4.3 pts worse
|
Numerator 39 · Denominator 187 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
1.9
0.2 pts worse
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.9 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.5
0.1 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.2 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.6% |
92.2%
5.4 pts better
|
93.4%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.9% · Q2 98.3% · Q3 98.4% · Q4 97.0% · 4Q avg 97.6% |
| 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 | 2.4% |
3.5%
1.1 pts better
|
3.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.7% · Q3 1.6% · Q4 4.5% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.7% |
12.0%
8.3 pts better
|
11.4%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.8% · Q3 3.7% · Q4 7.8% · 4Q avg 3.7% |
| Percentage of long-stay residents who lose too much weight | 4.9% |
5.2%
0.3 pts better
|
5.4%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 4.2% · Q3 8.7% · Q4 1.8% · 4Q avg 4.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.1% |
19.2%
6.1 pts better
|
19.6%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 14.0% · Q3 14.0% · Q4 12.1% · 4Q avg 13.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.0% |
22.5%
5.5 pts better
|
16.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 17.6% · Q3 16.2% · Q4 19.0% · 4Q avg 17.0% · 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 | 8.1% |
17.7%
9.6 pts better
|
16.3%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 14.0% · Q3 8.1% · Q4 6.4% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.7% |
17.6%
8.9 pts better
|
14.9%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 8.3% · Q3 12.2% · Q4 5.4% · 4Q avg 8.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.0%
1 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.9% |
2.0%
0.9 pts worse
|
1.7%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 1.8% · Q3 1.8% · Q4 3.1% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 11.5% |
21.7%
10.2 pts better
|
19.8%
8.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 13.1% · Q3 16.9% · Q4 6.3% · 4Q avg 11.5% |
| Percentage of long-stay residents with pressure ulcers | 5.2% |
4.6%
0.6 pts worse
|
5.1%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 3.5% · Q3 5.9% · Q4 6.1% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.5% |
77.1%
15.4 pts better
|
81.7%
10.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 90.0% · Q2 94.4% · Q3 93.0% · Q4 92.4% · 4Q avg 92.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.5% |
11.8%
6.3 pts better
|
12.0%
6.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.5% · Observed 5.2% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.3%
0.8 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.5% · Q3 0.5% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.3% |
77.7%
15.6 pts better
|
79.7%
13.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.2% |
25.8%
1.4 pts worse
|
23.9%
3.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.2% · Observed 24.0% · Expected 21.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-07-23 · Fire 2024-07-23
8 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Cycle 3
Health 2023-06-08 · Fire 2023-06-08
6 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-05-28
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-06-19
F · Potential for more than minimal harm
2025-05-28
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-07-08
F · Potential for more than minimal harm
2025-05-28
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-06-27
F · Potential for more than minimal harm
2025-05-28
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-07-15
D · Potential for more than minimal harm
2024-07-23
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-08-19
D · Potential for more than minimal harm
2024-07-23
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-08-19
D · Potential for more than minimal harm
2024-07-23
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-19
D · Potential for more than minimal harm
2023-06-08
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-07-15
D · Potential for more than minimal harm
2023-06-08
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-07-15
D · Potential for more than minimal harm
2023-06-08
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-15
D · Potential for more than minimal harm
2023-06-08
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-15
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-05-28
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-05-28
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-05-28
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-05-28
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-05-28
F761 · Pharmacy Service Deficiencies
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 2025-06-13
D · Potential for more than minimal harm
2025-05-28
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 2025-06-13
D · Potential for more than minimal harm
2024-12-03
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 2024-11-20
D · Potential for more than minimal harm
2024-07-23
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-08-15
D · Potential for more than minimal harm
2024-07-23
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-08-15
D · Potential for more than minimal harm
2024-07-23
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 2024-08-15
D · Potential for more than minimal harm
2024-07-23
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-15
D · Potential for more than minimal harm
2024-07-23
F761 · Pharmacy Service Deficiencies
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 2024-08-15
D · Potential for more than minimal harm
2024-07-23
F790 · Quality of Life and Care Deficiencies
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2024-08-15
D · Potential for more than minimal harm
2024-07-23
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 2024-08-15
D · Potential for more than minimal harm
2023-06-08
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-06-20
D · Potential for more than minimal harm
2023-06-08
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 2023-06-20
D · Potential for more than minimal harm
2023-06-08
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 2023-06-20
D · Potential for more than minimal harm
2023-06-08
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-06-20
D · Potential for more than minimal harm
2023-06-08
F693 · Quality of Life and Care Deficiencies
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 2023-06-20
D · Potential for more than minimal harm
2023-06-08
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-06-20
Penalties and ownership
What sits behind the stars
Ownership
Neville Communities Home Inc
5% Or Greater Direct Ownership Interest · Organization
Baranello, Robert
Corporate Officer · Individual
Landmark Management Solutions, LLC
Operational/Managerial Control · Organization
Leipzig, Gloria
Corporate Officer · Individual
Mcpherson, Stephanie
W-2 Managing Employee · Individual
Raso, Steven
Operational/Managerial Control · Individual
Raso, Steven
Corporate Director · Individual
Rockland Trust Company
5% Or Greater Mortgage Interest · Organization
Stockard, Jim
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Sancta Maria Nursing Facility
Cambridge, MA
2-star overall rating with 2-star inspections with 12 recent health deficiencies
#2
Watertown Rehabilitation And Nursing Center
Watertown, MA
2-star overall rating with 2-star inspections with $69,440 in total fines with 19 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
Belmont Manor Nursing Home, In
Belmont, MA
1-star overall rating with 2-star inspections with $18,549 in total fines with 14 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
Jump out