0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Dedham, MA
5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
7000 Great Meadow Road, Dedham, MA
(781) 234-9660
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
48
Certified beds
Average residents
35
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2009-12-15
CMS approved date
Coverage
Medicare
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
RN hours / resident day
1.13
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.81
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.53
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
4.48
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.95
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
4.05
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.98
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.63
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.14
CMS adjusted RN staffing hours
Adjusted total hours
4.52
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
128
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
83.03
Composite VBP score used to determine payment impact.
Payment multiplier
1.0264
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
9.40
Baseline 18.83% · Performance 17.07% · Measure score 9.40 · Achievement 9.40 · Improvement 9
Healthcare-associated infections
10
Baseline 3.70% · Performance 4.21% · Measure score 10 · Achievement 10 · Improvement 0
Total nurse turnover
7.42
Baseline 47.69% · Performance 33.33% · Measure score 7.42 · Achievement 7.42 · Improvement 5.79
Adjusted total nurse staffing
6.39
Baseline 4.14 hours · Performance 4.89 hours · Measure score 6.39 · Achievement 6.39 · Improvement 4.08
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.19% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 839 · Observed rate 7.15% · Lower 95% interval 7.5% |
| Discharge to community | 70.07% |
50.57%
19.5 pts better
|
Better than the National Rate · Eligible stays 867 · Observed rate 69.09% · Lower 95% interval 66.99% |
| Medicare spending per beneficiary | 0.68 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 99.45% |
95.27%
4.2 pts better
|
Numerator 538 · Denominator 541 |
| Falls with major injury | 0.55% |
0.77%
0.2 pts better
|
Numerator 3 · Denominator 541 |
| Discharge self-care score | 53.3% |
53.69%
0.4 pts worse
|
Numerator 234 · Denominator 439 |
| Discharge mobility score | 74.26% |
50.94%
23.3 pts better
|
Numerator 326 · Denominator 439 |
| Pressure ulcers or injuries, new or worsened | 2.03% |
2.29%
0.3 pts better
|
Numerator 11 · Denominator 541 · Adjusted rate 2.46% |
| Healthcare-associated infections requiring hospitalization | 4.21% |
7.12%
2.9 pts better
|
Better than the National Rate · Eligible stays 453 · Observed rate 1.99% · Lower 95% interval 2.55% |
| Staff COVID-19 vaccination coverage | 26.32% |
8.2%
18.1 pts better
|
Numerator 15 · Denominator 57 |
| Staff flu vaccination coverage | 73.68% |
42%
31.7 pts better
|
Numerator 42 · Denominator 57 |
| Discharge function score | 68.79% |
56.45%
12.3 pts better
|
Numerator 302 · Denominator 439 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 346 · Denominator 346 |
| Transfer of health information to patient | 99.47% |
96.28%
3.2 pts better
|
Numerator 187 · Denominator 188 |
| Resident COVID-19 vaccinations up to date | 37.86% |
25.2%
12.7 pts better
|
Numerator 106 · Denominator 280 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 61.3% |
77.1%
15.8 pts worse
|
81.7%
20.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 73.0% · Q2 64.4% · Q3 52.6% · Q4 55.4% · 4Q avg 61.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.7% |
11.8%
2.1 pts better
|
12.0%
2.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.7% · Observed 8.9% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.3%
0.4 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.6% · Q3 0.4% · Q4 0.4% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 74.4% |
77.7%
3.3 pts worse
|
79.7%
5.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 74.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.3% |
25.8%
0.5 pts worse
|
23.9%
2.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.3% · Observed 22.0% · Expected 20.0% · Used in QM five-star |
Survey summary
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-31
Inspection history
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-07-07
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-07-14
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
W-2 Managing Employee · Individual
Corporate Officer · Individual
Nearby options
Boston, MA
1-star overall rating with 1-star inspections with $187,199 in total fines with 30 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle
Boston, MA
5-star overall rating with 4-star inspections with 3 fire-safety deficiencies in the latest cycle
Needham, MA
4-star overall rating with 4-star inspections with $8,788 in total fines
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