Federal inspection record · CMS data as of October 1, 2026
Oakhill Healthcare
76 North Street, Middleboro, MA · (508) 947-4774
- Certified beds
- 123
- Residents per day
- 86
- Ownership
- For-Profit
- Chain
- Next Step Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 6, 1967
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Massachusetts.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Massachusetts homes
Oakhill Healthcare carries 83 inspection points. That is fewer than 15% of Massachusetts's 339 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Massachusetts: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–6 pts
- 4★ 6–24 pts
- 3★ 24–41 pts
- 2★ 41–76 pts
- 1★ over 76 pts
Bars show every rated home in Massachusetts by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
45 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning10E
- E
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.
- E
Ensure each resident receives an accurate assessment.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 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.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 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.
Resident Rights9E
- 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
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
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.
- D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- C
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- C
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Reasonably accommodate the needs and preferences of each resident.
- B
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Quality of Life and Care8E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide or get specialized rehabilitative services as required for a resident.
- 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care or services that was trauma informed and/or culturally competent.
Pharmacy Service5D
- 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
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.
- D
Ensure that residents are free from significant medication errors.
Freedom from Abuse, Neglect, and Exploitation4D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- 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
Respond appropriately to all alleged violations.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nutrition and Dietary2E
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services2E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Administration2E
- E
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- E
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspection history
2026-01-06
14 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
2024-11-06
21 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2023-08-09
10 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 22 min of nursing staff time a day, 29 min of it from a registered nurse.
This home
3 h 22 min
Massachusetts average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 53% of nursing staff and 77% 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
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 days0.7 pts worse | 2.5 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts worse | 1.9 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.5 pts worse | 90.4% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.4 pts better | 98.9% | 93.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts better | 2.7% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms15.6 pts better | 1.8% | 17.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.4 pts better | 2.6% | 5.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.2 pts worse | 22.7% | 19.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication14.8 pts worse | 36.3% | 21.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained2.3 pts worse | 2.4% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.4 pts better | 10.5% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.7 pts better | 9.1% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts worse | 1.5% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts worse | 3.1% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.4 pts worse | 22.8% | 20.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.8 pts worse | 6.0% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.3 pts worse | 73.6% | 78.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.1 pts worse | 15.9% | 11.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better | 0.9% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.5 pts worse | 73.6% | 78.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admissionAbout the same | 25.7% | 25.7% | 23.4% |
·
Who owns and runs it
8 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 |
|---|---|---|---|
| Dell'anno, Damian | Corporate Officer · Individual | 0% | 14 facilities |
| Next Step Healthcare LLC | Operational/Managerial Control · Organization | 0% | 14 facilities |
| Next Step Healthcare LLC | Adp Of The SNF · Organization | 0% | 14 facilities |
| Restituyo, Irving | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Restituyo, Irving | Adp Of The SNF · Individual | 0% | 3 facilities |
| Soares, Kyle | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Soares, Kyle | Adp Of The SNF · Individual | 0% | 1 facilities |
| Stephan, William | Corporate Officer · Individual | 0% | 14 facilities |
·
Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness6E
- E
Conduct testing and exercise requirements.
- D
Address subsistence needs for staff and patients.
- D
Establish policies and procedures including evacuation.
- D
Implement emergency and standby power systems.
- D
Implement emergency and standby power systems.
- C
Conduct testing and exercise requirements.
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Other homes nearby
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★★★★★- Worst citation, 3 yrs
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Nemasket Rehabilitation And Healthcare Center
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Life Care Center Of Raynham
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