24 health deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
12 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Reading, MA
1-star overall rating with 1-star inspections with Special Focus status with $54,360 in total fines with 24 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
1364 Main Street, Reading, MA
(781) 942-1210
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
123
Certified beds
Average residents
67
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Azure Healthcare
Operator or chain grouping
Approved since
1990-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.44
Registered nurse staffing
LPN hours / resident day
1.23
Licensed practical nurse staffing
Aide hours / resident day
2.47
Nurse aide staffing
Weekend hours
3.67
Weekend nurse staffing
RN turnover
93%
Annual RN turnover
Total nurse turnover
57%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
1.9
0.4 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 4.9 |
1.5
3.4 pts worse
|
1.8
3.1 pts worse
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.8% |
92.2%
3.4 pts worse
|
93.4%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 84.6% |
94.8%
10.2 pts worse
|
95.5%
10.9 pts worse
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.8% |
3.5%
2.7 pts better
|
3.3%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 0.5% |
12.0%
11.5 pts better
|
11.4%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 3.5% |
5.2%
1.7 pts better
|
5.4%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 30.2% |
19.2%
11 pts worse
|
19.6%
10.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 27.8% |
22.5%
5.3 pts worse
|
16.7%
11.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.2% |
17.7%
3.5 pts better
|
16.3%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.7% |
17.6%
1.9 pts better
|
14.9%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
1.0%
0.5 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 2.5% |
2.0%
0.5 pts worse
|
1.7%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.7% |
21.7%
4 pts worse
|
19.8%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 15.1% |
4.6%
10.5 pts worse
|
5.1%
10 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 75.3% |
77.1%
1.8 pts worse
|
81.7%
6.4 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.8% |
11.8%
2 pts worse
|
12.0%
1.8 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.3%
0.2 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 47.7% |
77.7%
30 pts worse
|
79.7%
32 pts worse
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.5% |
25.8%
4.7 pts worse
|
23.9%
6.6 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Quality of Life and Care (8 deficiencies)
12 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Top issue: Quality of Life and Care (8 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Infection Control (3 deficiencies)
7 fire-safety deficiencies
Top issue: Miscellaneous (3 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-01-02
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-01-02
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-01-02
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-02
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-01-02
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-01-02
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-01-02
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2025-01-02
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 2025-01-02
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-01-02
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-01-02
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-01-02
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-17
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-11-17
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-12-05
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-11-17
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-11-17
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-12-17
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-11-05
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2022-11-05
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-11-05
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-11-05
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-11-05
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-11-05
Fire Safety
Implement emergency and standby power systems.
Corrected 2022-11-05
Inspection history
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-12-13
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2025-08-31
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 2025-08-31
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-12-05
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected 2024-12-05
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-12-05
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-12-05
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 2024-12-05
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-12-05
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-12-05
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 2024-12-05
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-12-05
Health
Respond appropriately to all alleged violations.
Corrected 2024-12-05
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-12-05
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-12-05
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-12-05
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-05
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-12-31
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 2024-12-05
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-12-31
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 2024-12-31
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-12-05
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2024-12-05
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-05
Health
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected 2024-10-22
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 2023-11-16
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-11-16
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-11-16
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2023-11-16
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-16
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-11-16
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2023-11-16
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-16
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2023-11-16
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-11-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-16
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-11-16
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-11-16
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-11-16
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 2023-11-16
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-11-16
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2023-11-16
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-11-16
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-08-14
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 2023-08-14
Health
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.
Corrected 2022-10-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-10-24
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-10-24
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2022-10-24
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2022-10-24
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-10-24
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-10-24
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 2022-10-24
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 2022-10-24
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2022-10-24
Health
Provide and implement an infection prevention and control program.
Corrected 2022-10-24
Penalties and ownership
Fine · fine $54,360
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Direct Ownership Interest · Individual
Corporate Officer · Individual
5% Or Greater Direct Ownership Interest · Individual
Corporate Officer · Individual
Nearby options
Wilmington, MA
2-star overall rating with 2-star inspections with abuse icon flag with $15,935 in total fines with 12 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
North Reading, MA
2-star overall rating with 2-star inspections with 13 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle
Wilmington, MA
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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