Federal inspection record · CMS data as of October 1, 2026
Our Island Home
East Creek Road, Nantucket, MA · (508) 228-0462
- CMS high-performer trophy
- Certified beds
- 45
- Residents per day
- 35
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 1, 2007
1
How this home got 5 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Massachusetts.
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Staffing
★★★★★+1 star
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.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Massachusetts homes
Our Island Home carries 24 inspection points. That is fewer than 65% 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
11 health citations on record since 2024. 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
Infection Control5E
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
- D
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Resident Rights2E
- 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
Give the resident's representative the ability to exercise the resident's rights.
Resident Assessment and Care Planning2E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service1D
- 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.
Quality of Life and Care1D
- 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.
Inspection history
2026-04-09
5 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2025-05-08
2 health deficiencies · 8 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-05-09
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h of nursing staff time a day, 53 min of it from a registered nurse.
This home
4 h
Massachusetts average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 32% of nursing staff and 38% of registered nurses left in the past year, along with 1 administrator.
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 days0.8 pts better | 1.0 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts worse | 1.7 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts worse | 89.3% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.4 pts worse | 86.1% | 93.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.4 pts better | 0.0% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms17.4 pts better | 0.0% | 17.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.3 pts better | 4.7% | 5.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication16.4 pts better | 3.1% | 19.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication13.4 pts better | 8.1% | 21.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.8 pts better | 5.1% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.3 pts better | 6.5% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 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 incontinence12.6 pts better | 7.8% | 20.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.9 pts better | 2.3% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.6 pts worse | 73.3% | 78.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.5 pts worse | 17.3% | 11.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.2 pts better | 78.3% | 78.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.1 pts better | 24.6% | 25.7% | 23.4% |
·
Who owns and runs it
7 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 |
|---|---|---|---|
| Town Of Nantucket | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Chretien, Rachel | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Chretien, Rachel | Corporate Director · Individual | 0% | 1 facilities |
| Chretien, Rachel | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Dyer, Heather | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Gibson, C. Elizabeth | Corporate Officer · Individual | 0% | 1 facilities |
| Town Of Nantucket | Operational/Managerial Control · Organization | 0% | 1 facilities |
·
Fire safety
16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Emergency Preparedness3E
- E
Address subsistence needs for staff and patients.
- E
Conduct testing and exercise requirements.
- E
Develop and maintain an Emergency Preparedness Program (EP).
Miscellaneous3F
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems1E
- E
Have generator or other power source capable of supplying service within 10 seconds.
Egress1F
- F
Have properly located and lighted "Exit" signs.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
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Windsor Nursing & Retirement Home
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