Arlington, MA

Park Avenue Health Center

1-star overall rating with 1-star inspections with $113,612 in total fines with 17 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

146 Park Avenue, Arlington, MA

(781) 648-9530

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Best Care Services

Operator or chain grouping

Approved since

1993-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

10 facilities

Chain averages 2 overall / 2 health / 2 staffing / 2 quality stars

Changed ownership

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

0.85

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

0.60

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.18

Nurse aide staffing · state 2.26 · national 2.35

Total nurse hours

3.62

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.44

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

3.46

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.69

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.84

CMS adjusted RN staffing hours

Adjusted total hours

3.58

CMS adjusted total nurse staffing hours

Case-mix index

1.38

Higher values indicate more complex resident acuity

RN turnover

38%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

37%

Annual nurse turnover · state 40% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,342

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

40.35

Composite VBP score used to determine payment impact.

Payment multiplier

0.9933

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.44

Baseline 23.43% · Performance 21.55% · Measure score 2.44 · Achievement 0 · Improvement 2.44

Healthcare-associated infections

2.95

Baseline 7.99% · Performance 6.96% · Measure score 2.95 · Achievement 2.93 · Improvement 2.95

Total nurse turnover

8.83

Baseline 35.59% · Performance 27.59% · Measure score 8.83 · Achievement 8.83 · Improvement 6.95

Adjusted total nurse staffing

1.93

Baseline 3.21 hours · Performance 3.63 hours · Measure score 1.93 · Achievement 1.93 · Improvement 1.11

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.27%	10.72% 0.5 pts better	No Different than the National Rate · Eligible stays 148 · Observed rate 10.14% · Lower 95% interval 7.8%
Discharge to community	44.65%	50.57% 5.9 pts worse	No Different than the National Rate · Eligible stays 110 · Observed rate 33.64% · Lower 95% interval 34.78%
Medicare spending per beneficiary	0.95	1.02 0.1 pts better
Drug regimen review with follow-up	96.63%	95.27% 1.4 pts better	Numerator 86 · Denominator 89
Falls with major injury	2.25%	0.77% 1.5 pts worse	Numerator 2 · Denominator 89
Discharge self-care score	41.51%	53.69% 12.2 pts worse	Numerator 22 · Denominator 53
Discharge mobility score	37.74%	50.94% 13.2 pts worse	Numerator 20 · Denominator 53
Pressure ulcers or injuries, new or worsened	4.49%	2.29% 2.2 pts worse	Numerator 4 · Denominator 89 · Adjusted rate 3.71%
Healthcare-associated infections requiring hospitalization	6.96%	7.12% 0.2 pts better	No Different than the National Rate · Eligible stays 70 · Observed rate 7.14% · Lower 95% interval 4.2%
Staff COVID-19 vaccination coverage	14.61%	8.2% 6.4 pts better	Numerator 13 · Denominator 89
Staff flu vaccination coverage	54%	42% 12 pts better	Numerator 54 · Denominator 100
Discharge function score	45.28%	56.45% 11.2 pts worse	Numerator 24 · Denominator 53
Transfer of health information to provider	81.82%	95.95% 14.1 pts worse	Numerator 27 · Denominator 33
Transfer of health information to patient	90%	96.28% 6.3 pts worse	Numerator 18 · Denominator 20
Resident COVID-19 vaccinations up to date	47.5%	25.2% 22.3 pts better	Numerator 19 · Denominator 40

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.4	1.9 1.5 pts worse	1.9 1.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.4 · Observed 3.4 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.0	1.5 1.5 pts worse	1.8 1.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 3.1 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	85.7%	92.2% 6.5 pts worse	93.4% 7.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 82.9% · Q2 78.7% · Q3 94.4% · Q4 87.0% · 4Q avg 85.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.4%	94.8% 1.6 pts better	95.5% 0.9 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.4%
Percentage of long-stay residents experiencing one or more falls with major injury	6.3%	3.5% 2.8 pts worse	3.3% 3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 5.3% · Q3 8.3% · Q4 8.7% · 4Q avg 6.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.1%	12.0% 9.9 pts better	11.4% 9.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 3.3% · Q3 1.6% · Q4 1.8% · 4Q avg 2.1%
Percentage of long-stay residents who lose too much weight	6.5%	5.2% 1.3 pts worse	5.4% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 5.8% · Q3 6.2% · Q4 6.2% · 4Q avg 6.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.8%	19.2% 1.6 pts worse	19.6% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.7% · Q2 18.1% · Q3 25.7% · Q4 19.7% · 4Q avg 20.8%
Percentage of long-stay residents who received an antipsychotic medication	13.2%	22.5% 9.3 pts better	16.7% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.8% · Q2 18.8% · Q3 12.3% · Q4 4.3% · 4Q avg 13.2% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	1.0%	0.1% 0.9 pts worse	0.1% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 1.4% · Q4 1.4% · 4Q avg 1.0%
Percentage of long-stay residents whose ability to walk independently worsened	30.0%	17.7% 12.3 pts worse	16.3% 13.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.0% · Q2 31.8% · Q3 42.9% · Q4 24.5% · 4Q avg 30.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	44.4%	17.6% 26.8 pts worse	14.9% 29.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.3% · Q2 53.8% · Q3 43.1% · Q4 48.2% · 4Q avg 44.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.7%	1.0% 0.3 pts better	1.0% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.8% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.5%	2.0% 0.5 pts better	1.7% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.8% · Q3 3.0% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	31.8%	21.7% 10.1 pts worse	19.8% 12 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.1% · Q2 20.2% · Q3 39.0% · Q4 44.5% · 4Q avg 31.8%
Percentage of long-stay residents with pressure ulcers	7.1%	4.6% 2.5 pts worse	5.1% 2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 6.9% · Q3 11.3% · Q4 5.4% · 4Q avg 7.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	50.0%	77.1% 27.1 pts worse	81.7% 31.7 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 28.4% · Q2 22.4% · Q3 65.7% · Q4 77.6% · 4Q avg 50.0%
Percentage of short-stay residents who had an outpatient emergency department visit	13.9%	11.8% 2.1 pts worse	12.0% 1.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 13.9% · Observed 17.5% · Expected 14.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.4%	1.3% 0.1 pts worse	1.6% 0.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 0.0% · Q3 0.0% · Q4 2.1% · 4Q avg 1.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	42.0%	77.7% 35.7 pts worse	79.7% 37.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 42.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	17.9%	25.8% 7.9 pts better	23.9% 6 pts better	Short Stay · 20240701-20250630 · Adjusted 17.9% · Observed 20.0% · Expected 26.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-18 · Fire 2024-10-18

17 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2023-10-11 · Fire 2023-10-11

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2022-09-15 · Fire 2022-09-15

22 health deficiencies

Top issue: Resident Assessment and Care Planning (7 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-10-18

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-11-20

F · Potential for more than minimal harm 2024-10-18

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-12-27

E · Potential for more than minimal harm 2024-10-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-20

E · Potential for more than minimal harm 2024-10-18

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-11-11

E · Potential for more than minimal harm 2024-10-18

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-11-20

D · Potential for more than minimal harm 2024-10-18

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-11-15

D · Potential for more than minimal harm 2023-10-11

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-11-09

D · Potential for more than minimal harm 2023-10-11

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-11-09

C · Minimal harm 2023-10-11

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-11-09

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-28

F726 · Nursing and Physician Services Deficiencies

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 2025-09-23

G · Actual harm 2025-04-29

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 2025-04-17

D · Potential for more than minimal harm 2025-03-19

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 2025-04-15

J · Immediate jeopardy 2024-11-19

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 2024-11-21

E · Potential for more than minimal harm 2024-10-18

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-10-18

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-10-18

F584 · Resident Rights Deficiencies

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 2024-11-13

D · Potential for more than minimal harm 2024-10-18

F585 · Resident Rights Deficiencies

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 2024-11-13

D · Potential for more than minimal harm 2024-10-18

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-10-18

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-10-18

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-10-18

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-10-18

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-10-18

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-10-18

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-10-18

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-10-18

F756 · Pharmacy Service Deficiencies

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 2024-11-13

D · Potential for more than minimal harm 2024-10-18

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-11-13

J · Immediate jeopardy 2023-10-11

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-10-17

J · Immediate jeopardy 2023-10-11

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-10-17

J · Immediate jeopardy 2023-10-11

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-10-17

D · Potential for more than minimal harm 2023-10-11

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 2023-10-17

D · Potential for more than minimal harm 2023-10-11

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 2023-10-17

D · Potential for more than minimal harm 2023-10-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-10-17

F · Potential for more than minimal harm 2022-09-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-10-21

F · Potential for more than minimal harm 2022-09-15

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2022-10-21

E · Potential for more than minimal harm 2022-09-15

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 2022-10-21

E · Potential for more than minimal harm 2022-09-15

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2022-10-21

E · Potential for more than minimal harm 2022-09-15

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-10-21

E · Potential for more than minimal harm 2022-09-15

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 2022-10-21

E · Potential for more than minimal harm 2022-09-15

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-10-21