17 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Athol, MA
1-star overall rating with 2-star inspections with $62,250 in total fines with 17 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
821 Daniel Shays Highway, Athol, MA
(978) 985-0147
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
142
Certified beds
Average residents
117
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1987-04-17
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.43
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.92
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.00
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
3.35
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.34
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
2.95
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.31
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.49
CMS adjusted RN staffing hours
Adjusted total hours
3.82
CMS adjusted total nurse staffing hours
Case-mix index
1.20
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
12,162
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
13.63
Composite VBP score used to determine payment impact.
Payment multiplier
0.9812
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.73
Baseline 18.59% · Performance 19.70% · Measure score 3.73 · Achievement 3.73 · Improvement 0
Healthcare-associated infections
0
Baseline 6.56% · Performance 7.97% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0
Performance 100.00% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
1.72
Baseline 3.28 hours · Performance 3.57 hours · Measure score 1.72 · Achievement 1.72 · Improvement 0.66
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.52% |
10.72%
2.8 pts worse
|
No Different than the National Rate · Eligible stays 175 · Observed rate 18.86% · Lower 95% interval 10.11% |
| Discharge to community | 46.06% |
50.57%
4.5 pts worse
|
No Different than the National Rate · Eligible stays 145 · Observed rate 38.62% · Lower 95% interval 39.67% |
| Medicare spending per beneficiary | 0.91 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 97.5% |
95.27%
2.2 pts better
|
Numerator 117 · Denominator 120 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 120 |
| Discharge self-care score | 39.08% |
53.69%
14.6 pts worse
|
Numerator 34 · Denominator 87 |
| Discharge mobility score | 42.53% |
50.94%
8.4 pts worse
|
Numerator 37 · Denominator 87 |
| Pressure ulcers or injuries, new or worsened | 4.17% |
2.29%
1.9 pts worse
|
Numerator 5 · Denominator 120 · Adjusted rate 3.99% |
| Healthcare-associated infections requiring hospitalization | 7.97% |
7.12%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 105 · Observed rate 9.52% · Lower 95% interval 4.94% |
| Staff COVID-19 vaccination coverage | 31.25% |
8.2%
23.1 pts better
|
Numerator 55 · Denominator 176 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 44.83% |
56.45%
11.6 pts worse
|
Numerator 39 · Denominator 87 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 51 · Denominator 51 |
| Resident COVID-19 vaccinations up to date | 60% |
25.2%
34.8 pts better
|
Numerator 42 · Denominator 70 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.9
0.5 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.7 · Expected 2.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
1.5
0.9 pts worse
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.7 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.2% |
92.2%
4 pts better
|
93.4%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 93.3% · Q2 92.4% · Q3 100.0% · Q4 99.0% · 4Q avg 96.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.2% |
94.8%
3.4 pts better
|
95.5%
2.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.7% |
3.5%
1.8 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.0% · Q3 2.9% · Q4 1.9% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
12.0%
12 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 6.0% |
5.2%
0.8 pts worse
|
5.4%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 11.9% · Q3 3.3% · Q4 3.3% · 4Q avg 6.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 30.3% |
19.2%
11.1 pts worse
|
19.6%
10.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.3% · Q2 34.8% · Q3 33.0% · Q4 28.0% · 4Q avg 30.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.3% |
22.5%
1.2 pts better
|
16.7%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 23.0% · Q3 22.2% · Q4 21.1% · 4Q avg 21.3% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 19.6% |
17.7%
1.9 pts worse
|
16.3%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.9% · Q2 24.6% · Q3 10.9% · Q4 13.6% · 4Q avg 19.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.3% |
17.6%
1.7 pts worse
|
14.9%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.9% · Q2 17.9% · Q3 15.3% · Q4 15.1% · 4Q avg 19.3% · 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 1.9% · Q2 0.0% · Q3 0.0% · Q4 0.9% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.2% |
2.0%
0.2 pts worse
|
1.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 1.0% · Q3 3.9% · Q4 1.0% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.1% |
21.7%
6.4 pts worse
|
19.8%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.2% · Q2 31.9% · Q3 34.3% · Q4 19.5% · 4Q avg 28.1% |
| Percentage of long-stay residents with pressure ulcers | 3.7% |
4.6%
0.9 pts better
|
5.1%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 5.4% · Q3 4.0% · Q4 2.2% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 70.8% |
77.1%
6.3 pts worse
|
81.7%
10.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 44.1% · Q2 63.3% · Q3 87.6% · Q4 92.7% · 4Q avg 70.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.7% |
11.8%
4.9 pts worse
|
12.0%
4.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.7% · Observed 17.9% · Expected 12.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.3%
1.3 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 78.3% |
77.7%
0.6 pts better
|
79.7%
1.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 78.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.5% |
25.8%
5.3 pts better
|
23.9%
3.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.5% · Observed 19.8% · Expected 23.0% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Develop a communication plan.
Corrected 2025-09-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-09-30
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-09-30
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-07-09
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-26
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2024-07-09
Fire Safety
Develop a communication plan.
Corrected 2024-07-09
Fire Safety
Establish emergency prep training and testing.
Corrected 2024-07-09
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-07-09
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-07-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-07-19
Inspection history
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-12-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-16
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-09-30
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-09-30
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-09-30
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-09-30
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-09-30
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-09-30
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-09-30
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-09-30
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 2025-09-30
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-30
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-09-30
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-09-30
Health
Post nurse staffing information every day.
Corrected 2025-09-30
Health
Provide a bathroom in or located near each resident’s room.
Corrected 2025-04-30
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2025-04-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-11
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-08-30
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2024-07-19
Health
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.
Corrected 2024-07-12
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-07-19
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-07-19
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-19
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-07-19
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2024-07-12
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-24
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-05-24
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-05-24
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-03-22
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-03-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-09
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-05-09
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-05-09
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-05-09
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-05-09
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-05-09
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2023-05-09
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-09
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2023-05-09
Penalties and ownership
Fine · fine $9,318
Fine
Fine · fine $52,932
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
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2-star overall rating with 2-star inspections with 16 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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