West Brookfield, MA

Quaboag Rehabilitation & Skilled Care Facility

5-star overall rating with 5-star inspections with 3 fire-safety deficiencies in the latest cycle

47 East Main Street, West Brookfield, MA

(508) 867-7716

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

166

Certified beds

Average residents

136

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Ascentria Care Alliance

Operator or chain grouping

Approved since

1989-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.75

Registered nurse staffing

LPN hours / resident day

1.06

Licensed practical nurse staffing

Aide hours / resident day

2.45

Nurse aide staffing

Weekend hours

3.52

Weekend nurse staffing

RN turnover

38%

Annual RN turnover

Total nurse turnover

46%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.5
1.9
0.6 pts worse
1.9
0.6 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.7
1.5
0.2 pts worse
1.8
0.1 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.0%
92.2%
3.8 pts better
93.4%
2.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.5%
94.8%
3.7 pts better
95.5%
3 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 3.4%
3.5%
0.1 pts better
3.3%
0.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 4.7%
12.0%
7.3 pts better
11.4%
6.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 5.1%
5.2%
0.1 pts better
5.4%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 15.5%
19.2%
3.7 pts better
19.6%
4.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 15.3%
22.5%
7.2 pts better
16.7%
1.4 pts better
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 16.5%
17.7%
1.2 pts better
16.3%
0.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 19.4%
17.6%
1.8 pts worse
14.9%
4.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.3%
1.0%
0.7 pts better
1.0%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.9%
2.0%
0.1 pts better
1.7%
0.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 27.3%
21.7%
5.6 pts worse
19.8%
7.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 4.9%
4.6%
0.3 pts worse
5.1%
0.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 86.7%
77.1%
9.6 pts better
81.7%
5 pts better
Short Stay · 2024Q4-2025Q3
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
Percentage of short-stay residents who newly received an antipsychotic medication 0.7%
1.3%
0.6 pts better
1.6%
0.9 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 85.8%
77.7%
8.1 pts better
79.7%
6.1 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 26.8%
25.8%
1 pts worse
23.9%
2.9 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-29 · Fire 2025-05-29

0 health deficiencies

No concentrated health issue counts in this cycle.

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-04-24 · Fire 2024-04-24

7 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-11-21 · Fire 2022-11-21

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

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 2025-05-29

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2025-07-15

F · Potential for more than minimal harm 2025-05-29

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-07-15

F · Potential for more than minimal harm 2025-05-29

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-07-15

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-11-05

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-11-05

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-04-24

F690 · Quality of Life and Care Deficiencies

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 2024-06-03

D · Potential for more than minimal harm 2024-04-24

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 2024-06-03

D · Potential for more than minimal harm 2024-04-24

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-06-03

D · Potential for more than minimal harm 2024-04-24

F758 · Pharmacy Service Deficiencies

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 2024-06-03

D · Potential for more than minimal harm 2024-04-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-03

D · Potential for more than minimal harm 2022-11-21

F690 · Quality of Life and Care Deficiencies

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 2022-12-09

Penalties and ownership

What sits behind the stars

Ownership

Ascentria Care Alliance Inc

5% Or Greater Direct Ownership Interest · Organization

100% 5 facilities 2015-02-01
Ascentria Care Alliance Inc

Operational/Managerial Control · Organization

0% 5 facilities 2015-02-01
Bartholomew, Alexander

Corporate Director · Individual

0% 4 facilities 2024-01-01
Bovill, Angela

Corporate Director · Individual

0% 5 facilities 2015-02-01
Bovill, Angela

Corporate Officer · Individual

0% 5 facilities 2015-02-01
Browne, Tara

Corporate Director · Individual

0% 4 facilities 2024-01-01
Cowlagi, Ashish

Corporate Director · Individual

0% 4 facilities 2024-01-01
Goodman, Ross

Corporate Director · Individual

0% 5 facilities 2015-02-01
Hanscom, Kristin

Corporate Officer · Individual

0% 4 facilities 2024-01-01
Macdonald, Jessica

Operational/Managerial Control · Individual

0% 1 facilities 2024-11-01
Maguire, David

Operational/Managerial Control · Individual

0% 1 facilities 2024-01-01
Mayo, William

Corporate Director · Individual

0% 5 facilities 2015-02-01
Oneal, Gary

Corporate Director · Individual

0% 5 facilities 2024-01-01
Robertson, Keith

Corporate Director · Individual

0% 4 facilities 2024-01-01
Russo, Nick

Corporate Director · Individual

0% 5 facilities 2015-02-01
Russo, Nick

Corporate Officer · Individual

0% 5 facilities 2015-02-01
Sousa, Nicholas

Corporate Director · Individual

0% 3 facilities 2024-01-01
Tappan, Christine

Corporate Director · Individual

0% 2 facilities 2024-01-01

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Fines
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