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)
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
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
Chain footprint
5 facilities
Chain averages 4 overall / 4 health / 4 staffing / 4 quality stars
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
Hours and turnover
RN hours / resident day
0.75
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.06
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.45
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
4.26
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.81
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.52
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.38
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.71
CMS adjusted RN staffing hours
Adjusted total hours
4.05
CMS adjusted total nurse staffing hours
Case-mix index
1.44
Higher values indicate more complex resident acuity
RN turnover
38%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,001
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.31
Composite VBP score used to determine payment impact.
Payment multiplier
0.9883
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 18.53% · Performance 22.86% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
4.47
Baseline 4.69% · Performance 6.50% · Measure score 4.47 · Achievement 4.47 · Improvement 0
Total nurse turnover
6.91
Baseline 29.51% · Performance 35.42% · Measure score 6.91 · Achievement 6.91 · Improvement 0
Adjusted total nurse staffing
2.34
Baseline 3.87 hours · Performance 3.74 hours · Measure score 2.34 · Achievement 2.34 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.5% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 297 · Observed rate 12.46% · Lower 95% interval 8.98% |
| Discharge to community | 50.77% |
50.57%
0.2 pts better
|
No Different than the National Rate · Eligible stays 288 · Observed rate 45.14% · Lower 95% interval 45.71% |
| Medicare spending per beneficiary | 0.89 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 184 · Denominator 184 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 184 |
| Discharge self-care score | 50.72% |
53.69%
3 pts worse
|
Numerator 70 · Denominator 138 |
| Discharge mobility score | 49.28% |
50.94%
1.7 pts worse
|
Numerator 68 · Denominator 138 |
| Pressure ulcers or injuries, new or worsened | 1.09% |
2.29%
1.2 pts better
|
Numerator 2 · Denominator 184 · Adjusted rate 0.99% |
| Healthcare-associated infections requiring hospitalization | 6.5% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 169 · Observed rate 5.33% · Lower 95% interval 4.07% |
| Staff COVID-19 vaccination coverage | 16.39% |
8.2%
8.2 pts better
|
Numerator 59 · Denominator 360 |
| Staff flu vaccination coverage | 36.12% |
42%
5.9 pts worse
|
Numerator 134 · Denominator 371 |
| Discharge function score | 57.25% |
56.45%
0.8 pts better
|
Numerator 79 · Denominator 138 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 42 · Denominator 42 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 90 · Denominator 90 |
| Resident COVID-19 vaccinations up to date | 26.73% |
25.2%
1.5 pts better
|
Numerator 27 · Denominator 101 |
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 · Adjusted 2.5 · Observed 2.1 · Expected 1.6 · Used in QM five-star |
| 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 · Adjusted 1.7 · Observed 1.5 · Expected 1.5 · Used in QM five-star |
| 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 · Q1 88.2% · Q2 98.4% · Q3 98.4% · Q4 99.2% · 4Q avg 96.0% |
| 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 · 4Q avg 98.5% |
| 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 · Q1 3.9% · Q2 5.6% · Q3 2.4% · Q4 1.7% · 4Q avg 3.4% · Used in QM five-star |
| 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 · Q1 0.9% · Q2 0.9% · Q3 9.3% · Q4 9.0% · 4Q avg 4.7% |
| 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 · Q1 4.9% · Q2 4.2% · Q3 3.0% · Q4 8.3% · 4Q avg 5.1% |
| 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 · Q1 15.7% · Q2 15.3% · Q3 16.5% · Q4 14.5% · 4Q avg 15.5% |
| 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 · Q1 15.0% · Q2 15.2% · Q3 14.6% · Q4 16.5% · 4Q avg 15.3% · 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 | 16.5% |
17.7%
1.2 pts better
|
16.3%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.2% · Q2 14.0% · Q3 15.2% · Q4 11.4% · 4Q avg 16.5% · Used in QM five-star |
| 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 · Q1 21.0% · Q2 23.5% · Q3 14.6% · Q4 18.6% · 4Q avg 19.4% · Used in QM five-star |
| 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 · Q1 0.6% · Q2 0.0% · Q3 0.5% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| 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 · Q1 4.9% · Q2 0.8% · Q3 0.0% · Q4 1.8% · 4Q avg 1.9% · Used in QM five-star |
| 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 · Q1 31.6% · Q2 28.8% · Q3 24.3% · Q4 24.1% · 4Q avg 27.3% |
| 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 · Q1 6.3% · Q2 7.1% · Q3 3.7% · Q4 2.5% · 4Q avg 4.9% · Used in QM five-star |
| 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 · Q1 77.8% · Q2 84.4% · Q3 93.5% · Q4 90.6% · 4Q avg 86.7% |
| 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 14.7% · Expected 9.9% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 1.7% · 4Q avg 0.7% · Used in QM five-star |
| 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 · 4Q avg 85.8% |
| 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 · Adjusted 26.8% · Observed 25.3% · Expected 22.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
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
Ascentria Care Alliance Inc
Operational/Managerial Control · Organization
Bartholomew, Alexander
Corporate Director · Individual
Bovill, Angela
Corporate Director · Individual
Bovill, Angela
Corporate Officer · Individual
Browne, Tara
Corporate Director · Individual
Cowlagi, Ashish
Corporate Director · Individual
Goodman, Ross
Corporate Director · Individual
Hanscom, Kristin
Corporate Officer · Individual
Macdonald, Jessica
Operational/Managerial Control · Individual
Maguire, David
Operational/Managerial Control · Individual
Mayo, William
Corporate Director · Individual
Oneal, Gary
Corporate Director · Individual
Robertson, Keith
Corporate Director · Individual
Russo, Nick
Corporate Director · Individual
Russo, Nick
Corporate Officer · Individual
Sousa, Nicholas
Corporate Director · Individual
Tappan, Christine
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Overlook Masonic Health Center
Charlton, MA
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Palmer Healthcare Center
Palmer, MA
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Southbridge Rehabilitation & Health Care Center
Southbridge, MA
1-star overall rating with 2-star inspections with $14,675 in total fines with 13 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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