Cycle 1
Health 2024-12-26 · Fire 2024-12-26
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Lancaster, MA
River Terrace Rehabilitation And Healthcare Ctr
5-star overall rating with 5-star inspections with $8,964 in total fines with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
1675 North Main Street, Lancaster, MA
(978) 365-4537
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
82
Certified beds
Average residents
76
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Marquis Health Services
Operator or chain grouping
Approved since
1972-03-16
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
81 facilities
Chain averages 3 overall / 3 health / 2 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
0.60
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.90
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.09
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
3.59
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.50
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.15
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.32
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.50
CMS adjusted RN staffing hours
Adjusted total hours
3.00
CMS adjusted total nurse staffing hours
Case-mix index
1.64
Higher values indicate more complex resident acuity
RN turnover
22%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
31%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,289
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.25
Composite VBP score used to determine payment impact.
Payment multiplier
0.9845
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.02
Baseline 17.44% · Performance 20.96% · Measure score 1.02 · Achievement 1.02 · Improvement 0
Healthcare-associated infections
4.93
Baseline 7.05% · Performance 6.36% · Measure score 4.93 · Achievement 4.93 · Improvement 2.87
Total nurse turnover
4.94
Baseline 46.67% · Performance 43.48% · Measure score 4.94 · Achievement 4.94 · Improvement 0.96
Adjusted total nurse staffing
0
Baseline 3.33 hours · Performance 2.93 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.46% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 157 · Observed rate 12.74% · Lower 95% interval 8.54% |
| Discharge to community | 41.21% |
50.57%
9.4 pts worse
|
No Different than the National Rate · Eligible stays 143 · Observed rate 32.17% · Lower 95% interval 33.52% |
| Medicare spending per beneficiary | 1.05 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 128 · Denominator 128 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 128 |
| Discharge self-care score | 50% |
53.69%
3.7 pts worse
|
Numerator 34 · Denominator 68 |
| Discharge mobility score | 52.94% |
50.94%
2 pts better
|
Numerator 36 · Denominator 68 |
| Pressure ulcers or injuries, new or worsened | 0.78% |
2.29%
1.5 pts better
|
Numerator 1 · Denominator 128 · Adjusted rate 0.66% |
| Healthcare-associated infections requiring hospitalization | 6.36% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 99 · Observed rate 5.05% · Lower 95% interval 3.37% |
| Staff COVID-19 vaccination coverage | 20.56% |
8.2%
12.4 pts better
|
Numerator 22 · Denominator 107 |
| Staff flu vaccination coverage | 40.16% |
42%
1.8 pts worse
|
Numerator 49 · Denominator 122 |
| Discharge function score | 57.35% |
56.45%
0.9 pts better
|
Numerator 39 · Denominator 68 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 44 · Denominator 44 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 41 · Denominator 41 |
| Resident COVID-19 vaccinations up to date | 18.92% |
25.2%
6.3 pts worse
|
Numerator 14 · Denominator 74 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.9
0.1 pts better
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.9 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.5
0.3 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.3 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.4% |
92.2%
4.2 pts better
|
93.4%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.1% · Q2 97.1% · Q3 96.8% · Q4 96.7% · 4Q avg 96.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.8%
5.2 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.4% |
3.5%
1.1 pts better
|
3.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 1.5% · Q3 3.2% · Q4 1.7% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 87.9% |
12.0%
75.9 pts worse
|
11.4%
76.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 86.4% · Q2 90.2% · Q3 87.3% · Q4 87.7% · 4Q avg 87.9% |
| Percentage of long-stay residents who lose too much weight | 4.0% |
5.2%
1.2 pts better
|
5.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.6% · Q3 6.8% · Q4 3.6% · 4Q avg 4.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.8% |
19.2%
0.4 pts better
|
19.6%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 16.7% · Q3 19.7% · Q4 19.0% · 4Q avg 18.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.7% |
22.5%
11.8 pts better
|
16.7%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 6.8% · Q3 8.5% · Q4 11.6% · 4Q avg 10.7% · 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 | 11.6% |
17.7%
6.1 pts better
|
16.3%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 12.5% · Q3 7.1% · Q4 13.0% · 4Q avg 11.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.1% |
17.6%
8.5 pts better
|
14.9%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 8.9% · Q3 5.3% · Q4 9.3% · 4Q avg 9.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.0%
1 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
2.0%
1.2 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.4% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.2% |
21.7%
9.5 pts better
|
19.8%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.1% · Q2 11.2% · Q3 8.1% · Q4 11.5% · 4Q avg 12.2% |
| Percentage of long-stay residents with pressure ulcers | 5.0% |
4.6%
0.4 pts worse
|
5.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 3.3% · Q3 5.4% · Q4 4.9% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.5% |
77.1%
13.4 pts better
|
81.7%
8.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 90.7% · Q2 98.8% · Q3 92.5% · Q4 80.5% · 4Q avg 90.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.9% |
11.8%
2.9 pts better
|
12.0%
3.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.9% · Observed 8.9% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
1.3%
About the same
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 0.0% · Q3 0.0% · Q4 2.2% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 79.8% |
77.7%
2.1 pts better
|
79.7%
0.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 79.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.5% |
25.8%
1.7 pts worse
|
23.9%
3.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.5% · Observed 30.0% · Expected 26.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-11-07 · Fire 2023-11-07
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-05-26 · Fire 2022-05-26
1 health deficiencies
Top issue: Resident Assessment and Care Planning (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
2024-12-26
K227 · Egress Deficiencies
Fire Safety
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Corrected 2025-02-21
E · Potential for more than minimal harm
2024-12-26
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-02-21
E · Potential for more than minimal harm
2024-12-26
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-02-21
D · Potential for more than minimal harm
2024-12-26
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-02-21
Inspection history
Recent health citations
G · Actual harm
2025-05-05
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-03-03
B · Minimal harm
2024-12-26
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-01-06
D · Potential for more than minimal harm
2022-05-26
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 2022-06-27
Penalties and ownership
What sits behind the stars
$8,964
2025-05-05
Fine
Fine · fine $8,964
Fine
Ownership
Cibc Bank Usa
5% Or Greater Security Interest · Organization
Cibc Bank Usa
5% Or Greater Mortgage Interest · Organization
Girmay, Samson
Operational/Managerial Control · Individual
Girmay, Samson
Corporate Director · Individual
Hakim, Faiyaz
Operational/Managerial Control · Individual
Marquis Limited LLC
Operational/Managerial Control · Organization
Posen, Mindee
Corporate Officer · Individual
Reliant Pro Rehab LLC
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Life Care Center Of Leominster
Leominster, MA
4-star overall rating with 3-star inspections with $55,224 in total fines with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Keystone Center
Leominster, MA
1-star overall rating with 2-star inspections with $33,476 in total fines with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Sterling Village
Sterling, MA
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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