Cycle 1
Health 2025-08-28 · Fire 2025-08-28
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
W Concord, MA
Rivercrest Long Term Care
5-star overall rating with 5-star inspections
Deaconess Road, W Concord, MA
(978) 369-5151
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
151
Certified beds
Average residents
34
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-01-01
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
Hours and turnover
RN hours / resident day
1.34
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.72
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.57
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
4.63
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.06
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
4.04
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.94
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.22
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.48
CMS adjusted RN staffing hours
Adjusted total hours
5.10
CMS adjusted total nurse staffing hours
Case-mix index
1.24
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Value-based purchasing
Program rank
648
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
65.96
Composite VBP score used to determine payment impact.
Payment multiplier
1.0200
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.63
Baseline 18.56% · Performance 17.90% · Measure score 7.63 · Achievement 7.63 · Improvement 3.83
Healthcare-associated infections
5.31
Baseline 5.85% · Performance 6.25% · Measure score 5.31 · Achievement 5.31 · Improvement 0
Total nurse turnover
5.57
Baseline 55.81% · Performance 40.91% · Measure score 5.57 · Achievement 5.57 · Improvement 4.31
Adjusted total nurse staffing
7.87
Baseline 5.10 hours · Performance 5.32 hours · Measure score 7.87 · Achievement 7.87 · Improvement 2.71
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.14% |
10.72%
1.6 pts better
|
No Different than the National Rate · Eligible stays 83 · Observed rate 3.61% · Lower 95% interval 5.54% |
| Discharge to community | 59.28% |
50.57%
8.7 pts better
|
No Different than the National Rate · Eligible stays 63 · Observed rate 58.73% · Lower 95% interval 48.25% |
| Medicare spending per beneficiary | 0.56 |
1.02
0.5 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 50 · Denominator 50 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 50 |
| Discharge self-care score | 9.09% |
53.69%
44.6 pts worse
|
Numerator 4 · Denominator 44 |
| Discharge mobility score | 15.91% |
50.94%
35 pts worse
|
Numerator 7 · Denominator 44 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 50 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.25% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 45 · Observed rate 2.22% · Lower 95% interval 3.41% |
| Staff COVID-19 vaccination coverage | 33.68% |
8.2%
25.5 pts better
|
Numerator 32 · Denominator 95 |
| Staff flu vaccination coverage | 74.74% |
42%
32.7 pts better
|
Numerator 71 · Denominator 95 |
| Discharge function score | 27.27% |
56.45%
29.2 pts worse
|
Numerator 12 · Denominator 44 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 27 · Denominator 27 |
| Resident COVID-19 vaccinations up to date | 65.22% |
25.2%
40 pts better
|
Numerator 15 · Denominator 23 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.9
0.8 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.8 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.2 |
1.5
1.3 pts better
|
1.8
1.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.2 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
92.2%
6.9 pts better
|
93.4%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 96.6% · Q4 100.0% · 4Q avg 99.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.6% |
94.8%
1.8 pts better
|
95.5%
1.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.2% |
3.5%
1.7 pts worse
|
3.3%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 7.4% · Q3 3.4% · Q4 3.3% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.9% |
12.0%
11.1 pts better
|
11.4%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.6% · Q4 0.0% · 4Q avg 0.9% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
5.2%
5.2 pts better
|
5.4%
5.4 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 received an antianxiety or hypnotic medication | 29.0% |
19.2%
9.8 pts worse
|
19.6%
9.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 32.0% · Q3 32.0% · Q4 28.0% · 4Q avg 29.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.5% |
22.5%
2 pts better
|
16.7%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q3 15.0% · Q4 21.7% · 4Q avg 20.5% · 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 | 17.7% |
17.7%
About the same
|
16.3%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 29.0% |
17.6%
11.4 pts worse
|
14.9%
14.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 25.0% · Q3 36.4% · Q4 30.4% · 4Q avg 29.0% · 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 | 0.9% |
2.0%
1.1 pts better
|
1.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.1% |
21.7%
16.6 pts better
|
19.8%
14.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 0.0% · Q3 0.0% · Q4 16.4% · 4Q avg 5.1% |
| Percentage of long-stay residents with pressure ulcers | 5.5% |
4.6%
0.9 pts worse
|
5.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 6.5% · Q3 3.8% · Q4 6.2% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.9% |
77.1%
12.8 pts better
|
81.7%
8.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 86.1% · Q2 83.7% · Q3 93.2% · Q4 97.4% · 4Q avg 89.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.4% |
11.8%
3.6 pts worse
|
12.0%
3.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.4% · Observed 12.5% · Expected 9.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
1.3%
0.6 pts worse
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.0% · Q3 3.3% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.2% |
77.7%
18.5 pts better
|
79.7%
16.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.9% |
25.8%
1.9 pts better
|
23.9%
About the same
|
Short Stay · 20240701-20250630 · Adjusted 23.9% · Observed 15.0% · Expected 14.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-09-05 · Fire 2024-09-05
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2023-09-27 · Fire 2023-09-27
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-09-05
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-22
D · Potential for more than minimal harm
2023-09-27
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-11-24
D · Potential for more than minimal harm
2023-09-27
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-10-13
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-11-14
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 2024-12-16
D · Potential for more than minimal harm
2024-09-05
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 2024-10-04
D · Potential for more than minimal harm
2023-09-27
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 2023-10-31
D · Potential for more than minimal harm
2023-09-27
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 2023-10-31
D · Potential for more than minimal harm
2023-09-27
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 2023-10-31
Penalties and ownership
What sits behind the stars
Ownership
Barney, Marie
Corporate Director · Individual
Barney, Marie
W-2 Managing Employee · Individual
Barter, Theodore
Corporate Director · Individual
Burlamachi, Glenn
Corporate Director · Individual
Grinnell, Kenneth
Corporate Director · Individual
Hedison, Harry
Corporate Director · Individual
Levinson, Ellen
Operational/Managerial Control · Individual
Levinson, Ellen
W-2 Managing Employee · Individual
Macclary, Marcia
Corporate Director · Individual
Mcgowan, James
Corporate Officer · Individual
Mcgowan, James
W-2 Managing Employee · Individual
Mcnamara Dusti, Colleen
W-2 Managing Employee · Individual
Mentzer, James
Corporate Director · Individual
Murphy, David
Corporate Director · Individual
Powers, Susan
Corporate Director · Individual
Sintros, Christopher
Corporate Director · Individual
Sintros, Christopher
Corporate Officer · Individual
Sintros, Christopher
W-2 Managing Employee · Individual
Watts, Sheila
Corporate Director · Individual
West, Donna
Corporate Director · Individual
Wilson, Carol
Corporate Director · Individual
Young, John
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Care One At Concord
W Concord, MA
5-star overall rating with 5-star inspections with $7,901 in total fines with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
The Commons Skilled Nursing & Rehabilitation
Lincoln, MA
5-star overall rating with 4-star inspections with 8 recent health deficiencies
#3
Life Care Center Of Acton
Acton, MA
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
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