Federal inspection record · CMS data as of October 1, 2026

Shrewsbury Rehabilitation And Nursing At Southgate

40 Julio Drive, Shrewsbury, MA · (508) 841-4755

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
99
Residents per day
93
Ownership
For-Profit
Chain
Atlas Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
July 1, 1990

1

How this home got 4 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Massachusetts.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Massachusetts homes

Shrewsbury Rehabilitation And Nursing At Southgate carries 23 inspection points. That is fewer than 68% of Massachusetts's 339 rated homes.

5★4★3★2★1★+11 homes above 148.505102550100inspection points → fewer is better on the leftThis home · 23 pts · 4★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Massachusetts: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–6 pts
  • 4★ 6–24 pts
  • 3★ 24–41 pts
  • 2★ 41–76 pts
  • 1★ over 76 pts

Bars show every rated home in Massachusetts by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

16 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 11 4 pts
E 2 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 2 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 19, 2023 · Standard inspection · Quality of Life and Care · F689 · Corrected October 20, 2023

Everything else, by area of care

Resident Assessment and Care Planning5D
  1. D

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    November 27, 2024 · Standard · F636 · Corrected January 11, 2025

  2. D

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

    November 27, 2024 · Standard · F658 · Corrected January 11, 2025

  3. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    November 27, 2024 · Standard · F842 · Corrected January 11, 2025

  4. B

    Ensure each resident receives an accurate assessment.

    November 27, 2024 · Standard · F641 · Corrected January 11, 2025

  5. B

    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

    November 27, 2024 · Standard · F646 · Corrected January 11, 2025

Quality of Life and Care4D
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    November 4, 2025 · Complaint · F684 · Corrected November 28, 2025

  2. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    November 27, 2024 · Standard · F686 · Corrected January 11, 2025

  3. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    November 27, 2024 · Standard · F689 · Corrected January 11, 2025

  4. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    September 19, 2023 · Standard · F677 · Corrected October 20, 2023

Pharmacy Service3D
  1. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    March 12, 2026 · Standard · F755 · Corrected March 20, 2026

  2. D

    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.

    March 12, 2026 · Standard · F761 · Corrected March 20, 2026

  3. D

    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.

    November 27, 2024 · Standard · F761 · Corrected January 11, 2025

Infection Control2E
  1. E

    Provide and implement an infection prevention and control program.

    December 6, 2023 · Infection control · F880 · Corrected January 7, 2024

  2. D

    Provide and implement an infection prevention and control program.

    September 19, 2023 · Standard · F880 · Corrected October 20, 2023

Nutrition and Dietary1E
  1. E

    Dispose of garbage and refuse properly.

    March 12, 2026 · Standard · F814 · Corrected March 20, 2026

Inspection history

  1. 2026-03-12

    4 health deficiencies · 2 fire-safety deficiencies

    Top issue: Pharmacy Service (2 deficiencies)

  2. 2024-11-27

    8 health deficiencies · 10 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (5 deficiencies)

  3. 2023-09-19

    4 health deficiencies · 2 fire-safety deficiencies

    Top issue: Infection Control (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 11 min of nursing staff time a day, 37 min of it from a registered nurse.

This home

4 h 11 min

Massachusetts average

3 h 56 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 57% of nursing staff and 56% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days1 pts better0.81.81.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse1.61.41.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6 pts better98.9%92.9%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.5 pts better100.0%93.5%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts better3.2%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms14.2 pts worse31.6%17.4%13.5%
Percentage of long-stay residents who lose too much weight0.1 pts worse5.1%5.0%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication8.9 pts better10.6%19.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication5.2 pts better16.3%21.5%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened0.4 pts better13.5%13.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased5.8 pts better10.0%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better0.2%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection0.2 pts better1.5%1.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.4 pts worse21.8%20.4%18.3%
Percentage of long-stay residents with pressure ulcers2.3 pts better1.9%4.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20.8 pts better99.7%78.9%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.1 pts worse11.9%11.8%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better0.5%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine21.9 pts better100.0%78.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.1 pts better20.6%25.7%23.4%

·

Who owns and runs it

12 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Shrewsbury Operations Holdings LLC5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Demma, HeatherW-2 Managing Employee · Individual0%1 facilities
Herzka, David5% Or Greater Indirect Ownership Interest · Individual0%7 facilities
Jmh Family LLC5% Or Greater Indirect Ownership Interest · Organization0%20 facilities
Jmh Family Trust5% Or Greater Indirect Ownership Interest · Organization0%20 facilities
Levy, Michael5% Or Greater Indirect Ownership Interest · Individual0%3 facilities
Levy, MichaelCorporate Officer · Individual0%3 facilities
Mls Family LLC5% Or Greater Indirect Ownership Interest · Organization0%20 facilities
Mls Family Trust5% Or Greater Indirect Ownership Interest · Organization0%20 facilities
Sgs Family LLC5% Or Greater Indirect Ownership Interest · Organization0%20 facilities
Sgs Family Trust5% Or Greater Indirect Ownership Interest · Organization0%20 facilities
Sheikh, ZahraContracted Managing Employee · Individual0%1 facilities

·

Fire safety

14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke6F
  1. F

    Install an approved automatic sprinkler system.

    March 12, 2026 · K351 · Corrected April 22, 2026

  2. E

    Have an enclosure around a vertical opening shaft.

    November 27, 2024 · K311 · Corrected January 25, 2025

  3. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    November 27, 2024 · K374 · Corrected January 25, 2025

  4. D

    Provide properly protected cooking facilities.

    November 27, 2024 · K324 · Corrected January 25, 2025

  5. E

    Install an approved automatic sprinkler system.

    September 19, 2023 · K351 · Corrected November 19, 2023

  6. D

    Properly provide smoke detection systems in areas open to corridors.

    September 19, 2023 · K347 · Corrected October 25, 2023

Egress4F
  1. D

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

    March 12, 2026 · K291 · Corrected April 22, 2026

  2. F

    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.

    November 27, 2024 · K222 · Corrected January 25, 2025

  3. D

    Provide hallway or ground-level exits in all residents' rooms.

    November 27, 2024 · K254 · Corrected January 25, 2025

  4. D

    Have exits that are accessible at all times.

    November 27, 2024 · K271 · Corrected January 25, 2025

Emergency Preparedness3F
  1. F

    List the names and contact information of those in the facility.

    November 27, 2024 · E30 · Corrected January 25, 2025

  2. F

    Implement emergency and standby power systems.

    November 27, 2024 · E41 · Corrected January 25, 2025

  3. F

    Address patient/client population and determine types of services needed.

    November 27, 2024 · E7 · Corrected January 25, 2025

Gas, Vacuum, and Electrical Systems1F
  1. F

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

    November 27, 2024 · K918 · Corrected January 25, 2025

·

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