Cycle 1
Health 2025-07-18 · Fire 2025-07-18
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Needham, MA
Skilled Nursing Facility At North Hill (The)
4-star overall rating with 3-star inspections with $16,153 in total fines with 3 recent health deficiencies
865 Central Avenue, Needham, MA
(781) 444-9910
Overall
4 / 5
CMS overall stars
Health inspections
3 / 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
72
Certified beds
Average residents
65
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1985-01-10
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
1.47
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.74
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
4.12
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
6.33
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.21
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
5.93
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
1.14
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.60
CMS adjusted RN staffing hours
Adjusted total hours
6.87
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
16%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
17%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Value-based purchasing
Program rank
64
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
90.21
Composite VBP score used to determine payment impact.
Payment multiplier
1.0273
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 18.49% · Performance 16.67% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
7.09
Baseline 5.62% · Performance 5.72% · Measure score 7.09 · Achievement 7.09 · Improvement 0
Total nurse turnover
8.99
Baseline 18.56% · Performance 26.92% · Measure score 8.99 · Achievement 8.99 · Improvement 0
Adjusted total nurse staffing
10
Baseline 7.17 hours · Performance 6.65 hours · Measure score 10 · Achievement 10 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.69% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 294 · Observed rate 6.46% · Lower 95% interval 7.46% |
| Discharge to community | 62.95% |
50.57%
12.4 pts better
|
Better than the National Rate · Eligible stays 270 · Observed rate 65.19% · Lower 95% interval 58.56% |
| Medicare spending per beneficiary | 0.85 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 75.69% |
95.27%
19.6 pts worse
|
Numerator 109 · Denominator 144 |
| Falls with major injury | 2.08% |
0.77%
1.3 pts worse
|
Numerator 3 · Denominator 144 |
| Discharge self-care score | 59.65% |
53.69%
6 pts better
|
Numerator 68 · Denominator 114 |
| Discharge mobility score | 62.28% |
50.94%
11.3 pts better
|
Numerator 71 · Denominator 114 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 144 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.72% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 176 · Observed rate 2.84% · Lower 95% interval 2.84% |
| Staff COVID-19 vaccination coverage | 25.64% |
8.2%
17.4 pts better
|
Numerator 50 · Denominator 195 |
| Staff flu vaccination coverage | 68.16% |
42%
26.2 pts better
|
Numerator 152 · Denominator 223 |
| Discharge function score | 70.18% |
56.45%
13.7 pts better
|
Numerator 80 · Denominator 114 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 25 · Denominator 25 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 87 · Denominator 87 |
| Resident COVID-19 vaccinations up to date | 72.06% |
25.2%
46.9 pts better
|
Numerator 49 · Denominator 68 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.6 |
1.9
0.7 pts worse
|
1.9
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 1.9 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.5
0.5 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.8 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
92.2%
7.4 pts better
|
93.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.2% · Q4 100.0% · 4Q avg 99.6% |
| 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 | 5.8% |
3.5%
2.3 pts worse
|
3.3%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 6.8% · Q3 5.4% · Q4 5.5% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.0% |
12.0%
11 pts better
|
11.4%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 1.8% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% |
| Percentage of long-stay residents who lose too much weight | 4.6% |
5.2%
0.6 pts better
|
5.4%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 5.6% · Q3 0.0% · Q4 4.3% · 4Q avg 4.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.4% |
19.2%
7.8 pts better
|
19.6%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 10.7% · Q3 10.0% · Q4 14.9% · 4Q avg 11.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.8% |
22.5%
0.7 pts better
|
16.7%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.5% · Q2 22.5% · Q3 19.5% · Q4 18.2% · 4Q avg 21.8% · 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 | 27.7% |
17.7%
10 pts worse
|
16.3%
11.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.4% · Q2 39.7% · Q3 14.7% · Q4 29.4% · 4Q avg 27.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 31.8% |
17.6%
14.2 pts worse
|
14.9%
16.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.7% · Q2 47.2% · Q3 23.4% · Q4 21.7% · 4Q avg 31.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.5% |
1.0%
1.5 pts worse
|
1.0%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 4.3% · Q3 1.7% · Q4 1.7% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.1% |
2.0%
2.1 pts worse
|
1.7%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 3.5% · Q3 1.8% · Q4 3.6% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.6% |
21.7%
4.1 pts better
|
19.8%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 26.7% · Q2 27.8% · Q3 7.7% · Q4 9.2% · 4Q avg 17.6% |
| Percentage of long-stay residents with pressure ulcers | 1.6% |
4.6%
3 pts better
|
5.1%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.2% · Q4 2.2% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.8% |
77.1%
21.7 pts better
|
81.7%
17.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.0% · Q2 98.8% · Q3 98.6% · Q4 98.9% · 4Q avg 98.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.8% |
11.8%
About the same
|
12.0%
0.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.8% · Observed 10.1% · Expected 9.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.3%
0.5 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
77.7%
22.3 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.0% |
25.8%
1.2 pts worse
|
23.9%
3.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.0% · Observed 21.0% · Expected 18.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-07-11 · Fire 2024-07-11
5 health deficiencies
Top issue: Infection Control (2 deficiencies)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Cycle 3
Health 2023-05-18 · Fire 2023-05-18
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-07-11
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-07-31
F · Potential for more than minimal harm
2023-05-18
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-30
F · Potential for more than minimal harm
2023-05-18
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-06-30
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-07-18
F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-08-21
D · Potential for more than minimal harm
2025-07-18
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 2025-08-21
D · Potential for more than minimal harm
2025-07-18
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 2025-08-21
J · Immediate jeopardy
2025-01-15
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-29
J · Immediate jeopardy
2025-01-15
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 2025-01-29
E · Potential for more than minimal harm
2024-07-11
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-08-05
D · Potential for more than minimal harm
2024-07-11
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 2024-08-05
D · Potential for more than minimal harm
2024-07-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-05
D · Potential for more than minimal harm
2023-05-18
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-06-19
D · Potential for more than minimal harm
2023-05-18
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-06-19
D · Potential for more than minimal harm
2023-05-18
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-06-19
Penalties and ownership
What sits behind the stars
$16,153
2025-01-15
Fine
Fine · fine $16,153
Fine
Ownership
4m Building Solutions, LLC
Operational/Managerial Control · Organization
Barth, Suzanne
Corporate Director · Individual
Benoit, Paul
Operational/Managerial Control · Individual
Bere, Karalyn
Corporate Officer · Individual
Bermudez, Emily
Operational/Managerial Control · Individual
Corsini, Russell
Corporate Director · Individual
Creed, Sarah
Corporate Director · Individual
Davis, Richard
Corporate Director · Individual
Downey, Susan
Operational/Managerial Control · Individual
Downey, Susan
Corporate Director · Individual
Fischer, Stephen
Corporate Director · Individual
Frias, Joseph
Operational/Managerial Control · Individual
Frias, Joseph
Corporate Officer · Individual
Goff, Stewart
Operational/Managerial Control · Individual
Goff, Stewart
Corporate Director · Individual
Grimes, Kevin
Corporate Director · Individual
Handel, Elizabeth
Corporate Director · Individual
Hoffmann, Nancy
Corporate Director · Individual
Mahoney, William
Corporate Director · Individual
Mellace, Susan
Corporate Director · Individual
Merchant, Asif
Operational/Managerial Control · Individual
Pingitore, Peter
Corporate Director · Individual
Reich Weil, Amy
Corporate Director · Individual
Sadia's Health And Wellness Consulting, Inc
Operational/Managerial Control · Organization
Vasconcelles, Martina Anne Oechsle
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Briarwood Rehabilitation & Healthcare Center
Needham, MA
4-star overall rating with 4-star inspections with $8,788 in total fines
#2
Elizabeth Seton
Wellesley, MA
5-star overall rating with 5-star inspections
#3
Stone Rehabilitation And Senior Living
Newton Upper Falls, MA
3-star overall rating with 3-star inspections with $16,195 in total fines with 9 recent health deficiencies
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