Federal inspection record · CMS data as of October 1, 2026
Skilled Nursing Facility At North Hill (The)
865 Central Avenue, Needham, MA · (781) 444-9910
- Certified beds
- 72
- Residents per day
- 64
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 10, 1985
1
How this home got 1 star
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Massachusetts.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Massachusetts homes
Skilled Nursing Facility At North Hill (The) carries 41.5 inspection points. That is fewer than 42% of Massachusetts's 339 rated homes.
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
8 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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 (2)
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J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control2E
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Pharmacy Service1D
- 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.
Inspection history
2026-07-22
0 health deficiencies · 0 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2025-07-18
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-07-11
3 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
5
Fines and payment denials
$16,153 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-01-15 | Fine | $16,153 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts better | 1.1 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.0 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.1 pts better | 100.0% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.5 pts better | 100.0% | 93.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts worse | 3.9% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms17.4 pts better | 0.0% | 17.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.7 pts better | 2.3% | 5.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.8 pts better | 10.7% | 19.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.9 pts better | 17.6% | 21.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6 pts worse | 19.9% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.8 pts worse | 18.6% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts worse | 2.1% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.8 pts worse | 4.5% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence14.4 pts better | 6.0% | 20.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.2 pts worse | 7.4% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20 pts better | 98.9% | 78.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.2 pts worse | 13.0% | 11.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better | 0.7% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine20.8 pts better | 98.9% | 78.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.8 pts worse | 26.5% | 25.7% | 23.4% |
·
Who owns and runs it
58 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 4m Building Solutions, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| 4m Building Solutions, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| A.v. Powell & Associates, LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Aqueduct Technologies, Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Babson College | Adp Of The SNF · Organization | 0% | 1 facilities |
| Baker Tilly Us Llp | Adp Of The SNF · Organization | 0% | 75 facilities |
| Barth, Suzanne | Corporate Director · Individual | 0% | 1 facilities |
| Barth, Suzanne | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Benoit, Paul | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Benoit, Paul | Adp Of The SNF · Individual | 0% | 1 facilities |
| Bere, Karalyn | Corporate Officer · Individual | 0% | 1 facilities |
| Bere, Karalyn | Adp Of The SNF · Individual | 0% | 1 facilities |
| Bermudez, Emily | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bermudez, Emily | Adp Of The SNF · Individual | 0% | 1 facilities |
| Clay & Associates, LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Corsini, Russell | Corporate Director · Individual | 0% | 1 facilities |
| Corsini, Russell | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Costa, Natalie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Creed, Sarah | Corporate Director · Individual | 0% | 1 facilities |
| Creed, Sarah | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Davis, Richard | Corporate Director · Individual | 0% | 5 facilities |
| Davis, Richard | Trustee Of The SNF · Individual | 0% | 5 facilities |
| Downey, Susan | Corporate Director · Individual | 0% | 5 facilities |
| Downey, Susan | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Downey, Susan | Adp Of The SNF · Individual | 0% | 5 facilities |
| Fischer, Stephen | Corporate Director · Individual | 0% | 1 facilities |
| Fischer, Stephen | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Focus Technology Solutions, Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Frias, Joseph | Corporate Officer · Individual | 0% | 1 facilities |
| Frias, Joseph | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Frias, Joseph | Adp Of The SNF · Individual | 0% | 1 facilities |
| Goff, Stewart | Corporate Director · Individual | 0% | 1 facilities |
| Goff, Stewart | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Goff, Stewart | Adp Of The SNF · Individual | 0% | 1 facilities |
| Grimes, Kevin | Corporate Director · Individual | 0% | 1 facilities |
| Grimes, Kevin | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Handel, Elizabeth | Corporate Director · Individual | 0% | 1 facilities |
| Handel, Elizabeth | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Health Care Continuum Specialists | Adp Of The SNF · Organization | 0% | 1 facilities |
| Hoffmann, Nancy | Corporate Director · Individual | 0% | 1 facilities |
| Hoffmann, Nancy | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Jensen Hughes, Inc. | Adp Of The SNF · Organization | 0% | 1 facilities |
| Mahoney, William | Corporate Director · Individual | 0% | 1 facilities |
| Mahoney, William | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Manufacturers & Traders Trust Company | Adp Of The SNF · Organization | 0% | 14 facilities |
| Mellace, Susan | Corporate Director · Individual | 0% | 1 facilities |
| Mellace, Susan | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Merchant, Asif | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Merchant, Asif | Adp Of The SNF · Individual | 0% | 6 facilities |
| Pingitore, Peter | Corporate Director · Individual | 0% | 1 facilities |
| Pingitore, Peter | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Prime Buchholz LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Reich Weil, Amy | Corporate Director · Individual | 0% | 1 facilities |
| Reich Weil, Amy | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Sadia's Health And Wellness Consulting, Inc | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Sadia's Health And Wellness Consulting, Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Vasconcelles, Martina Anne Oechsle | Corporate Director · Individual | 0% | 1 facilities |
| Vasconcelles, Martina Anne Oechsle | Trustee Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Briarwood Rehabilitation & Healthcare Center
Needham, MA · Marquis Health Services
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 54 min
- Fines
- $8,788
-
Elizabeth Seton
Wellesley, MA
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 59 min
- Fines
- $0
-
Stone Rehabilitation And Senior Living
Newton Upper Falls, MA
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 1 min
- Fines
- $16,195