Cycle 1
Health 2024-10-02 · Fire 2024-10-02
7 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Somerset, MA
Somerset Ridge Center
4-star overall rating with 4-star inspections with $338,900 in total fines with 7 recent health deficiencies
455 Brayton Avenue, Somerset, MA
(508) 679-2240
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
135
Certified beds
Average residents
123
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Best Care Services
Operator or chain grouping
Approved since
1999-01-20
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
10 facilities
Chain averages 2 overall / 2 health / 2 staffing / 2 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
0.38
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.08
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.13
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
1.46
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.19
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
0.03
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.37
CMS adjusted RN staffing hours
Adjusted total hours
3.52
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
63%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,890
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
18.74
Composite VBP score used to determine payment impact.
Payment multiplier
0.9820
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 23.15% · Performance 23.08% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
4.26
Baseline 6.48% · Performance 6.56% · Measure score 4.26 · Achievement 4.26 · Improvement 0
Total nurse turnover
1.37
Baseline 60.95% · Performance 58.09% · Measure score 1.37 · Achievement 1.37 · Improvement 0.29
Adjusted total nurse staffing
1.87
Baseline 3.29 hours · Performance 3.61 hours · Measure score 1.87 · Achievement 1.87 · Improvement 0.78
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.95% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 230 · Observed rate 10.87% · Lower 95% interval 8.23% |
| Discharge to community | 56.69% |
50.57%
6.1 pts better
|
No Different than the National Rate · Eligible stays 229 · Observed rate 53.28% · Lower 95% interval 49.56% |
| Medicare spending per beneficiary | 1.05 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 97.69% |
95.27%
2.4 pts better
|
Numerator 127 · Denominator 130 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 130 |
| Discharge self-care score | 55.7% |
53.69%
2 pts better
|
Numerator 44 · Denominator 79 |
| Discharge mobility score | 44.3% |
50.94%
6.6 pts worse
|
Numerator 35 · Denominator 79 |
| Pressure ulcers or injuries, new or worsened | 1.54% |
2.29%
0.8 pts better
|
Numerator 2 · Denominator 130 · Adjusted rate 2.04% |
| Healthcare-associated infections requiring hospitalization | 6.56% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 126 · Observed rate 5.56% · Lower 95% interval 3.92% |
| Staff COVID-19 vaccination coverage | 2.6% |
8.2%
5.6 pts worse
|
Numerator 4 · Denominator 154 |
| Staff flu vaccination coverage | 19.37% |
42%
22.6 pts worse
|
Numerator 43 · Denominator 222 |
| Discharge function score | 44.3% |
56.45%
12.2 pts worse
|
Numerator 35 · Denominator 79 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 36 · Denominator 36 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 72 · Denominator 72 |
| Resident COVID-19 vaccinations up to date | 40.28% |
25.2%
15.1 pts better
|
Numerator 29 · Denominator 72 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
1.9
0.2 pts worse
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.8 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.3 |
1.5
0.8 pts worse
|
1.8
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.1 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.0% |
92.2%
3.2 pts worse
|
93.4%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 93.8% · Q2 88.1% · Q3 90.9% · Q4 83.3% · 4Q avg 89.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.2% |
94.8%
2.4 pts better
|
95.5%
1.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.5% |
3.5%
About the same
|
3.3%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.0% · Q3 3.0% · Q4 4.9% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.3% |
12.0%
11.7 pts better
|
11.4%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% |
| Percentage of long-stay residents who lose too much weight | 3.8% |
5.2%
1.4 pts better
|
5.4%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 5.1% · Q3 2.5% · Q4 2.4% · 4Q avg 3.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.7% |
19.2%
1.5 pts better
|
19.6%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 15.9% · Q3 20.2% · Q4 18.4% · 4Q avg 17.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.8% |
22.5%
12.7 pts better
|
16.7%
6.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 12.7% · Q3 12.2% · Q4 8.0% · 4Q avg 9.8% · 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 | 15.7% |
17.7%
2 pts better
|
16.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 19.6% · Q3 5.4% · Q4 19.0% · 4Q avg 15.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.6% |
17.6%
About the same
|
14.9%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.9% · Q2 18.8% · Q3 16.0% · Q4 20.2% · 4Q avg 17.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
1.0%
0.8 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.8% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.8% |
2.0%
0.2 pts better
|
1.7%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 1.0% · Q3 2.1% · Q4 2.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 34.8% |
21.7%
13.1 pts worse
|
19.8%
15 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 48.0% · Q2 38.1% · Q3 27.5% · Q4 25.4% · 4Q avg 34.8% |
| Percentage of long-stay residents with pressure ulcers | 1.4% |
4.6%
3.2 pts better
|
5.1%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.7% · Q3 0.8% · Q4 1.6% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.7% |
77.1%
8.6 pts better
|
81.7%
4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 86.8% · Q2 86.5% · Q3 87.3% · Q4 82.5% · 4Q avg 85.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 23.5% |
11.8%
11.7 pts worse
|
12.0%
11.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 23.5% · Observed 24.0% · Expected 11.4% · 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 0.9% · Q2 0.9% · Q3 1.6% · Q4 1.6% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.3% |
77.7%
10.6 pts better
|
79.7%
8.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.0% |
25.8%
1.8 pts better
|
23.9%
0.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.0% · Observed 24.7% · Expected 24.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-04 · Fire 2024-06-04
4 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2024-01-10 · Fire 2024-01-10
20 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-06-04
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-06-27
D · Potential for more than minimal harm
2024-06-04
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-07-12
D · Potential for more than minimal harm
2024-06-04
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-06-27
D · Potential for more than minimal harm
2024-06-04
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-07-26
C · Minimal harm
2024-06-04
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-06-27
C · Minimal harm
2024-06-04
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-06-27
C · Minimal harm
2024-06-04
E7 · Emergency Preparedness Deficiencies
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2024-06-27
E · Potential for more than minimal harm
2024-01-10
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-14
E · Potential for more than minimal harm
2024-01-10
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-03-14
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-10-02
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-24
E · Potential for more than minimal harm
2024-10-02
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-10-24
D · Potential for more than minimal harm
2024-10-02
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-10-24
D · Potential for more than minimal harm
2024-10-02
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 2024-10-24
D · Potential for more than minimal harm
2024-10-02
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 2024-10-24
D · Potential for more than minimal harm
2024-10-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-24
B · Minimal harm
2024-10-02
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-10-24
E · Potential for more than minimal harm
2024-06-04
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 2024-06-21
D · Potential for more than minimal harm
2024-06-04
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-06-21
D · Potential for more than minimal harm
2024-06-04
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-06-21
D · Potential for more than minimal harm
2024-06-04
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 2024-06-21
D · Potential for more than minimal harm
2024-01-30
F557 · Resident Rights Deficiencies
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-01-29
G · Actual harm
2024-01-10
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-02-13
F · Potential for more than minimal harm
2024-01-10
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-02-13
E · Potential for more than minimal harm
2024-01-10
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-02-13
E · Potential for more than minimal harm
2024-01-10
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-02-13
E · Potential for more than minimal harm
2024-01-10
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-02-13
E · Potential for more than minimal harm
2024-01-10
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-02-13
E · Potential for more than minimal harm
2024-01-10
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-02-13
E · Potential for more than minimal harm
2024-01-10
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-02-13
E · Potential for more than minimal harm
2024-01-10
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 2024-02-13
E · Potential for more than minimal harm
2024-01-10
F847 · Administration Deficiencies
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2024-02-13
E · Potential for more than minimal harm
2024-01-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-13
D · Potential for more than minimal harm
2024-01-10
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-02-13
D · Potential for more than minimal harm
2024-01-10
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 2024-02-13
D · Potential for more than minimal harm
2024-01-10
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-02-13
D · Potential for more than minimal harm
2024-01-10
F825 · Quality of Life and Care Deficiencies
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2024-02-13
D · Potential for more than minimal harm
2024-01-10
F849 · Administration Deficiencies
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2024-02-13
B · Minimal harm
2024-01-10
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-02-13
B · Minimal harm
2024-01-10
F848 · Administration Deficiencies
Health
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected 2024-02-13
G · Actual harm
2023-05-17
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-06-12
Penalties and ownership
What sits behind the stars
$214,420
2024-01-10
Fine
Fine · fine $214,420
Fine
$0
2024-01-10
Payment Denial
Payment Denial · denial start 2024-01-29 · 45 days
45 day denial
$124,480
2023-05-17
Fine
Fine · fine $124,480
Fine
Ownership
Cksst Holding Company LLC
5% Or Greater Direct Ownership Interest · Organization
Al-Madi, Sami
Operational/Managerial Control · Individual
Bonadio & Co Llp
Operational/Managerial Control · Organization
Chapler, Yaakov
Operational/Managerial Control · Individual
Gedney, Peter
Operational/Managerial Control · Individual
Reliant Rehabilitation Holdings Inc
Operational/Managerial Control · Organization
Steinberg, Moshe
Operational/Managerial Control · Individual
Twomagnets LLC
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Clifton Rehabilitation Nursing Center
Somerset, MA
4-star overall rating with 4-star inspections with 1 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Fall River Healthcare
Fall River, MA
1-star overall rating with 1-star inspections with abuse icon flag with $557,805 in total fines with 12 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Fall River Jewish Home
Fall River, MA
2-star overall rating with 2-star inspections with $52,702 in total fines with 12 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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