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

Southbridge Rehabilitation & Health Care Center

84 Chapin Street, Southbridge, MA · (774) 437-1166

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
144
Residents per day
133
Ownership
For-Profit
Chain
Athena Healthcare Systems
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 2, 1987

1

How this home got 2 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

    −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.

  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

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Massachusetts homes

Southbridge Rehabilitation & Health Care Center carries 33 inspection points. That is fewer than 53% of Massachusetts's 339 rated homes.

5★4★3★2★1★+11 homes above 148.505102550100inspection points → fewer is better on the leftThis home · 33 pts · 3★

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

31 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 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 22 4 pts
E 7 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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Rights10E
  1. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    April 3, 2026 · Standard · F584 · Corrected May 8, 2026

  2. D

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    April 3, 2026 · Standard · F585 · Corrected May 8, 2026

  3. E

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    December 18, 2024 · Standard · F584 · Corrected January 27, 2025

  4. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    December 18, 2024 · Standard · F550 · Corrected January 27, 2025

  5. D

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    December 18, 2024 · Standard · F585 · Corrected January 27, 2025

  6. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    December 3, 2024 · Complaint · F580 · Corrected January 10, 2025

  7. D

    Keep residents' personal and medical records private and confidential.

    October 25, 2023 · Standard · F583 · Corrected December 3, 2023

  8. D

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    October 25, 2023 · Standard · F622 · Corrected December 3, 2023

  9. D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    October 25, 2023 · Standard · F623 · Corrected December 3, 2023

  10. D

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    October 25, 2023 · Standard · F625 · Corrected December 3, 2023

Resident Assessment and Care Planning5E
  1. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    December 18, 2024 · Standard · F656 · Corrected January 27, 2025

  2. E

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

    December 18, 2024 · Standard · F842 · Corrected January 27, 2025

  3. B

    Ensure each resident receives an accurate assessment.

    December 18, 2024 · Standard · F641 · Corrected January 27, 2025

  4. E

    Ensure each resident receives an accurate assessment.

    October 25, 2023 · Standard · F641 · Corrected December 3, 2023

  5. D

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

    October 25, 2023 · Standard · F842 · Corrected December 3, 2023

Pharmacy Service5E
  1. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    December 18, 2024 · Standard · F757 · Corrected January 27, 2025

  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.

    December 18, 2024 · Standard · F761 · Corrected January 27, 2025

  3. E

    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.

    October 25, 2023 · Standard · F761 · Corrected December 3, 2023

  4. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    October 25, 2023 · Standard · F756 · Corrected December 3, 2023

  5. D

    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.

    October 25, 2023 · Standard · F758 · Corrected December 3, 2023

Quality of Life and Care4D
  1. D

    Assist a resident in gaining access to vision and hearing services.

    April 3, 2026 · Standard · F685 · Corrected May 8, 2026

  2. D

    Provide safe and appropriate respiratory care for a resident when needed.

    December 18, 2024 · Standard · F695 · Corrected January 27, 2025

  3. D

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    October 25, 2023 · Standard · F694 · Corrected December 3, 2023

  4. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    October 25, 2023 · Standard · F698 · Corrected December 3, 2023

Nursing and Physician Services3E
  1. E

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    April 3, 2026 · Standard · F712 · Corrected May 8, 2026

  2. B

    Post nurse staffing information every day.

    December 18, 2024 · Standard · F732 · Corrected January 27, 2025

  3. E

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    October 25, 2023 · Standard · F712 · Corrected December 3, 2023

Infection Control2D
  1. D

    Implement a program that monitors antibiotic use.

    December 18, 2024 · Standard · F881 · Corrected January 27, 2025

  2. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    December 18, 2024 · Standard · F883 · Corrected January 27, 2025

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    April 3, 2026 · Standard · F604 · Corrected May 8, 2026

Environmental1D
  1. D

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    December 18, 2024 · Standard · F909 · Corrected January 27, 2025

Inspection history

  1. 2026-04-03

    5 health deficiencies · 3 fire-safety deficiencies

    Top issue: Resident Rights (2 deficiencies)

  2. 2024-12-18

    14 health deficiencies · 9 fire-safety deficiencies

    Top issue: Resident Rights (4 deficiencies)

  3. 2023-10-25

    12 health deficiencies · 6 fire-safety deficiencies

    Top issue: Resident Rights (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 12 min of nursing staff time a day, 14 min of it from a registered nurse.

This home

3 h 12 min

Massachusetts average

3 h 56 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 33% of nursing staff and 70% of registered nurses left in the past year, along with 2 administrators.

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 days0.7 pts better1.11.81.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse2.11.41.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.3 pts better95.2%92.9%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.3 pts worse90.2%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 symptoms1.6 pts better15.8%17.4%13.5%
Percentage of long-stay residents who lose too much weight1.7 pts worse6.7%5.0%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication9.4 pts worse28.9%19.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication10 pts worse31.5%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 worsenedAbout the same13.9%13.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased4.7 pts better11.1%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts worse0.9%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection0.5 pts better1.2%1.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.1 pts worse29.5%20.4%18.3%
Percentage of long-stay residents with pressure ulcers0.9 pts better3.3%4.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.9 pts worse65.0%78.9%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2 pts worse13.8%11.8%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts worse1.7%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine41.7 pts worse36.4%78.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.3 pts better20.4%25.7%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Athena Health Care Systems Ma R LLC5% Or Greater Direct Ownership Interest · Organization100%6 facilities
Santilli, Lawrence5% Or Greater Indirect Ownership Interest · Individual74%16 facilities
Mosier, Michael5% Or Greater Indirect Ownership Interest · Individual6%16 facilities
Chakalos-Santilli, Valerie5% Or Greater Indirect Ownership Interest · Individual5%8 facilities
Athena Health Care Associates, Inc.Operational/Managerial Control · Organization0%16 facilities
Curtis, Diane5% Or Greater Indirect Ownership Interest · Individual0%8 facilities
Mosier, MichaelW-2 Managing Employee · Individual0%16 facilities
Rezendes, Lorrie5% Or Greater Indirect Ownership Interest · Individual0%9 facilities
Santilli, LawrenceOperational/Managerial Control · Individual0%16 facilities

·

Fire safety

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

Smoke9F
  1. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    April 3, 2026 · K345 · Corrected May 21, 2026

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    April 3, 2026 · K353 · Corrected May 21, 2026

  3. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    December 18, 2024 · K345 · Corrected February 10, 2025

  4. F

    Install an approved automatic sprinkler system.

    December 18, 2024 · K351 · Corrected February 10, 2025

  5. F

    Inspect, test, and maintain automatic sprinkler systems.

    December 18, 2024 · K353 · Corrected February 10, 2025

  6. D

    Provide properly protected cooking facilities.

    December 18, 2024 · K324 · Corrected February 10, 2025

  7. E

    Install an approved automatic sprinkler system.

    October 25, 2023 · K351 · Corrected December 17, 2023

  8. E

    Inspect, test, and maintain automatic sprinkler systems.

    October 25, 2023 · K353 · Corrected December 17, 2023

  9. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    October 25, 2023 · K321 · Corrected December 17, 2023

Gas, Vacuum, and Electrical Systems4F
  1. F

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

    April 3, 2026 · K918 · Corrected May 21, 2026

  2. F

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

    December 18, 2024 · K918 · Corrected February 10, 2025

  3. D

    Ensure proper usage of power strips and extension cords.

    December 18, 2024 · K920 · Corrected February 10, 2025

  4. E

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

    October 25, 2023 · K918 · Corrected December 17, 2023

Emergency Preparedness2F
  1. F

    Implement emergency and standby power systems.

    December 18, 2024 · E41 · Corrected February 10, 2025

  2. E

    Implement emergency and standby power systems.

    October 25, 2023 · E41 · Corrected December 17, 2023

Egress2F
  1. F

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    December 18, 2024 · K211 · Corrected February 10, 2025

  2. D

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

    October 25, 2023 · K291 · Corrected December 17, 2023

Miscellaneous1D
  1. D

    Provide a written emergency evacuation plan.

    December 18, 2024 · K711 · Corrected February 10, 2025

·

Other homes nearby

  1. Worst citation, 3 yrs
    F
    Nursing / resident / day
    4 h 25 min
    Fines
    $0
  2. Webster Manor Rehabilitation & Health Care Center

    Webster, MA · Athena Healthcare Systems

    Worst citation, 3 yrs
    F
    Nursing / resident / day
    3 h 27 min
    Fines
    $0
  3. Lanessa Extended Care

    Webster, MA · Athena Healthcare Systems

    Worst citation, 3 yrs
    G
    Nursing / resident / day
    3 h 1 min
    Fines
    $119,962