19 health deficiencies
Top issue: Resident Rights (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Rockland, MA
2-star overall rating with 1-star inspections with $26,395 in total fines with 19 recent health deficiencies
115 North Avenue, Rockland, MA
(781) 878-3308
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
96
Certified beds
Average residents
82
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Athena Healthcare Systems
Operator or chain grouping
Approved since
1973-12-20
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
24 facilities
Chain averages 2 overall / 2 health / 3 staffing / 3 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
RN hours / resident day
0.69
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
1.98
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
3.42
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.44
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.12
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.52
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.69
CMS adjusted RN staffing hours
Adjusted total hours
3.41
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
22%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Program rank
1,505
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
56.15
Composite VBP score used to determine payment impact.
Payment multiplier
1.0112
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.43
Baseline 21.22% · Performance 18.91% · Measure score 5.43 · Achievement 5.43 · Improvement 5
Healthcare-associated infections
6.75
Baseline 6.39% · Performance 5.82% · Measure score 6.75 · Achievement 6.75 · Improvement 3.58
Total nurse turnover
8.13
Baseline 27.78% · Performance 30.44% · Measure score 8.13 · Achievement 8.13 · Improvement 0
Adjusted total nurse staffing
2.15
Baseline 3.65 hours · Performance 3.69 hours · Measure score 2.15 · Achievement 2.15 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.63% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 87 · Observed rate 14.94% · Lower 95% interval 8.7% |
| Discharge to community | 44.38% |
50.57%
6.2 pts worse
|
No Different than the National Rate · Eligible stays 70 · Observed rate 34.29% · Lower 95% interval 32.57% |
| Medicare spending per beneficiary | 0.89 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 38 · Denominator 38 |
| Falls with major injury | 2.63% |
0.77%
1.9 pts worse
|
Numerator 1 · Denominator 38 |
| Discharge self-care score | 48.15% |
53.69%
5.5 pts worse
|
Numerator 13 · Denominator 27 |
| Discharge mobility score | 55.56% |
50.94%
4.6 pts better
|
Numerator 15 · Denominator 27 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 38 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.82% |
7.12%
1.3 pts better
|
No Different than the National Rate · Eligible stays 40 · Observed rate 0% · Lower 95% interval 2.57% |
| Staff COVID-19 vaccination coverage | 1.91% |
8.2%
6.3 pts worse
|
Numerator 3 · Denominator 157 |
| Staff flu vaccination coverage | 36.54% |
42%
5.5 pts worse
|
Numerator 57 · Denominator 156 |
| Discharge function score | 66.67% |
56.45%
10.2 pts better
|
Numerator 18 · Denominator 27 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
1.9
0.2 pts better
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.7 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.5
0.2 pts better
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.7 · Expected 2.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.1% |
92.2%
0.1 pts worse
|
93.4%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 94.8% · Q2 87.7% · Q3 89.3% · Q4 97.1% · 4Q avg 92.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 84.3% |
94.8%
10.5 pts worse
|
95.5%
11.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 84.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.0% |
3.5%
0.5 pts worse
|
3.3%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 4.9% · Q3 2.7% · Q4 1.4% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 14.0% |
12.0%
2 pts worse
|
11.4%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 16.4% · Q3 16.7% · Q4 10.0% · 4Q avg 14.0% |
| Percentage of long-stay residents who lose too much weight | 4.2% |
5.2%
1 pts better
|
5.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 1.3% · Q3 5.6% · Q4 3.1% · 4Q avg 4.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.6% |
19.2%
9.4 pts worse
|
19.6%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.4% · Q2 27.6% · Q3 28.2% · Q4 33.8% · 4Q avg 28.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 35.6% |
22.5%
13.1 pts worse
|
16.7%
18.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 42.0% · Q2 42.0% · Q3 32.7% · Q4 23.8% · 4Q avg 35.6% · 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 | 8.2% |
17.7%
9.5 pts better
|
16.3%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 8.7% · Q3 8.9% · Q4 12.5% · 4Q avg 8.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.9% |
17.6%
14.7 pts better
|
14.9%
12 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 2.7% · Q3 1.4% · Q4 3.1% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.4% |
1.0%
0.4 pts worse
|
1.0%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.1% · Q3 1.1% · Q4 1.1% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
2.0%
0.7 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 1.2% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.2% |
21.7%
0.5 pts worse
|
19.8%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 26.3% · Q3 26.1% · Q4 29.2% · 4Q avg 22.2% |
| Percentage of long-stay residents with pressure ulcers | 3.3% |
4.6%
1.3 pts better
|
5.1%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 5.0% · Q3 0.0% · Q4 3.4% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.5% |
77.1%
9.4 pts better
|
81.7%
4.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 81.4% · Q2 78.0% · Q3 87.8% · Q4 98.8% · 4Q avg 86.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.9% |
11.8%
6.9 pts better
|
12.0%
7.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.9% · Observed 6.8% · Expected 15.7% · 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 0.0% · Q2 2.8% · Q3 3.1% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 70.2% |
77.7%
7.5 pts worse
|
79.7%
9.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 70.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.3% |
25.8%
5.5 pts better
|
23.9%
3.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.3% · Observed 22.7% · Expected 26.6% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Rights (8 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Rights (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
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.
Not marked corrected
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-10-03
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2025-10-03
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-10-03
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-10-03
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-10-03
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-10-03
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-10-03
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-03
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-10-03
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-10-03
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-10-03
Health
Respond appropriately to all alleged violations.
Corrected 2025-10-03
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-10-03
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 2025-10-03
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 2025-10-03
Health
Dispose of garbage and refuse properly.
Corrected 2025-10-03
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-10-03
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-02-27
Health
Honor the resident's right to choose his or her attending physician.
Corrected 2025-01-15
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 2025-01-15
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-25
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-08-11
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-08-11
Health
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.
Corrected 2024-08-11
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-11
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-08-11
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-08-11
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-11
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-08-11
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2024-08-11
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-08-11
Health
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2024-08-11
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-08-11
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-08-11
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-08-11
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-11
Health
Respond appropriately to all alleged violations.
Corrected 2024-08-11
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-08-11
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 2024-08-11
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-04-16
Health
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2024-04-16
Health
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.
Corrected 2023-04-10
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2023-04-10
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-04-10
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2023-04-10
Health
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.
Corrected 2023-04-10
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-04-10
Health
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
Corrected 2023-04-10
Health
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2023-04-10
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-04-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-10
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 2023-04-10
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-04-10
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-04-10
Penalties and ownership
Fine · fine $26,395
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Organization
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
Nearby options
Rockland, MA
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Weymouth, MA
5-star overall rating with 5-star inspections with 6 fire-safety deficiencies in the latest cycle
Abington, MA
1-star overall rating with 1-star inspections with $25,593 in total fines with 18 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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