Cycle 1
Health 2025-04-09 · Fire 2025-04-09
9 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Newton Upper Falls, MA
Stone Rehabilitation And Senior Living
3-star overall rating with 3-star inspections with $16,195 in total fines with 9 recent health deficiencies
277 Elliot Street, Newton Upper Falls, MA
(617) 527-0023
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
82
Certified beds
Average residents
78
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1995-12-15
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
0.71
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.83
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.23
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
3.78
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.54
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.41
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.58
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
0.65
CMS adjusted RN staffing hours
Adjusted total hours
3.46
CMS adjusted total nurse staffing hours
Case-mix index
1.49
Higher values indicate more complex resident acuity
RN turnover
30%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
35%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,446
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
56.64
Composite VBP score used to determine payment impact.
Payment multiplier
1.0118
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.23
Baseline 19.28% · Performance 17.62% · Measure score 8.23 · Achievement 8.23 · Improvement 6.89
Healthcare-associated infections
3.02
Baseline 4.41% · Performance 6.93% · Measure score 3.02 · Achievement 3.02 · Improvement 0
Total nurse turnover
8.83
Baseline 48.00% · Performance 27.59% · Measure score 8.83 · Achievement 8.83 · Improvement 8.32
Adjusted total nurse staffing
2.57
Baseline 4.3 hours · Performance 3.81 hours · Measure score 2.57 · Achievement 2.57 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.54% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 145 · Observed rate 11.72% · Lower 95% interval 8.23% |
| Discharge to community | 67.98% |
50.57%
17.4 pts better
|
Better than the National Rate · Eligible stays 119 · Observed rate 63.87% · Lower 95% interval 58.95% |
| Medicare spending per beneficiary | 0.8 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 112 · Denominator 112 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 112 |
| Discharge self-care score | 22.5% |
53.69%
31.2 pts worse
|
Numerator 18 · Denominator 80 |
| Discharge mobility score | 37.5% |
50.94%
13.4 pts worse
|
Numerator 30 · Denominator 80 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 112 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.93% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 83 · Observed rate 6.02% · Lower 95% interval 4.24% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 81 |
| Staff flu vaccination coverage | 51.38% |
42%
9.4 pts better
|
Numerator 56 · Denominator 109 |
| Discharge function score | 41.25% |
56.45%
15.2 pts worse
|
Numerator 33 · Denominator 80 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 55 · Denominator 55 |
| Resident COVID-19 vaccinations up to date | 29.85% |
25.2%
4.7 pts better
|
Numerator 20 · Denominator 67 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.4 |
1.9
1.5 pts worse
|
1.9
1.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.4 · Observed 2.6 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
1.5
0.1 pts worse
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.4 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% |
92.2%
5.8 pts better
|
93.4%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.9% · Q2 98.2% · Q3 96.8% · Q4 100.0% · 4Q avg 98.0% |
| 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 | 3.6% |
3.5%
0.1 pts worse
|
3.3%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 5.3% · Q3 1.6% · Q4 3.0% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 16.1% |
12.0%
4.1 pts worse
|
11.4%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 17.6% · Q3 23.6% · Q4 24.1% · 4Q avg 16.1% |
| Percentage of long-stay residents who lose too much weight | 2.6% |
5.2%
2.6 pts better
|
5.4%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 7.4% · Q3 0.0% · Q4 0.0% · 4Q avg 2.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.8% |
19.2%
6.4 pts better
|
19.6%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 14.5% · Q3 10.2% · Q4 9.7% · 4Q avg 12.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.4% |
22.5%
9.1 pts better
|
16.7%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 10.5% · Q3 15.9% · Q4 15.2% · 4Q avg 13.4% · 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 | 15.9% |
17.7%
1.8 pts better
|
16.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.2% |
17.6%
2.4 pts better
|
14.9%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.5% · Q2 2.2% · Q3 13.7% · Q4 7.5% · 4Q avg 15.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.5% |
1.0%
0.5 pts worse
|
1.0%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.4% |
2.0%
0.4 pts worse
|
1.7%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 1.8% · Q3 0.0% · Q4 1.5% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.4% |
21.7%
1.3 pts better
|
19.8%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.5% · Q2 26.9% · Q3 15.7% · Q4 15.1% · 4Q avg 20.4% |
| Percentage of long-stay residents with pressure ulcers | 2.1% |
4.6%
2.5 pts better
|
5.1%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.9% · Q4 4.2% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.6% |
77.1%
20.5 pts better
|
81.7%
15.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 93.3% · Q2 97.9% · Q3 97.8% · Q4 100.0% · 4Q avg 97.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.2% |
11.8%
3.6 pts better
|
12.0%
3.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.2% · Observed 7.6% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.3%
0.1 pts worse
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 3.1% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.0% |
77.7%
18.3 pts better
|
79.7%
16.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.0% |
25.8%
7.8 pts better
|
23.9%
5.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.0% · Observed 16.2% · Expected 21.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-02 · Fire 2024-05-02
7 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Cycle 3
Health 2023-03-08 · Fire 2023-03-08
7 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-05-02
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-06-29
F · Potential for more than minimal harm
2024-05-02
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-06-29
F · Potential for more than minimal harm
2024-05-02
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-06-29
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-04-09
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-05-24
E · Potential for more than minimal harm
2025-04-09
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 2025-05-24
D · Potential for more than minimal harm
2025-04-09
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 2025-05-24
D · Potential for more than minimal harm
2025-04-09
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-24
D · Potential for more than minimal harm
2025-04-09
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-24
D · Potential for more than minimal harm
2025-04-09
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-05-24
D · Potential for more than minimal harm
2025-04-09
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 2025-05-24
D · Potential for more than minimal harm
2025-04-09
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 2025-05-24
D · Potential for more than minimal harm
2025-04-09
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 2025-05-24
D · Potential for more than minimal harm
2024-05-02
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-06-16
D · Potential for more than minimal harm
2024-05-02
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 2024-06-16
D · Potential for more than minimal harm
2024-05-02
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-06-16
D · Potential for more than minimal harm
2024-05-02
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-06-16
D · Potential for more than minimal harm
2024-05-02
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-06-16
D · Potential for more than minimal harm
2024-05-02
F805 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-06-16
D · Potential for more than minimal harm
2024-05-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-16
G · Actual harm
2024-02-06
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 2024-02-27
G · Actual harm
2024-02-06
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 2024-02-27
D · Potential for more than minimal harm
2023-03-08
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-04-20
D · Potential for more than minimal harm
2023-03-08
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-04-20
D · Potential for more than minimal harm
2023-03-08
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-04-20
D · Potential for more than minimal harm
2023-03-08
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-04-20
D · Potential for more than minimal harm
2023-03-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-20
Penalties and ownership
What sits behind the stars
$16,195
2024-02-06
Fine
Fine · fine $16,195
Fine
Ownership
Alexander, Michael
Operational/Managerial Control · Individual
Alexander, Michael
Corporate Director · Individual
Alexander, Michael
Corporate Officer · Individual
Alley, Suzanne
Operational/Managerial Control · Individual
Berman, Adam
Operational/Managerial Control · Individual
Berman, Adam
Corporate Officer · Individual
Blake, Edward
Operational/Managerial Control · Individual
Carreiro, Silvio
Operational/Managerial Control · Individual
Charles, Naissa
Operational/Managerial Control · Individual
Chelsea Jewish Lifecare Inc
Operational/Managerial Control · Organization
Crescenzo, Donna
Operational/Managerial Control · Individual
Dubreiul, Darci
Operational/Managerial Control · Individual
Lipresti, Nicholas
Operational/Managerial Control · Individual
Lipresti, Nicholas
Corporate Director · Individual
Lipresti, Nicholas
Corporate Officer · Individual
Lochiatto, Joyce
Operational/Managerial Control · Individual
Lochiatto, Joyce
Corporate Director · Individual
Mamuya, Wilfred
Operational/Managerial Control · Individual
Mamuya, Wilfred
Corporate Director · Individual
Merchant, Asif
Operational/Managerial Control · Individual
Mullen, Elizabeth
Operational/Managerial Control · Individual
Pallas, Gregory
Operational/Managerial Control · Individual
Quintana, Jaime
Operational/Managerial Control · Individual
Quintana, Jaime
Corporate Director · Individual
Quintana, Jaime
Corporate Officer · Individual
Rieske, Dennis
Operational/Managerial Control · Individual
Rieske, Dennis
Corporate Director · Individual
Santerre, Jennifer
Operational/Managerial Control · Individual
Santerre, Jennifer
Corporate Officer · Individual
Shepler, Christopher
Operational/Managerial Control · Individual
Shepler, Christopher
Corporate Director · Individual
Shepler, Christopher
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Care One At Newton
Newton, MA
2-star overall rating with 1-star inspections with $35,808 in total fines with 18 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Skilled Nursing Facility At North Hill (The)
Needham, MA
4-star overall rating with 3-star inspections with $16,153 in total fines with 3 recent health deficiencies
#3
Elizabeth Seton
Wellesley, MA
5-star overall rating with 5-star inspections
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