Lincoln, MA

The Commons Skilled Nursing & Rehabilitation

5-star overall rating with 4-star inspections with 8 recent health deficiencies

3 Harvest Circle, Lincoln, MA

(781) 430-6000

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

32

Certified beds

Average residents

30

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Justliving Communities

Operator or chain grouping

Approved since

2016-04-22

CMS approved date

Coverage

Medicare

Participation flags

Chain footprint

2 facilities

Chain averages 5 overall / 5 health / 5 staffing / 5 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

1.68

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

1.04

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.54

Nurse aide staffing · state 2.26 · national 2.35

Total nurse hours

5.26

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

2.72

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

4.50

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.87

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.18

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

1.77

CMS adjusted RN staffing hours

Adjusted total hours

5.53

CMS adjusted total nurse staffing hours

Case-mix index

1.30

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

9%

Annual nurse turnover · state 40% · national 46%

SNF VBP

Value-based purchasing

Program rank

130

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

82.90

Composite VBP score used to determine payment impact.

Payment multiplier

1.0264

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

8.01

Baseline 21.22% · Performance 17.72% · Measure score 8.01 · Achievement 8.01 · Improvement 7.85

Healthcare-associated infections

8.09

Baseline 5.48% · Performance 5.42% · Measure score 8.09 · Achievement 8.09 · Improvement 0.84

Total nurse turnover

10

Baseline 100.00% · Performance 9.38% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

7.06

Baseline 2.61 hours · Performance 5.01 hours · Measure score 7.06 · Achievement 6.78 · Improvement 7.06

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.43%	10.72% 0.3 pts better	No Different than the National Rate · Eligible stays 385 · Observed rate 8.05% · Lower 95% interval 7.83%
Discharge to community	66%	50.57% 15.4 pts better	Better than the National Rate · Eligible stays 399 · Observed rate 66.17% · Lower 95% interval 61.2%
Medicare spending per beneficiary	0.78	1.02 0.2 pts better
Drug regimen review with follow-up	97.04%	95.27% 1.8 pts better	Numerator 197 · Denominator 203
Falls with major injury	1.97%	0.77% 1.2 pts worse	Numerator 4 · Denominator 203
Discharge self-care score	62.26%	53.69% 8.6 pts better	Numerator 99 · Denominator 159
Discharge mobility score	66.04%	50.94% 15.1 pts better	Numerator 105 · Denominator 159
Pressure ulcers or injuries, new or worsened	2.96%	2.29% 0.7 pts worse	Numerator 6 · Denominator 203 · Adjusted rate 3.41%
Healthcare-associated infections requiring hospitalization	5.42%	7.12% 1.7 pts better	No Different than the National Rate · Eligible stays 212 · Observed rate 2.83% · Lower 95% interval 3.16%
Staff COVID-19 vaccination coverage	8.43%	8.2% 0.2 pts better	Numerator 7 · Denominator 83
Staff flu vaccination coverage	23.17%	42% 18.8 pts worse	Numerator 19 · Denominator 82
Discharge function score	61.01%	56.45% 4.6 pts better	Numerator 97 · Denominator 159
Transfer of health information to provider	93.75%	95.95% 2.2 pts worse	Numerator 30 · Denominator 32
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 158 · Denominator 158
Resident COVID-19 vaccinations up to date	47.52%	25.2% 22.3 pts better	Numerator 48 · Denominator 101

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	68.2%	92.2% 24 pts worse	93.4% 25.2 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 68.2%
Percentage of long-stay residents experiencing one or more falls with major injury	9.1%	3.5% 5.6 pts worse	3.3% 5.8 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 9.1% · Used in QM five-star
Percentage of long-stay residents who lose too much weight	5.0%	5.2% 0.2 pts better	5.4% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 5.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	4.5%	19.2% 14.7 pts better	19.6% 15.1 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 4.5%
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 · 4Q avg 0.0%
Percentage of long-stay residents with a catheter inserted and left in their bladder	33.6%	1.0% 32.6 pts worse	1.0% 32.6 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 33.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	2.0% 2 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with pressure ulcers	31.7%	4.6% 27.1 pts worse	5.1% 26.6 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 31.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	74.4%	77.1% 2.7 pts worse	81.7% 7.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 82.0% · Q2 73.0% · Q3 68.4% · Q4 73.9% · 4Q avg 74.4%
Percentage of short-stay residents who had an outpatient emergency department visit	15.4%	11.8% 3.6 pts worse	12.0% 3.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 15.4% · Observed 12.3% · Expected 8.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.4%	1.3% 0.9 pts better	1.6% 1.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.9% · Q4 0.8% · 4Q avg 0.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	89.7%	77.7% 12 pts better	79.7% 10 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 89.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	28.3%	25.8% 2.5 pts worse	23.9% 4.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 28.3% · Observed 20.9% · Expected 17.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-11-26 · Fire 2025-11-26

8 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-10-02 · Fire 2024-10-02

0 health deficiencies

No concentrated health issue counts in this cycle.

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-09-15 · Fire 2023-09-15

6 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 2024-10-02

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-10-02

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-10-02

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-12-06

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-14

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 2026-02-16

D · Potential for more than minimal harm 2025-11-26

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-01-08

D · Potential for more than minimal harm 2025-11-26

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2026-01-08

D · Potential for more than minimal harm 2025-11-26

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-01-08

D · Potential for more than minimal harm 2025-11-26

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 2026-01-08

D · Potential for more than minimal harm 2025-11-26

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2026-01-08

D · Potential for more than minimal harm 2025-11-26

F848 · Administration Deficiencies

Health

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Corrected 2026-01-08

D · Potential for more than minimal harm 2025-11-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-08

D · Potential for more than minimal harm 2023-09-15

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-10-23

D · Potential for more than minimal harm 2023-09-15

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 2023-10-23

D · Potential for more than minimal harm 2023-09-15

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 2023-10-23

D · Potential for more than minimal harm 2023-09-15

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2023-10-23

D · Potential for more than minimal harm 2023-09-15

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 2023-10-23

D · Potential for more than minimal harm 2023-09-15

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2023-10-23

Penalties and ownership

What sits behind the stars

Ownership

New England Life Plan Communities Corp

5% Or Greater Direct Ownership Interest · Organization

100% 2 facilities 2023-03-27

Benchmark Senior Living LLC

Operational/Managerial Control · Organization

0% 3 facilities 2016-04-22

Bradshaw, Lawrence