Federal inspection record · CMS data as of October 1, 2026
Tremont Rehabilitation & Skilled Care Center
605 Main Street, Wareham, MA · (508) 295-1040
- Certified beds
- 104
- Residents per day
- 96
- Ownership
- For-Profit
- Chain
- Athena Healthcare Systems
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1990
1
How this home got 4 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Massachusetts.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Massachusetts homes
Tremont Rehabilitation & Skilled Care Center carries 30 inspection points. That is fewer than 58% of Massachusetts's 339 rated homes.
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
21 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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
Pharmacy Service4E
- 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.
- 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.
- 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.
- 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.
Quality of Life and Care4E
- E
Provide activities to meet all resident's needs.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Resident Assessment and Care Planning3E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Resident Rights3D
- B
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 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.
Nutrition and Dietary2E
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental1E
- E
Have policies on smoking.
Administration1C
- C
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Inspection history
2026-02-11
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
2025-01-07
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2024-08-05
9 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 3 min of nursing staff time a day, 29 min of it from a registered nurse.
This home
3 h 3 min
Massachusetts average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 34% of nursing staff and 54% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$285,936 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-03-05 | Fine | $15,569 |
| 2023-10-26 | Fine | $270,367 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts worse | 2.0 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.4 pts worse | 2.8 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.4 pts worse | 92.5% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.5 pts better | 99.0% | 93.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1 pts better | 2.4% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms15.9 pts worse | 33.3% | 17.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.4 pts better | 4.6% | 5.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.1 pts worse | 24.6% | 19.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication22.1 pts worse | 43.6% | 21.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.4 pts better | 10.5% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.9 pts worse | 19.7% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts worse | 2.2% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.9 pts better | 19.5% | 20.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts better | 2.7% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.8 pts worse | 70.1% | 78.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit9.9 pts worse | 21.7% | 11.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts worse | 2.6% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.2 pts worse | 75.9% | 78.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.5 pts better | 25.2% | 25.7% | 23.4% |
·
Who owns and runs it
6 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Athena Health Care Systems Ma LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 4 facilities |
| Santilli, Lawrence | 5% Or Greater Indirect Ownership Interest · Individual | 79% | 16 facilities |
| Mosier, Michael | 5% Or Greater Indirect Ownership Interest · Individual | 5% | 16 facilities |
| Athena Health Care Associates, Inc. | Operational/Managerial Control · Organization | 0% | 16 facilities |
| Mosier, Michael | W-2 Managing Employee · Individual | 0% | 16 facilities |
| Santilli, Lawrence | Corporate Officer · Individual | 0% | 16 facilities |
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Other homes nearby
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Sippican Rehabilitation And Healthcare Center
Marion, MA · Atlas Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 29 min
- Fines
- $8,788
-
Royal Cape Cod Nursing and Rehabilitation Center
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
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- Fines
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-
Bourne Manor Extended Care Facility
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★★★★★- Worst citation, 3 yrs
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