Rockland, MA

Webster Park Rehabilitation And Healthcare Center

5-star overall rating with 4-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

56 Webster Street, Rockland, MA

(781) 571-0555

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

110

Certified beds

Average residents

99

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Marquis Health Services

Operator or chain grouping

Approved since

1969-05-23

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

81 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 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

0.27

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

1.49

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.22

Nurse aide staffing · state 2.26 · national 2.35

Total nurse hours

3.98

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.76

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

3.58

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.12

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.24

CMS adjusted RN staffing hours

Adjusted total hours

3.59

CMS adjusted total nurse staffing hours

Case-mix index

1.52

Higher values indicate more complex resident acuity

RN turnover

43%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

28%

Annual nurse turnover · state 40% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,622

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

Performance score

39.21

Composite VBP score used to determine payment impact.

Payment multiplier

0.9922

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.85

Baseline 22.58% · Performance 20.16% · Measure score 3.85 · Achievement 2.74 · Improvement 3.85

Healthcare-associated infections

1.52

Baseline 9.14% · Performance 8.31% · Measure score 1.52 · Achievement 0 · Improvement 1.52

Total nurse turnover

8.37

Baseline 44.68% · Performance 29.47% · Measure score 8.37 · Achievement 8.37 · Improvement 7.17

Adjusted total nurse staffing

1.95

Baseline 3.67 hours · Performance 3.63 hours · Measure score 1.95 · Achievement 1.95 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	13.98%	10.72% 3.3 pts worse	Worse than the National Rate · Eligible stays 436 · Observed rate 16.97% · Lower 95% interval 11.89%
Discharge to community	60.41%	50.57% 9.8 pts better	Better than the National Rate · Eligible stays 415 · Observed rate 51.33% · Lower 95% interval 54.07%
Medicare spending per beneficiary	1.08	1.02 0.1 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 346 · Denominator 346
Falls with major injury	0.58%	0.77% 0.2 pts better	Numerator 2 · Denominator 346
Discharge self-care score	67.24%	53.69% 13.5 pts better	Numerator 156 · Denominator 232
Discharge mobility score	72.41%	50.94% 21.5 pts better	Numerator 168 · Denominator 232
Pressure ulcers or injuries, new or worsened	0.87%	2.29% 1.4 pts better	Numerator 3 · Denominator 346 · Adjusted rate 0.72%
Healthcare-associated infections requiring hospitalization	8.31%	7.12% 1.2 pts worse	No Different than the National Rate · Eligible stays 244 · Observed rate 9.43% · Lower 95% interval 5.85%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 103
Staff flu vaccination coverage	62.42%	42% 20.4 pts better	Numerator 93 · Denominator 149
Discharge function score	72.41%	56.45% 16 pts better	Numerator 168 · Denominator 232
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 229 · Denominator 229
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 70 · Denominator 70
Resident COVID-19 vaccinations up to date	22.39%	25.2% 2.8 pts worse	Numerator 45 · Denominator 201

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.9	1.9 About the same	1.9 About the same	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.7 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.1	1.5 0.4 pts better	1.8 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.3%	92.2% 7.1 pts better	93.4% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.7% · Q2 98.7% · Q3 100.0% · Q4 100.0% · 4Q avg 99.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	90.6%	94.8% 4.2 pts worse	95.5% 4.9 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 90.6%
Percentage of long-stay residents experiencing one or more falls with major injury	2.3%	3.5% 1.2 pts better	3.3% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 1.3% · Q3 2.6% · Q4 1.4% · 4Q avg 2.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	47.4%	12.0% 35.4 pts worse	11.4% 36 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.8% · Q2 47.1% · Q3 38.9% · Q4 70.4% · 4Q avg 47.4%
Percentage of long-stay residents who lose too much weight	1.6%	5.2% 3.6 pts better	5.4% 3.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 4.7% · Q4 0.0% · 4Q avg 1.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	11.9%	19.2% 7.3 pts better	19.6% 7.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 13.4% · Q3 13.6% · Q4 10.5% · 4Q avg 11.9%
Percentage of long-stay residents who received an antipsychotic medication	15.5%	22.5% 7 pts better	16.7% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 12.5% · Q3 18.8% · Q4 13.3% · 4Q avg 15.5% · 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	14.3%	17.7% 3.4 pts better	16.3% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 9.0% · Q3 10.0% · Q4 19.1% · 4Q avg 14.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	10.4%	17.6% 7.2 pts better	14.9% 4.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 13.8% · Q3 7.9% · Q4 9.3% · 4Q avg 10.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.2%	1.0% 0.8 pts better	1.0% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.9% · Q4 0.0% · 4Q avg 0.2% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.2%	21.7% 3.5 pts worse	19.8% 5.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.4% · Q2 22.6% · Q3 16.0% · Q4 31.1% · 4Q avg 25.2%
Percentage of long-stay residents with pressure ulcers	1.8%	4.6% 2.8 pts better	5.1% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.3% · Q3 1.1% · Q4 1.0% · 4Q avg 1.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.7%	77.1% 19.6 pts better	81.7% 15 pts better	Short Stay · 2024Q4-2025Q3 · Q1 96.8% · Q2 97.5% · Q3 96.3% · Q4 96.2% · 4Q avg 96.7%
Percentage of short-stay residents who had an outpatient emergency department visit	10.1%	11.8% 1.7 pts better	12.0% 1.9 pts better	Short Stay · 20240701-20250630 · Adjusted 10.1% · Observed 10.1% · Expected 11.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.5%	1.3% 0.2 pts worse	1.6% 0.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 2.0% · Q3 1.9% · Q4 1.5% · 4Q avg 1.5% · 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	32.5%	25.8% 6.7 pts worse	23.9% 8.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 32.5% · Observed 34.0% · Expected 25.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-28 · Fire 2025-01-28

5 health deficiencies

Top issue: Resident Rights (2 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2023-10-31 · Fire 2023-10-31

6 health deficiencies

Top issue: Administration (2 deficiencies)

5 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Cycle 3 Health 2021-06-30 · Fire 2021-06-30

9 health deficiencies

Top issue: Quality of Life and Care (5 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 2025-01-28

K907 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure medical gas and vacuum systems have documented maintenance programs.

Corrected 2025-02-21

F · Potential for more than minimal harm 2025-01-28

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-02-21

D · Potential for more than minimal harm 2025-01-28

K321 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-02-21

F · Potential for more than minimal harm 2023-10-31

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-11-21

F · Potential for more than minimal harm 2023-10-31

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-11-21

E · Potential for more than minimal harm 2023-10-31

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2023-11-21

D · Potential for more than minimal harm 2023-10-31

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2023-11-21

D · Potential for more than minimal harm 2023-10-31

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-11-21

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-01-28

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-02-20

E · Potential for more than minimal harm 2025-01-28

F585 · Resident Rights Deficiencies

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 2025-02-20

E · Potential for more than minimal harm 2025-01-28

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-02-20

E · Potential for more than minimal harm 2025-01-28

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-02-20

D · Potential for more than minimal harm 2025-01-28

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2025-02-20

F · Potential for more than minimal harm 2023-10-31

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-11-09

E · Potential for more than minimal harm 2023-10-31

F585 · Resident Rights Deficiencies

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 2023-11-09

D · Potential for more than minimal harm 2023-10-31

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-11-09

D · Potential for more than minimal harm 2023-10-31

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 2023-11-09

B · Minimal harm 2023-10-31

F844 · Administration Deficiencies

Health

Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

Corrected 2023-11-09

B · Minimal harm 2023-10-31

F848 · Administration Deficiencies

Health

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

Corrected 2023-11-09

E · Potential for more than minimal harm 2021-06-30

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 2021-08-17