0 health deficiencies
No concentrated health issue counts in this cycle.
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Bradford, MA
5-star overall rating with 5-star inspections with 8 fire-safety deficiencies in the latest cycle
145 Ward Hill Avenue, Bradford, MA
(978) 372-8000
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
20
Certified beds
Average residents
19
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2016-04-11
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
RN hours / resident day
1.28
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.78
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.47
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
5.53
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
3.06
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
4.66
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
1.04
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.29
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.95
CMS adjusted RN staffing hours
Adjusted total hours
4.09
CMS adjusted total nurse staffing hours
Case-mix index
1.85
Higher values indicate more complex resident acuity
RN turnover
78%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
73%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Program rank
7,466
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.67
Composite VBP score used to determine payment impact.
Payment multiplier
0.9856
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 19.95% · Performance 22.99% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
8.90
Baseline 4.97% · Performance 5.17% · Measure score 8.90 · Achievement 8.90 · Improvement 0
Total nurse turnover
0
Performance 67.50% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.95% |
10.72%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 461 · Observed rate 11.28% · Lower 95% interval 9.43% |
| Discharge to community | 71.54% |
50.57%
21 pts better
|
Better than the National Rate · Eligible stays 457 · Observed rate 73.09% · Lower 95% interval 68.14% |
| Medicare spending per beneficiary | 0.68 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 97.81% |
95.27%
2.5 pts better
|
Numerator 268 · Denominator 274 |
| Falls with major injury | 1.09% |
0.77%
0.3 pts worse
|
Numerator 3 · Denominator 274 |
| Discharge self-care score | 58.3% |
53.69%
4.6 pts better
|
Numerator 137 · Denominator 235 |
| Discharge mobility score | 61.7% |
50.94%
10.8 pts better
|
Numerator 145 · Denominator 235 |
| Pressure ulcers or injuries, new or worsened | 1.46% |
2.29%
0.8 pts better
|
Numerator 4 · Denominator 274 · Adjusted rate 2.05% |
| Healthcare-associated infections requiring hospitalization | 5.18% |
7.12%
1.9 pts better
|
No Different than the National Rate · Eligible stays 265 · Observed rate 2.64% · Lower 95% interval 3.45% |
| Staff COVID-19 vaccination coverage | 18.42% |
8.2%
10.2 pts better
|
Numerator 7 · Denominator 38 |
| Staff flu vaccination coverage | 63.08% |
42%
21.1 pts better
|
Numerator 41 · Denominator 65 |
| Discharge function score | 58.72% |
56.45%
2.3 pts better
|
Numerator 138 · Denominator 235 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 45 · Denominator 45 |
| Transfer of health information to patient | 96.88% |
96.28%
0.6 pts better
|
Numerator 217 · Denominator 224 |
| Resident COVID-19 vaccinations up to date | 22.13% |
25.2%
3.1 pts worse
|
Numerator 27 · Denominator 122 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.7% |
77.1%
17.6 pts better
|
81.7%
13 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.3% · Q2 95.9% · Q3 96.5% · Q4 91.2% · 4Q avg 94.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.3% |
11.8%
5.5 pts worse
|
12.0%
5.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.3% · Observed 16.0% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.3%
1.3 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.9% |
77.7%
21.2 pts better
|
79.7%
19.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.5% |
25.8%
0.7 pts worse
|
23.9%
2.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.5% · Observed 24.5% · Expected 22.0% · Used in QM five-star |
Survey summary
No concentrated health issue counts in this cycle.
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Construction (1 deficiency)
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-10-17
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-10-17
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-10-17
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-09-12
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-10-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-09
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-09-18
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-10-17
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-08-16
Fire Safety
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Corrected 2024-08-16
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-16
Inspection history
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
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