Cycle 1
Health 2025-05-02 · Fire 2025-05-02
4 health deficiencies
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Westborough, MA
Whittier Westborough Transitional Care Unit
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
150 Flanders Road, Westborough, MA
(508) 871-2000
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
19
Certified beds
Average residents
16
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2012-11-20
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
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
2.11
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.43
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.93
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
6.46
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
3.54
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
5.75
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
1.65
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.67
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.67
CMS adjusted RN staffing hours
Adjusted total hours
5.12
CMS adjusted total nurse staffing hours
Case-mix index
1.73
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
36%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,877
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.74
Composite VBP score used to determine payment impact.
Payment multiplier
0.9886
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.19
Baseline 25.89% · Performance 24.39% · Measure score 1.19 · Achievement 0 · Improvement 1.19
Healthcare-associated infections
0
Baseline 5.39% · Performance 7.82% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
9.24
Baseline 60.00% · Performance 25.93% · Measure score 9.24 · Achievement 9.24 · Improvement 9
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
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.71% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 397 · Observed rate 7.81% · Lower 95% interval 7.56% |
| Discharge to community | 73.75% |
50.57%
23.2 pts better
|
Better than the National Rate · Eligible stays 427 · Observed rate 74.94% · Lower 95% interval 69.41% |
| Medicare spending per beneficiary | 0.85 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 266 · Denominator 266 |
| Falls with major injury | 0.75% |
0.77%
About the same
|
Numerator 2 · Denominator 266 |
| Discharge self-care score | 43.13% |
53.69%
10.6 pts worse
|
Numerator 91 · Denominator 211 |
| Discharge mobility score | 57.82% |
50.94%
6.9 pts better
|
Numerator 122 · Denominator 211 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 266 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.82% |
7.12%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 258 · Observed rate 6.98% · Lower 95% interval 5.67% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 50 |
| Staff flu vaccination coverage | 60% |
42%
18 pts better
|
Numerator 66 · Denominator 110 |
| Discharge function score | 59.72% |
56.45%
3.3 pts better
|
Numerator 126 · Denominator 211 |
| Transfer of health information to provider | 98.11% |
95.95%
2.2 pts better
|
Numerator 52 · Denominator 53 |
| Transfer of health information to patient | 97.18% |
96.28%
0.9 pts better
|
Numerator 207 · Denominator 213 |
| Resident COVID-19 vaccinations up to date | 23.48% |
25.2%
1.7 pts worse
|
Numerator 31 · Denominator 132 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
77.1%
22.9 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.7% |
11.8%
2.9 pts worse
|
12.0%
2.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.7% · Observed 12.1% · Expected 9.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.3%
0.7 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.8% · Q3 0.8% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
77.7%
22.3 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.3% |
25.8%
6.5 pts worse
|
23.9%
8.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.3% · Observed 25.9% · Expected 19.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-16 · Fire 2024-05-16
2 health deficiencies
Top issue: Infection Control (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-05-03 · Fire 2023-05-03
0 health deficiencies
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 citations
E · Potential for more than minimal harm
2025-05-02
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2025-06-20
E · Potential for more than minimal harm
2025-05-02
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-20
D · Potential for more than minimal harm
2025-05-02
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-06-20
D · Potential for more than minimal harm
2025-05-02
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-20
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-05-02
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-06-06
D · Potential for more than minimal harm
2025-05-02
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-06-06
D · Potential for more than minimal harm
2025-05-02
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 2025-06-06
D · Potential for more than minimal harm
2025-05-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-06
F · Potential for more than minimal harm
2024-05-16
F882 · Infection Control Deficiencies
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-06-06
E · Potential for more than minimal harm
2024-05-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-06
Penalties and ownership
What sits behind the stars
Ownership
Whittier Healthcare Holdings Ii Inc
5% Or Greater Direct Ownership Interest · Organization
Arcidi, Alfred
5% Or Greater Indirect Ownership Interest · Individual
Arcidi, Alfred
Corporate Director · Individual
Arcidi, Alfred
Corporate Officer · Individual
Arcidi, Michael
5% Or Greater Indirect Ownership Interest · Individual
Arcidi, Michael
Corporate Director · Individual
Arcidi, Michael
Corporate Officer · Individual
Arcidi, Michael
W-2 Managing Employee · Individual
Arcidi, Philip
5% Or Greater Indirect Ownership Interest · Individual
Arcidi, Philip
Corporate Director · Individual
Arcidi, Philip
Corporate Officer · Individual
Greenleaf Vi Ii Inc
Operational/Managerial Control · Organization
Whittier Healthcare Trust
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Beaumont Rehab & Skilled Nursing Ctr - Westboro
Westborough, MA
4-star overall rating with 4-star inspections with 5 recent health deficiencies
#2
Westborough Healthcare
Westborough, MA
2-star overall rating with 2-star inspections with $28,772 in total fines with 17 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#3
Marlborough Hills Rehabilitation & Hlth Care Ctr
Marlborough, MA
1-star overall rating with 1-star inspections with $71,202 in total fines with 19 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
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