Federal inspection record · CMS data as of October 1, 2026
Wingate At Silver Lake
17 Chipman Way, Kingston, MA · (781) 585-4100
- Certified beds
- 164
- Residents per day
- 139
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 1, 1992
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
Wingate At Silver Lake carries 13 inspection points. That is fewer than 81% 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
19 health citations on record since 2023. 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
Quality of Life and Care5E
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide enough food/fluids to maintain a resident's health.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning4D
- D
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Pharmacy Service3D
- D
Ensure medication error rates are not 5 percent or greater.
- 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.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nursing and Physician Services2E
- E
Observe each nurse aide's job performance and give regular training.
- E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Administration2E
- E
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.
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Resident Rights1D
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Inspection history
2026-06-01
1 health deficiencies · 7 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
2025-03-25
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2024-02-08
11 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 28 min of nursing staff time a day, 29 min of it from a registered nurse.
This home
3 h 28 min
Massachusetts average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 36% of nursing staff and 64% 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
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 daysAbout the same | 1.8 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.2 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.5 pts better | 98.4% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.1 pts better | 98.6% | 93.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.8 pts worse | 6.2% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms15.5 pts better | 1.9% | 17.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.8 pts worse | 6.8% | 5.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.9 pts better | 18.6% | 19.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5 pts better | 16.5% | 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 worse | 17.3% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.1 pts better | 15.7% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts worse | 1.3% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.3 pts worse | 2.0% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence12.3 pts better | 8.1% | 20.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.5 pts worse | 4.7% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.2 pts better | 96.1% | 78.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4 pts better | 7.8% | 11.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better | 0.8% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.8 pts better | 92.9% | 78.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.2 pts better | 23.5% | 25.7% | 23.4% |
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Who owns and runs it
18 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 |
|---|---|---|---|
| Schuster, Scott | 5% Or Greater Direct Ownership Interest · Individual | 100% | 1 facilities |
| Diorio, John | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Diorio, John | Adp Of The SNF · Individual | 0% | 1 facilities |
| Groll, Stephanie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Groll, Stephanie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Logan, Gregory | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Logan, Gregory | Adp Of The SNF · Individual | 0% | 1 facilities |
| Scharf, Jonathan | Corporate Officer · Individual | 0% | 1 facilities |
| Schuster, Alexandra | Corporate Officer · Individual | 0% | 1 facilities |
| Schuster, Alexandra | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Schuster, Scott | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Schuster, Scott | Corporate Director · Individual | 0% | 1 facilities |
| Schuster, Scott | Corporate Officer · Individual | 0% | 1 facilities |
| Schuster, Scott | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Stack, Christopher | Corporate Officer · Individual | 0% | 1 facilities |
| Stack, Christopher | Adp Of The SNF · Individual | 0% | 1 facilities |
| Swartz, Brian | Corporate Officer · Individual | 0% | 1 facilities |
| Swartz, Brian | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
Emergency Preparedness2F
- F
Establish policies and procedures including evacuation.
- F
Provide emergency officials' contact information.
Egress1F
- F
Meet other general requirements that are deficient.
Miscellaneous1E
- E
Have simulated fire drills held at unexpected times.
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Other homes nearby
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Bay Path At Duxbury Nursing & Rehabilitation Ctr
Duxbury, MA · Banecare Management
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 37 min
- Fines
- $0
-
Plymouth Rehabilitation & Health Care Center
Plymouth, MA · Athena Healthcare Systems
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 16 min
- Fines
- $0
-
Plymouth Harborside Healthcare
Plymouth, MA · Next Step Healthcare · Special Focus
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 24 min
- Fines
- $290,784