CareLedger USAAt a glance
- Record status
- Record found
- CMS Certification Number
- 225608
- Facility type
- Nursing home
- Certified beds
- 31
- Ownership
- For profit - Corporation
- County or equivalent
- Norfolk
- CMS area classification
- Urban
- Phone
- (781) 762-0858
- CMS data processed
- 2026-08-01
Published CMS ratings
- Overall
- 2 of 5
- Health inspection
- 1 of 5
- Staffing
- 5 of 5
- Quality measures
- 5 of 5
Ratings are published by CMS. CareLedger does not create or alter federal star ratings.
Published CMS staffing measures
Staffing figures to ask about
CMS reports nurse hours per resident per day, weekend hours and staff turnover. These figures can help you prepare questions about coverage and continuity. How to read these staffing numbers.
- Total nurse hours per resident per day
- 4.58 hours
- RN hours per resident per day
- 0.70 hours
- Weekend nurse hours per resident per day
- 4.19 hours
- Weekend RN hours per resident per day
- 0.54 hours
- Nursing staff turnover
- 21.7%
- RN turnover
- Not reported in this CMS row
- Administrators who left
- 0
Ask the home: how are weekday and weekend shifts staffed now, and how do you cover absences? More questions for a visit.
These published measures cover different reporting periods and are not a real-time staffing count or a judgment about care today. CMS processing date: 2026-08-01. CMS also records a staffing or turnover footnote for this facility; check the source before interpreting an omitted measure. Open this facility's CMS source row. How Medicare explains staffing measures.
Record timeline
- Retrieved by CareLedger
The public source record was retrieved for this directory.
- CMS data processed
CMS lists this as the processing date for the published dataset row.
- Standard survey listed
Most recent standard survey: 2026-01-21. Health deficiencies: 17.
For your visit
Questions to take with you
Public records can help you prepare, but they cannot tell you what daily life feels like now. Ask to see current documents and talk through anything that matters to your family.
- CMS lists 17 health deficiencies in its latest rating cycle. Which findings were corrected, and where can we verify that?Why this question: CMS rating cycle 1 total number of health deficiencies · CMS data processed 2026-08-01
- CMS lists 1 fine. What was it for, and where can we read the related records?Why this question: CMS number of fines · CMS data processed 2026-08-01
These are conversation prompts, not new findings or recommendations. The source record may lag behind current conditions. Check the CMS source data
Inspection record
Most recent standard survey: 2026-01-21. Health deficiencies: 17.
From the CMS Health Deficiencies file
Citations on the most recent survey date in this CMS file
The latest date with a citation for this facility in this file is . This may not be the facility’s latest inspection. The entries below are source records, not an assessment of care today.
CMS tag 0580 Resident Rights Deficiencies
CMS requirement: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-02 · CMS scope/severity code: D
CMS tag 0658 Resident Assessment and Care Planning Deficiencies
CMS requirement: Ensure services provided by the nursing facility meet professional standards of quality.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-02 · CMS scope/severity code: E
CMS tag 0684 Quality of Life and Care Deficiencies
CMS requirement: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-02 · CMS scope/severity code: E
CMS tag 0727 Nursing and Physician Services Deficiencies
CMS requirement: Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-02 · CMS scope/severity code: F
CMS tag 0730 Nursing and Physician Services Deficiencies
CMS requirement: Observe each nurse aide's job performance and give regular training.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-02 · CMS scope/severity code: F
Show 12 more citations from this date
CMS tag 0756 Pharmacy Service Deficiencies
CMS requirement: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-03 · CMS scope/severity code: E
CMS tag 0759 Pharmacy Service Deficiencies
CMS requirement: Ensure medication error rates are not 5 percent or greater.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-06 · CMS scope/severity code: E
CMS tag 0761 Pharmacy Service Deficiencies
CMS requirement: 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.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-20 · CMS scope/severity code: E
CMS tag 0772 Administration Deficiencies
CMS requirement: Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-04 · CMS scope/severity code: D
CMS tag 0777 Administration Deficiencies
CMS requirement: Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-14 · CMS scope/severity code: D
CMS tag 0805 Nutrition and Dietary Deficiencies
CMS requirement: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-14 · CMS scope/severity code: E
CMS tag 0812 Nutrition and Dietary Deficiencies
CMS requirement: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-14 · CMS scope/severity code: E
CMS tag 0840 Administration Deficiencies
CMS requirement: Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-19 · CMS scope/severity code: D
CMS tag 0867 Administration Deficiencies
CMS requirement: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-27 · CMS scope/severity code: F
CMS tag 0880 Infection Control Deficiencies
CMS requirement: Provide and implement an infection prevention and control program.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-27 · CMS scope/severity code: F
CMS tag 0887 Infection Control Deficiencies
CMS requirement: Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-13 · CMS scope/severity code: D
CMS tag 0947 Nursing and Physician Services Deficiencies
CMS requirement: Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-03-02 · CMS scope/severity code: D
The correction field and date are reproduced from CMS; they do not independently verify a correction or establish whether a concern exists now. Open the CMS Health Deficiencies data for this CCN. CMS processing date: 2026-08-01. Retrieved for CareLedger: 2026-09-22.
From the CMS citation file
CMS citation tags seen on multiple survey dates
These tags appear on at least two distinct CMS survey dates. The dates and source are shown; this is not a statement about current conditions or whether a finding remains unresolved.
Topics in citations from multiple survey dates
These topics group CMS tags with reviewed descriptions. The dated list below shows every repeated tag, including tags without a topic label. Open the CMS source.
- Infection prevention 3 CMS tags · 3 survey dates Tags 0880, 0883, 0887 · Most recent citation date
- Medication services 3 CMS tags · 3 survey dates Tags 0756, 0759, 0761 · Most recent citation date
- Assessment and care planning 1 CMS tag · 2 survey dates Tags 0684 · Most recent citation date
These dates describe past CMS citations. Ask the facility about current practice.
-
CMS tag 0580 Resident Rights Deficiencies
CMS describes the regulatory requirement as: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Survey dates: ,
-
CMS tag 0658 Resident Assessment and Care Planning Deficiencies
CMS describes the regulatory requirement as: Ensure services provided by the nursing facility meet professional standards of quality.
Survey dates: , ,
-
CMS tag 0684 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Survey dates: ,
-
CMS tag 0756 Pharmacy Service Deficiencies
CMS describes the regulatory requirement as: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Survey dates: ,
Show 5 more tags seen on multiple dates
CMS tag 0759 Pharmacy Service Deficiencies
CMS describes the regulatory requirement as: Ensure medication error rates are not 5 percent or greater.
Survey dates: ,
CMS tag 0761 Pharmacy Service Deficiencies
CMS describes the regulatory requirement as: 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.
Survey dates: , ,
CMS tag 0880 Infection Control Deficiencies
CMS describes the regulatory requirement as: Provide and implement an infection prevention and control program.
Survey dates: ,
CMS tag 0887 Infection Control Deficiencies
CMS describes the regulatory requirement as: Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Survey dates: , ,
CMS tag 0883 Infection Control Deficiencies
CMS describes the regulatory requirement as: Develop and implement policies and procedures for flu and pneumonia vaccinations.
Survey dates: ,
Questions you could ask on a visit
- For CMS tag 0580 listed on 2026-01-21, 2024-02-29, could you show us the relevant inspection reports and explain how the facility handles family notification today?
- For CMS tag 0684 listed on 2026-01-21, 2024-02-29, could you show us the relevant inspection reports and explain how the facility handles resident assessment and care planning today?
These prompts use reviewed topic labels from the CMS descriptions. They are not additional inspection findings.
Source: CMS Health Deficiencies for this CCN. CMS processing date: 2026-08-01. Retrieved for CareLedger: 2026-09-22. These historical dates are not a claim about current practice.
Enforcement record
Fines: 1 ($40,641.00 total). Payment denials: 0.
Source and coverage
- Coverage status
- verified live data
- Source agency
- Centers for Medicare & Medicaid Services
- Retrieved
- 2026-09-25
- Confidence
- primary_source
Public records can lag, omit context, or use terms differently across states. Verify material facts with the source agency and facility.