Life Care Center of Nashoba Valley — nursing home in Littleton, MA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 111.6 CMS, MDS-derived
CMS Certification Number: 225569
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 2, 1993
Ownership type: For profit - Limited Liability company
Operator (legal business name): Nashoba Valley SNF Operations LLC
CMS chain: Life Care Centers of America 194 facilities
Phone: (978) 486-3512
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Aug 14, 2025

Citations

38

15 health · 23 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D28	E4	F6
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 225569
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: Jan 2, 1993
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Massachusetts.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Aug 14, 2025	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Aug 14, 2025	Health	Health Standard	4	Potential harm	—	Open →
Aug 1, 2024	Fire safety	Fire Safety Standard	21	Potential harm	—	Open →
Aug 1, 2024	Health	Health Standard	7	Potential harm	—	Open →
Jun 7, 2023	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Jun 7, 2023	Health	Health Standard	4	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D28	E4	F6
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Aug 14, 2025	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 21, 2025
Aug 14, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 2, 2025
Aug 14, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 5, 2025
Aug 14, 2025	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 5, 2025
Aug 14, 2025	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Sep 5, 2025
Aug 14, 2025	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Sep 5, 2025
Aug 1, 2024	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Sep 20, 2024
Aug 1, 2024	E-0006	Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Sep 20, 2024
Aug 1, 2024	E-0029	Develop a communication plan. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Sep 20, 2024
Aug 1, 2024	E-0036	Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Sep 20, 2024
Aug 1, 2024	E-0041	Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Sep 20, 2024
Aug 1, 2024	K-0222	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. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 20, 2024
Aug 1, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 20, 2024
Aug 1, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 20, 2024
Aug 1, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 20, 2024
Aug 1, 2024	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 20, 2024
Aug 1, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 20, 2024
Aug 1, 2024	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 20, 2024
Aug 1, 2024	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 20, 2024
Aug 1, 2024	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 20, 2024
Aug 1, 2024	K-0711	Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 20, 2024
Aug 1, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 20, 2024
Aug 1, 2024	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 20, 2024
Aug 1, 2024	K-0911	Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 20, 2024
Aug 1, 2024	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 20, 2024
Aug 1, 2024	K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 20, 2024
Aug 1, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 20, 2024
Aug 1, 2024	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 16, 2024
Aug 1, 2024	F-0604	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 16, 2024
Aug 1, 2024	F-0622	Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 16, 2024
Aug 1, 2024	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 16, 2024
Aug 1, 2024	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 16, 2024
Aug 1, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 16, 2024
Aug 1, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Aug 16, 2024
Jun 7, 2023	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 19, 2023
Jun 7, 2023	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 19, 2023
Jun 7, 2023	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jun 19, 2023
Jun 7, 2023	F-0758	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jun 19, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 3

Staffingstate 3.1

Quality measuresstate 3.3

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.12

State avg 3.94US avg 3.90

Registered nurse (RN)0.84

State avg 0.66US avg 0.69

Licensed practical nurse1.01

State avg 0.97US avg 0.86

Nurse aide2.26

State avg 2.31US avg 2.35

Weekend total nurse3.57

State avg 3.52US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.05 (case-mix index 1.42).

Staff turnover

Total nursing staff turnover40.9%

State avg 37.6%US avg 45.3%

Registered nurse turnover44.0%

State avg 42.7%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Aug 14, 2025
Cycle 1 health score: 16
Total weighted score: 19

Operating entity

Nashoba Valley SNF Operations LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Life Care Centers of America

194 facilities in 26 states. CMS chain ID 311.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.4

Ownership disclosures

Disclosures

22

Organizations

1

Individuals

20

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Forrest Preston	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Aug 24, 2015

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Forrest Preston	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Aug 24, 2015
Timothy Churchill	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Oct 3, 2022
Kristen Dunleavy	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Apr 8, 2024
Zofia Long	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jul 1, 1999
Life Care Centers of America, Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 24, 2015
Timothy Churchill	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 3, 2022
Kristen Dunleavy	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 8, 2024
Todd Fletcher	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2021
Edward Kamens	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2010
Lisa Lay	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 24, 2017
Zofia Long	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 1999
Aubrey Preston	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 27, 2024
Forrest Preston	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 24, 2015
Richard Swanker	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2022
James Ziegler	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 24, 2015
Cindy Cross	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Oct 1, 2016
Terry Henry	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Oct 1, 2016
Joan Thurmond	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Oct 1, 2016
Life Care Centers of America, Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 26, 2012
Timothy Churchill	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 27, 2025
Edward Kamens	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 7, 2025
Forrest Preston	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 26, 2012

Same chain in Massachusetts

All 193 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Life Care Center of Leominster 370 West Street, Leominster, MA 01453 CCN 225038	133	Apr 29, 2026	24	—
Life Care Center of Acton One Great Road, Acton, MA 01720 CCN 225191	155	Jul 21, 2025	271 harm	—
Life Care Center of the South Shore 309 Driftway Box 830, Scituate, MA 02066 CCN 225282	117	Apr 21, 2026	20	—
The Highlands 335 Nichols Road, Fitchburg, MA 01420 CCN 225315	168	Nov 25, 2025	28	—
The Oaks 4525 Acushnet Avenue, New Bedford, MA 02745 CCN 225328	122	Mar 10, 2026	15	—
Life Care Center of the North Shore 111 Birch Street, Lynn, MA 01902 CCN 225529	123	Mar 19, 2026	33	—
Life Care Center of Wilbraham 2399 Boston Road, Wilbraham, MA 01095 CCN 225543	123	May 27, 2026	40	—
Life Care Center of Merrimack Valley 80 Boston Road, Billerica, MA 01862 CCN 225546	124	Apr 23, 2026	284 harm	$162k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 191 Foster Street, Littleton, MA 01460
ZIP: 01460
County: Middlesex County FIPS 25017
State: Massachusetts
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Westford Nursing and Rehabilitation Center 3 Park Drive, Westford, MA 01886 CCN 225586	6.1 km	123	Jul 16, 2025	561 harm	—
Life Care Center of Acton One Great Road, Acton, MA 01720 CCN 225191	6.8 km	155	Jul 21, 2025	271 harm	—
Ayer Valley Rehab and Nursing 400 Groton Road, Ayer, MA 01432 CCN 225421	8.4 km	123	Jun 25, 2026	1042 harm	$53k
Seven Hills Pediatric Center 22 Hillside Avenue, Groton, MA 01450 CCN 225781	11.7 km	83	May 27, 2026	311 harm	$8,278
Rivercrest Long Term Care Deaconess Road, W Concord, MA 01742 CCN 225080	12.8 km	151	Aug 28, 2025	8	—
Care One at Concord 57 Old Road to Nine Acre Corner, W Concord, MA 01742 CCN 225663	12.9 km	135	Jan 8, 2026	101 harm	$7,901
Palm Springs Post Acute 40 Parkhurst Road, Chelmsford, MA 01824 CCN 225508	14.8 km	124	Mar 26, 2026	38	—
Sunny Acres Skilled Nursing and Rehabilitation Ctr 254 Billerica Road, Chelmsford, MA 01824 CCN 225494	16.1 km	93	May 6, 2025	42	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	225569	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	225569	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 225569

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction