Elmhurst Healthcare (the) — nursing home in Melrose, MA

Facility type: Skilled nursing facility · Medicare only
CMS provider type: Medicare
Certified beds: 45 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: 27.1 CMS, MDS-derived
CMS Certification Number: 225659
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Dec 30, 1994
Ownership type: For profit - Corporation
Operator (legal business name): 743 Main Street Operator LLC
CMS chain: Next Step Healthcare 14 facilities
Phone: (781) 662-7500
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest May 20, 2026

Citations

14

4 health · 10 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D4	E2	F8
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: 225659
Program: Medicare
Medicare (SNF): Certified
Medicaid (NF): No
Certified beds: 45
First approved: Dec 30, 1994
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
May 20, 2026	Fire safety	Fire Safety Standard	0	No citations	—	Open →
May 20, 2026	Health	Health Standard	0	No citations	—	Open →
Jun 11, 2025	Fire safety	Fire Safety Standard	7	Potential harm	—	Open →
Jun 11, 2025	Health	Health Standard	0	No citations	—	Open →
Jul 10, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Jul 10, 2024	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	D4	E2	F8
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Jun 11, 2025	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	F · Potential harm Widespread	Corrected Jul 10, 2025
Jun 11, 2025	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 10, 2025
Jun 11, 2025	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 10, 2025
Jun 11, 2025	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 10, 2025
Jun 11, 2025	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 10, 2025
Jun 11, 2025	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 Jul 10, 2025
Jun 11, 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	E · Potential harm Pattern	Corrected Jul 10, 2025
Jul 10, 2024	K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 2, 2024
Jul 10, 2024	K-0711	Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 2, 2024
Jul 10, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 2, 2024
Jul 10, 2024	F-0561	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 26, 2024
Jul 10, 2024	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 26, 2024
Jul 10, 2024	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 26, 2024
Jul 10, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jul 26, 2024

“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 QMNot rated

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 staffing4.81

State avg 3.94US avg 3.90

Registered nurse (RN)1.41

State avg 0.66US avg 0.69

Licensed practical nurse1.10

State avg 0.97US avg 0.86

Nurse aide2.30

State avg 2.31US avg 2.35

Weekend total nurse4.62

State avg 3.52US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.95 (case-mix index 1.36).

Staff turnover

Total nursing staff turnover20.6%

State avg 37.6%US avg 45.3%

Registered nurse turnover14.3%

State avg 42.7%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: May 20, 2026
Cycle 1 health score: 0
Total weighted score: 0

Operating entity

743 Main Street Operator LLC

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

VerifiedLinked by exact legal name

CMS chain

Next Step Healthcare

14 facilities in 1 states. CMS chain ID 371.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 1.7

Ownership disclosures

Disclosures

8

Organizations

1

Individuals

6

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
Next Step Healthcare LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2017
Rishi Likhi	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 16, 2024
Alexis Weiss	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 23, 2020
Damian Dell'anno	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Sep 1, 2017
William Stephan	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Sep 1, 2017
Next Step Healthcare LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2017
Rishi Likhi	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 16, 2024
Alexis Weiss	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Nov 23, 2020

Same chain in Massachusetts

All 13 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Hermitage Healthcare (the) 383 Mill Street, Worcester, MA 01602 CCN 225009	101	Aug 20, 2025	44	—
Wedgemere Healthcare 146 Dean Street, Taunton, MA 02780 CCN 225067	94	May 12, 2026	592 harm	$130k
Dexter House Healthcare 120 Main Street, Malden, MA 02148 CCN 225137	130	Sep 26, 2025	37	—
Oakhill Healthcare 76 North Street, Middleboro, MA 02346 CCN 225145	123	Jun 2, 2026	51	—
Fitchburg Healthcare 1199 John Fitch Hwy, Fitchburg, MA 01420 CCN 225216	160	Feb 11, 2026	481 harm	$22k
Westborough Healthcare 8 Colonial Drive, Westborough, MA 01581 CCN 225242	117	Feb 25, 2026	391 harm	—
Garden Place Healthcare 193-195 Pleasant Street, Attleboro, MA 02703 CCN 225267	133	Dec 10, 2025	572 harm	$27k
Plymouth Harborside Healthcare 19 Obery Street, Plymouth, MA 02360 CCN 225284SFF Candidate	101	Jun 8, 2026	653 IJ6 harm	$291k

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: 743 Main Street, Melrose, MA 02176
ZIP: 02176
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
Melrose Healthcare 40 Martin Street, Melrose, MA 02176 CCN 225329	1 km	106	Mar 19, 2026	711 harm	$49k
Greenwood Nursing & Rehabilitation Center 90 Greenwood Street, Wakefield, MA 01880 CCN 225736	2.2 km	36	Aug 7, 2025	13	—
Life Care Center of Stoneham 25 Woodland Road, Stoneham, MA 02180 CCN 225732	2.5 km	94	Sep 17, 2025	435 harm	$9,620
Regalcare at Glen Ridge 120 Murray Street, Medford, MA 02155 CCN 225523SFF Candidate	3.7 km	164	Jun 3, 2026	11111 harm	$286k
Dexter House Healthcare 120 Main Street, Malden, MA 02148 CCN 225137	4.4 km	130	Sep 26, 2025	37	—
Regalcare at Wakefield One Bathol Street, Wakefield, MA 01880 CCN 225400SFF Candidate	4.9 km	149	Mar 3, 2026	674 IJ1 harm	$95k
Regalcare at Courtyard-Medford 200 Governors Avenue, Medford, MA 02155 CCN 225545	5.2 km	224	Apr 2, 2026	826 harm	$165k
Rehabilitation & Nursing Center at Everett (the) 289 Elm Street, Everett, MA 02149 CCN 225300	5.3 km	183	Aug 7, 2025	51	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	225659	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	225659	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 225659

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