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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D12 | E11 | F10 |
| Minimal | A· | B2 | 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.
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.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Mar 10, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Mar 10, 2026 | Health | Health Standard | 0 | No citations | — | Open → |
| Nov 25, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 6, 2025 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Mar 6, 2025 | Health | Health Standard | 16 | Potential harm | — | Open → |
| Feb 16, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Feb 16, 2024 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Feb 16, 2024 | Denial of payment for new admissions | — | Mar 28, 2024 · 18 days | 225709|Payment Denial|2024-03-28 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D12 | E11 | F10 |
| Minimal | A· | B2 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Mar 10, 2026 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 23, 2026 | |
| Mar 10, 2026 | 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 Apr 23, 2026 | |
| Nov 25, 2025 | F-0689 |
“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.
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.
CMS legal business name of the certified provider. Operates this facility only.
6 facilities in 1 states. CMS chain ID 445.
Chain average overall rating (CMS): 3.8
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Marion Thisse | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 14, 2024 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Marion Thisse | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 14, 2024 |
| Rehabilitation Associates Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 24, 1972 |
| Thomas Bunker | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 13, 2016 |
| Peter Thisse | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 2, 1990 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Victoria Haven Nursing Facility 137 Nichols Street, Norwood, MA 02062 CCN 225608 | 31 | Jan 21, 2026 | 722 harm | $41k | |
| Pope Nursing Home 140 Webb Street, Weymouth, MA 02188 CCN 225613 | 49 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Medway Country Manor Skilled Nursing & Rehabilitat 115 Holliston Street, Medway, MA 02053 CCN 225412SFF | 5 km | 123 | Not rated | Mar 19, 2026 | 774 IJ1 harm | $330k |
| Waterview Lodge LLC, Rehabilitation & Healthcare 250 West Union Street, Ashland, MA 01721 CCN 225598 | 6.5 km | 103 | Feb 25, 2026 | 69 | — | |
| Bethany Skilled Nursing Facility 97 Bethany Road, Framingham, MA 01701 CCN 225535 | 7.5 km | 169 | Jun 9, 2026 | 122 harm | $9,318 | |
| Oc Milford Gardens LLC 10 Veterans Memorial Drive, Milford, MA 01757 CCN 225562 | 8.8 km | 135 | Jun 17, 2026 | 353 harm | $148k | |
| Carlyle House 342 Winter Street, Framingham, MA 01701 CCN 225541 | 9.7 km | 55 | Jan 27, 2026 | 272 IJ2 harm | $25k | |
| Eliot Center for Health and Rehabilitation 168 West Central Street, Natick, MA 01760 CCN 225516 | 9.7 km | 114 | Jun 9, 2026 | 46 | — | |
| Casa De Ramana Rehabilitation Center 485 Franklin Street, Framingham, MA 01702 CCN 225179 | 9.8 km | 124 | Mar 5, 2026 | 241 harm | $8,512 | |
| Thomas Upham House 519 Main Street, Medfield, MA 02052 CCN 225645 | 9.9 km | 42 | Nov 20, 2025 | 33 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 225709 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 225709 | 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 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| 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 Dec 19, 2025 |
| Complaint |
| Mar 6, 2025 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 31, 2025 |
| Mar 6, 2025 | E-0013 | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 31, 2025 |
| Mar 6, 2025 | E-0029 | Develop a communication plan. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 31, 2025 |
| Mar 6, 2025 | E-0036 | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 31, 2025 |
| Mar 6, 2025 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 11, 2025 |
| Mar 6, 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 | D · Potential harm Isolated | Corrected Apr 11, 2025 |
| Mar 6, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 5, 2025 |
| Mar 6, 2025 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 5, 2025 |
| Mar 6, 2025 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 5, 2025 |
| Mar 6, 2025 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 5, 2025 |
| Mar 6, 2025 | 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 | E · Potential harm Pattern | Corrected Apr 5, 2025 |
| Mar 6, 2025 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 5, 2025 |
| Mar 6, 2025 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 5, 2025 |
| Mar 6, 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 Apr 5, 2025 |
| Mar 6, 2025 | 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 Apr 5, 2025 |
| Mar 6, 2025 | F-0727 | 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. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Apr 5, 2025 |
| Mar 6, 2025 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 5, 2025 |
| Mar 6, 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 | E · Potential harm Pattern | Corrected Apr 5, 2025 |
| Mar 6, 2025 | 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 Apr 5, 2025 |
| Mar 6, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Apr 5, 2025 |
| Mar 6, 2025 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 5, 2025 |
| Mar 6, 2025 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Mar 25, 2025 |
| Feb 16, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 5, 2024 |
| Feb 16, 2024 | 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 | E · Potential harm Pattern | Corrected Mar 26, 2024 |
| Feb 16, 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 Mar 28, 2024 |
| Feb 16, 2024 | F-0727 | 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. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 16, 2024 | 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 Mar 22, 2024 |
| Feb 16, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Mar 28, 2024 |
| Feb 16, 2024 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 26, 2024 |
| Feb 16, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 28, 2024 |
| Feb 16, 2024 | F-0887 | 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. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 28, 2024 |
| Feb 16, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Mar 26, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.32 (case-mix index 1.24).
| Apr 9, 2026 |
71 |
| — |
| Riverbend of South Natick 34 South Lincoln Street, S Natick, MA 01760 CCN 225615 | 55 | Aug 7, 2025 | 30 | — |
| Thomas Upham House 519 Main Street, Medfield, MA 02052 CCN 225645 | 42 | Nov 20, 2025 | 33 | — |
| Lydia Taft House 60 Quaker Highway, Uxbridge, MA 01569 CCN 225760 | 53 | Sep 4, 2025 | 14 | — |