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Next Step Healthcare nursing homes
14 nursing homes with 1,667 beds in Massachusetts (14).
CMS affiliated entity 371 · data as of September 1, 2026
The group's record in brief
CMS links 14 certified nursing homes in 1 state to Next Step Healthcare: 14 for profit, 0 nonprofit. 13 of them are certified for Medicaid.
Across the inspections on file, the group's homes carry 618 health citations; 35 citations were rated actual harm or immediate jeopardy, 8 of them immediate jeopardy. At their latest standard inspections the homes averaged 10.9 health deficiencies (national average 9.2).
8 homes in the group were fined in the last three years, $1,209,946 in all across 18 fines. Average nursing staff turnover across its homes was 40.1% (national 45.8%).
Staffing across the group
Daily payroll records from 14 homes in the group for January to March 2026, added up: hours worked by nursing staff divided by resident days. Weekend staffing ran 12% below weekdays.
| Hours per resident per day | This group | United States |
|---|---|---|
| All nursing staff | 3.51 | 3.75 |
| Registered nurses | 0.61 | 0.62 |
| Weekdays | 3.63 | 3.92 |
| Weekends | 3.20 | 3.33 |
| Share of nursing hours by contract staff | 9.4% | 5.3% |
Source: CMS Payroll Based Journal Daily Nurse Staffing. Weekend staffing in every state.
How the group's homes are rated
14 of its homes have a CMS overall rating. The national average is 3 stars. CMS's own chain averages: 1.7 overall, 1.9 health inspections, 2.6 staffing, 2.2 quality measures.
| Overall stars | Homes | |
|---|---|---|
| 5 of 5 | 1 | |
| 4 of 5 | 0 | |
| 3 of 5 | 1 | |
| 2 of 5 | 4 | |
| 1 of 5 | 8 |
Across the group: 35 citations rated actual harm or immediate jeopardy, and an average of 3.55 nursing staff hours per resident per day (national 3.86).
Every home in the group
| Home | City | State | Overall | Citations | Fines |
|---|---|---|---|---|---|
| Garden Place Healthcare | Attleboro | MA | 2 | 43 | $27,372 |
| Fall River Healthcare | Fall River | MA | 1 | 54 | $385,062 |
| Fitchburg Healthcare | Fitchburg | MA | 1 | 39 | $33,180 |
| Lee Healthcare | Lee | MA | 1 | 35 | |
| Dexter House Healthcare | Malden | MA | 3 | 20 | |
| Melrose Healthcare | Melrose | MA | 1 | 54 | $49,324 |
| Elmhurst Healthcare (the) | Melrose | MA | 5 | 4 | |
| Oakhill Healthcare | Middleboro | MA | 2 | 45 | |
| Norwood Healthcare | Norwood | MA | 1 | 68 | $110,264 |
| Plymouth Harborside Healthcare | Plymouth | MA | 1 | 59 | $290,784 |
| Wedgemere Healthcare | Taunton | MA | 1 | 47 | $129,794 |
| West Newton Healthcare | West Newton | MA | 1 | 85 | $184,166 |
| Westborough Healthcare | Westborough | MA | 2 | 32 | |
| Hermitage Healthcare (the) | Worcester | MA | 2 | 33 |
Group membership is CMS's: homes it links to one affiliated entity through common owners or operators, from the Provider Information file.
Staff pay reports
Staff pay at Next Step Healthcare homes
No staff pay figure at Next Step Healthcare homes has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review, and, for a group, from at least 2 homes.
Official wage estimates, United States
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
| All employers | |||
| CNAs (nursing assistants) | $20.32 | $17.91 to $22.70 | 1,448,910 |
| LPNs and LVNs | $30.96 | $28.37 to $36.55 | 648,410 |
| Registered nurses | $46.90 | $38.62 to $54.02 | 3,379,720 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides.
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