Home / Massachusetts / W Concord
57 Old Road to Nine Acre Corner, W Concord, MA 01742 · Middlesex County · (978) 371-3400
135 certified beds, about 129 residents a day · For profit - Corporation · Medicare and Medicaid since 1995
CMS Care Compare ratings, data as of September 1, 2026 · CCN 225663 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on January 8, 2026, inspectors cited 2 health deficiencies (the Massachusetts average is 6.8, the national average 9.2).
Of 6 health citations since November 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $7,901 in the last three years; the largest was $7,901, and the latest is dated November 7, 2023.
Nurses and nurse aides worked 3.51 hours per resident per day, against 3.86 across Massachusetts and 3.86 nationally. Registered nurses accounted for 0.30 of those hours.
30.1% of nursing staff left within the year CMS measured (Massachusetts average 38.2%).
CMS links it to Careone, an affiliated group of 37 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 6 health citations on file.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to accurately document in the medical record for two Residents (#6 and #10) out of 26 total sampled residents. Specifically:1.) For Resident #6, the nurse inaccurately documented a wound dressing change was completed multiple times when it was not.2.) For Resident #10, the nurses inaccurately documented a topical medication was applied multiple times when it was not.
Inspectors wroteBased on observation and interviews, the facility failed to ensure staff stored drugs and biologicals in accordance with State and Federal laws. Specifically, the facility failed to ensure medications were stored in the original, labeled containers when two nurses stored multiple pre-poured medications in uncovered, unlabeled medication cups within the medication carts.
Inspectors wroteBased on records reviewed and interviews, for one of three sampled residents (Resident #1), who had severe cognitive impairment, the Facility failed to ensure staff implemented and followed their Abuse Policy when on 04/08/25, after Nurse #1 witnessed an incident of alleged physical abuse of the resident by staff member, Nurse #1 left Resident #1 and the accused staff member (Certified Nurse Aide (CNA) #1) alone together and did not immediately separate them.
Inspectors wroteBased on record review and interviews, the facility failed to develop personalized care plans for two Residents (#87 and #92) out of a sample of 26 residents. Specifically: 1. For Resident #87, the facility failed to develop personalized care plans after the Speech Therapist made recommendations after two speech evaluations. 2. For Resident #92, the facility failed to develop a personalized history of substance abuse care plan.
Inspectors wroteBased on record review and interview, the facility failed to ensure accurate documentation in the medical record for one Resident (#88) out of a total sample of 26 residents. Specifically, for Resident #88, nursing documentation in the Medication Administration Record (MAR) regarding the Resident's wanderguard was inaccurate.
Inspectors wroteBased on records reviewed and interviews for one of three sampled residents (Resident #1) who required the use of a mechanical lift with the assistance of two staff members for transfers later during the day or when he/she was fatigued or in pain, the Facility failed to ensure he/she was provided with an adequate level of safety from staff while being transferred via the mechanical in an effort to maintain his/her safety to prevent an incident/accident resulting in an injury. [...]
4 fire safety citations on file: 1 on January 8, 2026, 3 on January 23, 2025.
| Date | Penalty | Amount or length |
|---|---|---|
| November 7, 2023 | Fine | $7,901 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Massachusetts | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.51 | 3.86 | 3.86 |
| Registered nurses | 0.30 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.24 | 3.48 | 3.42 |
| Nurse aides | 2.01 | ||
| Licensed practical nurses | 1.20 | ||
| Nursing staff turnover (share who left in a year) | 30.1% | 38.2% | 45.8% |
| Registered nurse turnover | 52.6% | 42.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.71 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.62 on weekdays and 3.24 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.80 in April to June 2025 to 3.51 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.51 | 0.30 | 3.62 | 3.24 | 0.0% | 1 of 90 | 129 |
| Oct to Dec 2025 | 3.56 | 0.31 | 3.67 | 3.30 | 0.1% | 2 of 92 | 128 |
| Jul to Sep 2025 | 3.63 | 0.37 | 3.72 | 3.40 | 1.6% | 0 of 92 | 122 |
| Apr to Jun 2025 | 3.80 | 0.48 | 3.91 | 3.52 | 2.8% | 1 of 91 | 119 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Massachusetts, Jan to Mar 2026 | 3.79 | 0.61 | 3.94 | 3.41 | 5.0% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home 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.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Massachusetts, all employers | |||
| CNAs (nursing assistants) | $22.44 | $21.32 to $23.94 | 38,130 |
| LPNs and LVNs | $38.57 | $34.91 to $40.66 | 13,210 |
| Registered nurses | $50.27 | $42.05 to $65.44 | 88,200 |
| United States, 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 |
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. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Massachusetts | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 14.0 | 16.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.4 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.8 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.5 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 17.6 | 15.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.7 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 28.0 | 21.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 32.6 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.0 | 11.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Care One at Concord's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (63.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
63.3% this home
Better than the national rate
US median of homes 51.5% · Massachusetts: 121 better, 19 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 408 eligible stays.
11.3% this home
No different from the national rate
US median of homes 10.7% · Massachusetts: 4 better, 15 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 419 eligible stays.
7.0% this home
No different from the national rate
US median of homes 7.1% · Massachusetts: 5 better, 4 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 242 eligible stays.
55.4% this home
Median of homes: Massachusetts51.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 184 residents counted.
0.7% this home
Median of homes: Massachusetts0.4% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 295 residents counted.
1.9% this home
Median of homes: Massachusetts2.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 295 residents counted.
100.0% this home
Median of homes: Massachusetts99.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 44 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: 57 OLD ROAD TO NINE ACRE CORNER OPERATING COMPANY, LLC. CMS links this home to Careone, a group of 37 nursing homes averaging 3.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Thci of Massachusetts, LLC | 5% or greater direct ownership interest | Organization | 07/01/2003 | |
| Care Realty, LLC | 5% or greater indirect ownership interest | Organization | 04/30/2002 | |
| Des-I 2016 Grat | 5% or greater indirect ownership interest | Organization | 12/01/2021 | |
| Straus, Daniel | 5% or greater indirect ownership interest | Individual | 07/01/2003 | |
| Baruch, David | W-2 managing employee | Individual | 12/01/2021 | |
| Baruch, David | Corporate officer | Individual | 12/01/2021 | |
| Healthbridge Management LLC | Operational/managerial control | Organization | 07/01/2003 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.