Home / Massachusetts / Saugus
73 Chestnut Street, Saugus, MA 01906 · Essex County · (781) 307-4744
88 certified beds, about 79 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1990
CMS Care Compare ratings, data as of September 1, 2026 · CCN 225370 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on September 10, 2025, inspectors cited 10 health deficiencies (the Massachusetts average is 6.8, the national average 9.2).
None of its 33 health citations since September 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.45 hours per resident per day, against 3.86 across Massachusetts and 3.86 nationally. Registered nurses accounted for 0.57 of those hours.
40.3% of nursing staff left within the year CMS measured (Massachusetts average 38.2%).
CMS links it to Marquis Health Services, an affiliated group of 90 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 33 health citations on file.
Inspectors wroteBased on observation and interviews the facility failed to ensure the building and equipment was in good condition and had a homelike environment in 38 out of 40 rooms.
Inspectors wroteBased on observations and interviews, the facility failed to ensure staff treated residents in a dignified manner during the dining experience for one Resident (#69) out of a total of 25 sampled residents.
Inspectors wroteBased on interviews, policy and record review the facility failed to ensure weights were obtained for one Resident (#17) out of a total sample of 25 residents. Specifically, for Resident #17 who was assessed as malnourished, the facility failed to obtain his/her weight on readmission or his/her weekly weight per the physician's orders.
Inspectors wroteBased on observation, interview, and record review, the facility to ensure that services provided met professional standards for one Resident (#69), out of 25 total sampled residents. Specifically, for Resident #69, the facility failed to ensure that his/her air mattress was functioning.
Inspectors wroteBased on observation, record review and interview, the facility failed to provide treatment and care in accordance with professional standards of practice for three Residents (#17, #68 and #41), out of a total sample of 25 residents. Specifically, 1. For Resident #17, the facility failed to ensure a physician's order was obtained for the use of his/her helmet indicating to staff when to wear and safety precautions.2. For Resident #68 the facility failed to follow a physician's order for a dressing change to the left shin wound.3. for Resident #41 the facility failed to follow a physician's order for a dressing change to the left heel wound.
Inspectors wroteBased on observation, record review and interview the facility failed to develop a treatment for a pressure area on the right heel for one Resident (#41) out of a total sample of 25 residents.
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain a safe environment for two Residents (#35, and #6) out of a total sample of 25 residents to prevent accidents/incidents. Specifically:1. For Resident #35, the facility failed to provide a lid for hot coffee and supervision during meals resulting in the Resident spilling hot coffee onto his/her chest, potentially putting the resident at risk for burns.2. For Resident #6, the facility failed to provide a lid for hot coffee and supervision during meals, potentially putting the resident at risk for burns.
Inspectors wroteBased on record review and interview, the facility failed to ensure the physician reviewed the pharmacy monthly medication review within 30 days for one (Resident #32) out of a total of 26 sampled residents.
Inspectors wroteBased on observations, interviews, and records reviewed, the facility failed to ensure it was free from a medication error rate of greater than 5% when one nurse observed made four errors out of 26 opportunities, resulting in a medication error rate of 15.38 %. Those errors impacted three Residents (#85, #99 and #22), out of seven residents observed.
Inspectors wroteBased on observation, record review and interview the facility failed to maintain accurate medical records for two Residents (#41 and #68) out of a total sample of 25 residents. Specifically, the facility failed to accurately document on the Treatment Administration Record that treatments were not completed as ordered for Resident #41 and Resident #68. Review of the facility policy titled Charting and documentation dated revised July 2017 indicated that documentation in the medical record will be objective, complete and accurate. Review of the facility policy titled Pressure Ulcers/Skin Breakdown-Clinical Protocol indicated that the physician will authorize pertinent orders related to wound treatments, including wound cleansing and dressings. 1. [...]
Inspectors wroteBased on observation, record review and interview, the facility failed to implement the plan of care related to assistance with meals for one Resident, (#36), out of a total sample of 21 residents.
Inspectors wroteBased on observation, record review and interview, the facility failed to meet professional standards of quality for four Residents (#49, #15, #42 and #17), out of a total sample of 21 residents. Specifically: 1) For Resident #49 the facility failed to follow physician orders for weekly skin checks. 2) For Resident #15 the facility failed to complete skin checks as ordered. 3) For Resident #42 the facility failed to implement air mattress setting as indicated in the physician order. 4) For Resident #17 the facility failed to to obtain weekly weights according to physician's order. Findings Include: Review of the facility policy, titled Assessment of Skin Condition and Integrity, adopted March 2021, indicated, but was not limited to, the following: Skin Assessment: 1) Conduct a comprehensive head-to-toe skin assessment upon admission, weekly, prior to discharge and as needed. [...]
Inspectors wroteBased on observation record review and interview, the facility failed to provide necessary treatment and care for one Resident (#33) out of a total of 21 sampled residents. Specifically, the facility failed to ensure treatment orders were initiated for Resident #33's skin tears.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure physicians orders and care plans related to the use of a catheter were implemented for one Resident (#33) out of a total of 21 sampled residents.
Inspectors wroteBased on observation, policy review and interviews, the facility failed to provide care and maintenance of a peripheral inserted central catheter (PICC), consistent with professional standards of practice for one Resident (#237), out of a total sample of 21 residents. Specifically, the facility failed to implement dressing changes routinely as required.
Inspectors wroteBased on record review, policy review and interview the facility failed to ensure a plan of care was developed for Trauma Informed Care, with individualized interventions, for one Resident (#7) who had a history of trauma out of a total sample of 21 residents. Specifically, for Resident #7, the facility failed to develop a comprehensive trauma care plan, with individualized triggers.
Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure that one Resident (#64) was free from significant medication errors out of a total sample of 21 residents. Specifically, the nurses did not administer the wrong dispensed dosage of Trazadone (an antidepressant).
Inspectors wroteBased on observations, policy review, and interview the facility failed to ensure medications with short expirations dates were dated when opened.
Inspectors wroteBased on record review and interview, the facility failed to: 1. ensure medication administration was accurately documented for two Residents (#33 and #35) and 2. failed to accurately document blood pressure readings for one Resident (#37) out of a total of 21 sampled Residents.
Inspectors wroteBased on observation, record review and interview, the facility failed to 1. ensure staff initiated and followed Enhanced Barrier Precautions for one Resident (#33) out of a total of 21 sampled residents, and 2. failed to ensure shared medical equipment was properly cleaned between the use of residents during the medication pass.
Inspectors wroteBased on interviews and record review the facility failed to ensure a Minimum Data Set (MDS) assessment was accurately completed to reflect the status for three Residents (#80, #237, and # 27), in a total sample of 21 residents. Specifically: 1) For Resident #80, the facility failed to ensure the MDS accurately reflected the Resident's discharge destination. 2) For Resident #237, the facility failed to ensure the MDS accurately reflected the Resident's type of intravenous line. 3) For Resident #27, the facility failed to ensure MDS accurately reflected the Resident's Special Treatments. Findings Include: Review of the facility policy titled Resident Assessments, revised October 2023, indicated, but was not limited to, the following: - Information in the MDS assessments will consistently reflect information in the progress notes, plans of care and resident observations/interviews. 1. [...]
Inspectors wroteBased on records reviewed and interviews for one for three sampled residents (Resident #1), whose Physician's Orders included the administration of an injectable medication used to treat schizophrenia, the Facility failed to ensure the Physician was promptly notified when Resident #1's medication was not administered as ordered. Findings Include: The Facility Policy titled Change in a Resident's Condition or Status, undated, indicated that the nurse will notify the resident's attending Physician when there has been a need to alter the resident's medical treatment significantly. The Policy indicated that regardless of the resident's current mental or physical condition, a nurse or healthcare provider will inform the resident of any changes in his/her medical care or nursing treatments. [...]
Inspectors wroteBased on records reviewed and interviews for one of three sampled residents (Resident #1), who had a Physician's Order for administration of an anti-psychotic medication once every twenty-eight days, the Facility failed to ensure he/she was free from a significant medication error when he/she was not administered two doses of his/her anti-psychotic medication, placing him/her at risk for an adverse reaction related to a sudden stop in the medication. Findings Include: The Facility Policy titled Administering Medications, dated as revised April 2019, indicated that medications are administered in a safe and timely manner and in accordance with prescriber orders, including any required time frame. Review of the Drugs.com article related to Invega Sustenna injections, dated August 2023, indicated the following: [...]
Inspectors wroteBased on records reviewed and interviews for one of two sampled residents (Resident #1), the Facility failed to ensure they maintained complete and accurate Medical Records when Resident #1's Medication Administration Record (MAR) was not consistently completed during the month of December 2023. Findings Include: The Facility Policy titled Charting and Documentation, dated as revised 07/2017, indicated all services provided to the resident, progress toward the care plan goals, or any changes in the resident's medical, physical, functional, or psychosocial condition, shall be documented in the resident's medical record. The Policy indicated that medications administered and treatments or services performed were to be documented in the resident medical record. [...]
Inspectors wroteBased on policy review, observations, interviews and record review, the facility failed to provide assistance with Activities of Daily Living (ADLs) for one Resident (#2) out of a total sample of 24 residents. Findings Include: Review of the facility policy titled Activities of Daily Living (ADL's), Supporting, last revised 3/18, indicated the following: Policy Statement: *Residents will be provided with care, treatment and services as appropriate to maintain or improve their ability to carry out activities of daily living (ADL's). *Residents who are unable to carry out activities of daily living independently will receive the services necessary to maintain good nutrition, grooming and personal hygiene. Policy Interpretation and Implementation: *2. [...]
Inspectors wroteBased on observation, record review and interviews, the facility failed to provide the necessary treatment and services to prevent the development and promote healing of pressure ulcers for one Residents (#49) out of a total of 24 sampled residents. Resident #49 was admitted to the facility in August 2023 with diagnoses unsteadiness on feet, unstageable pressure ulcer of left buttock, unspecified protein calorie malnutrition and gastrostomy. Review of Resident #49's most recent Minimum Data Set Assessment (MDS) dated [DATE], indicated a Brief Interview for Mental Status score of 10 out of possible 15 indicating moderate cognitive impairment. The MDS further indicated Resident #49 had one of more unhealed pressure ulcers at stage one or higher. [...]
Inspectors wroteBased on observation, record review and interview the facility failed to provide behavioral health services as recommended by the behavioral health service Nurse Practitioner for one Resident (#20) out of a total sample of 24 residents.
Inspectors wroteBased on record review and interview, the facility failed to ensure recommendations from the Monthly Medication Review conducted by the pharmacist were addressed and acknowledged by the physician in a timely manner for one Resident (#30) out of a total sample of 24 Residents.
Inspectors wroteBased on observations, record reviews, policy review, and interviews, the facility failed to ensure it was free from a medication error rate of greater than 5 percent. Two out of two nurses observed made three errors in 31 opportunities on one of two units resulting in a medication error rate of 9.68%. These errors impacted two Residents (#74 and #27), out of five residents observed.
Inspectors wroteBased on observations, policy review, and interview the facility failed to ensure medications with short expirations dates, were dated when opened, on two out of four medication carts.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide dental services for two Residents (#6 and #30) out of a total sample of 24 residents. 1. Resident #6 has had multiple admissions, most recently admitted to the facility in September 2022, with diagnoses including dysphagia (difficulty swallowing), and cerebral infarct. Review of Resident #6's most recent Minimum Data Set (MDS) dated [DATE], revealed the Resident had a Brief Interview for Mental Status (BIMS) score of 10 out of a possible 15, indicating he/she has moderate cognitive impairments. The MDS also indicated Resident #6 requires extensive assistance of one person for all self-care activities. During an interview on 9/26/23 at 9:07 A.M., Resident #6 said his/her dentures had been missing for a few months. Resident #6 was asked if he/she told staff, he/she said yes. [...]
Inspectors wroteBased on observations and interview, the facility failed to properly store food items to prevent the risk of foodborne illness. Specifically, the facility failed to separate personal food items from resident food items in the walk-in refrigerator.
Inspectors wroteBased on observations, record reviews and interviews, the facility failed to maintain accurate medical records for two Residents ( #49 and #30) out of a total sample of 24 Residents. Specifically, 1) For Resident #49 the facility failed to (a) accurately document the application of prevalon boots and (b) accurately document the implementation of contact precautions. 2) For Resident #30, staff signed off on the Medication Administration Record (MAR) that the Resident was wearing a hand splint while the facility reported it missing and was not being worn by Resident #30.
11 fire safety citations on file: 5 on September 10, 2025, 5 on September 12, 2024, 1 on September 28, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.45 | 3.86 | 3.86 |
| Registered nurses | 0.57 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.02 | 3.48 | 3.42 |
| Nurse aides | 1.97 | ||
| Licensed practical nurses | 0.91 | ||
| Nursing staff turnover (share who left in a year) | 40.3% | 38.2% | 45.8% |
| Registered nurse turnover | 61.5% | 42.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.51 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 3.63 on weekdays and 3.02 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.63 in April to June 2025 to 3.45 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 | 3.45 | 0.57 | 3.63 | 3.02 | 3.0% | 0 of 90 | 79 |
| Oct to Dec 2025 | 3.41 | 0.46 | 3.53 | 3.11 | 3.1% | 0 of 92 | 80 |
| Jul to Sep 2025 | 3.59 | 0.48 | 3.79 | 3.08 | 3.0% | 0 of 92 | 80 |
| Apr to Jun 2025 | 3.63 | 0.58 | 3.81 | 3.17 | 3.5% | 0 of 91 | 79 |
| 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 | 10.9 | 16.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.2 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.4 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.6 | 15.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.1 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.0 | 21.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.9 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.2 | 11.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.2 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Chestnut Woods Rehabilitation and Healthcare Ctr's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (59.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
59.4% 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. 369 eligible stays.
11.5% 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. 361 eligible stays.
7.1% 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. 203 eligible stays.
57.1% 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.
0.4% 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. 244 residents counted.
0.4% 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. 244 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. 39 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: CHESTNUT WOODS OPERATOR LLC. CMS links this home to Marquis Health Services, a group of 90 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Quinto Holdings LLC | Direct ownership interest | Organization | 06/01/2024 | |
| Ukr Consulting LLC | Direct ownership interest | Organization | 06/01/2014 | |
| Nfr 2020 Irrv Tr | Indirect ownership interest | Organization | 12/31/2021 | |
| Rsbrmk Holdings LLC | Indirect ownership interest | Organization | 12/31/2021 | |
| Sk 2013 Delta Trust | Indirect ownership interest | Organization | 12/31/2021 | |
| Sora Kohn Fam Tr Uad 120120 | Indirect ownership interest | Organization | 12/31/2021 | |
| Tryko Holdings, LLC | Indirect ownership interest | Organization | 06/01/2014 | |
| Uak 2020 Irrv Tr | Indirect ownership interest | Organization | 01/01/2022 | |
| Yr 2013 Delta Tr Ua 03252013 | Indirect ownership interest | Organization | 12/31/2021 | |
| Manufacturers & Traders Trust Company | 5% or greater security interest | Organization | 06/01/2014 | |
| Solis, Lilybeth | Managing control - governing body | Individual | 12/16/2024 | |
| Viroja, Yogesh | Managing control - governing body | Individual | 01/01/2022 | |
| Marquis Limited LLC | Operational/managerial control | Organization | 01/01/2021 | |
| Reliant Pro Rehab LLC | Operational/managerial control | Organization | 12/13/2017 | |
| Likhi, Rishi | Operational/managerial control | Individual | 06/01/2014 | |
| Posen, Mindee | Operational/managerial control | Individual | 01/01/2022 | |
| Solis, Lilybeth | Operational/managerial control | Individual | 12/16/2024 | |
| Lexington Estates LLC | Adp of the SNF | Organization | 06/01/2014 | |
| Marquis Limited LLC | Adp of the SNF | Organization | 04/21/2025 | |
| Nfr 2020 Irrv Tr | Adp of the SNF | Organization | 12/31/2021 | |
| Quinto Holdings LLC | Adp of the SNF | Organization | 06/01/2014 | |
| Reliant Pro Rehab LLC | Adp of the SNF | Organization | 12/13/2017 | |
| Rsbrmk Holdings LLC | Adp of the SNF | Organization | 12/31/2021 | |
| Sk 2013 Delta Trust | Adp of the SNF | Organization | 12/31/2021 | |
| Sora Kohn Fam Tr Uad 120120 | Adp of the SNF | Organization | 12/31/2021 | |
| Tryko Holdings, LLC | Adp of the SNF | Organization | 06/01/2014 | |
| Uak 2020 Irrv Tr | Adp of the SNF | Organization | 01/01/2022 | |
| Ukr Consulting LLC | Adp of the SNF | Organization | 06/01/2014 | |
| Yr 2013 Delta Tr Ua 03252013 | Adp of the SNF | Organization | 12/31/2021 | |
| Likhi, Rishi | Adp of the SNF | Individual | 06/01/2014 | |
| Posen, Mindee | Adp of the SNF | Individual | 01/01/2022 | |
| Solis, Lilybeth | Adp of the SNF | Individual | 12/16/2024 | |
| Viroja, Yogesh | Adp of the SNF | Individual | 01/01/2022 |
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.