Home / Massachusetts / Melrose
Elmhurst Healthcare (the)
743 Main Street, Melrose, MA 02176 · Middlesex County · (781) 662-7500
45 certified beds, about 31 residents a day · For profit - Corporation · Medicare since 1994
CMS Care Compare ratings, data as of September 1, 2026 · CCN 225659 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 20, 2026, inspectors cited 0 health deficiencies (the Massachusetts average is 6.8, the national average 9.2).
None of its 4 health citations since July 2024 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 4.32 hours per resident per day, against 3.86 across Massachusetts and 3.86 nationally. Registered nurses accounted for 1.14 of those hours.
38.1% of nursing staff left within the year CMS measured (Massachusetts average 38.2%).
CMS links it to Next Step Healthcare, an affiliated group of 14 nursing homes.
Health inspections
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.
Where its citations fall on CMS's grid
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 4 health citations on file.
May 20, 2026Standard inspection · 0 citations
June 11, 2025Standard inspection · 0 citations
July 10, 2024Standard inspection · 4 citations
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on observations, interviews, policy review, and record review the facility failed to promote and facilitate resident self-determination through support of resident choice for one Resident (#18) out of 12 total sampled residents. Specifically, the facility failed to allow Resident #18 to use a urinary catheter drainage bag instead of a urinary catheter leg bag.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observations, interviews, policy review, and record review, the facility failed maintain professional standards in the managing and caring for urinary catheter devices for one Resident (#18), out of a total sample of 12 residents. Specifically, the facility failed to ensure the urinary catheter drainage bag was maintained below level of bladder, failed to ensure the urinary catheter drainage bag was not placed directly touching the floor, and failed to ensure urinary catheter care was provided every shift as ordered by the physician.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interviews, the facility failed to maintain accurate medical records by ensuring ADL (Activities of Daily Living) documentation was completed on every shift for three Residents (#275, #225 and #226) out of a total sample of 12 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations and interviews, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically, the facility failed to: 1.) Ensure healthcare personnel remove gloves and perform hand hygiene before leaving a resident room. 2.) Ensure healthcare personnel appropriately don (put on) a precaution gown while caring for a Resident on enhanced barrier precautions (EBP).
Fire safety inspections
10 fire safety citations on file: 7 on June 11, 2025, 3 on July 10, 2024.
Every fire safety citation10 citations
- F 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.
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Have simulated fire drills held at unexpected times.
- E Meet requirements for the installation and maintenance of electrical systems.
- E Have generator or other power source capable of supplying service within 10 seconds.
- F Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- F Provide a written emergency evacuation plan.
- F Have simulated fire drills held at unexpected times.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
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) | 4.32 | 3.86 | 3.86 |
| Registered nurses | 1.14 | 0.65 | 0.69 |
| All nursing staff on weekends | 4.12 | 3.48 | 3.42 |
| Nurse aides | 2.11 | ||
| Licensed practical nurses | 1.06 | ||
| Nursing staff turnover (share who left in a year) | 38.1% | 38.2% | 45.8% |
| Registered nurse turnover | 22.2% | 42.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.62 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
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 4.39 on weekdays and 4.12 on weekends, 6% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.84 in April to June 2025 to 4.32 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 | 4.32 | 1.14 | 4.39 | 4.12 | 2.1% | 0 of 90 | 31 |
| Oct to Dec 2025 | 4.56 | 1.18 | 4.66 | 4.29 | 0.0% | 0 of 92 | 29 |
| Jul to Sep 2025 | 4.69 | 1.06 | 4.77 | 4.46 | 0.0% | 0 of 92 | 26 |
| Apr to Jun 2025 | 4.84 | 1.10 | 4.92 | 4.62 | 0.0% | 0 of 91 | 29 |
| 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Massachusetts | US |
|---|---|---|---|
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.6 | 1.4 | 1.6 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 33.0 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.9 | 11.9 | 12.0 |
Owners and operators
Legal business name: 743 MAIN STREET OPERATOR LLC. CMS links this home to Next Step Healthcare, a group of 14 nursing homes averaging 1.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Dell'anno, Damian | Corporate officer | Individual | 09/01/2017 | |
| Stephan, William | Corporate officer | Individual | 09/01/2017 | |
| Next Step Healthcare LLC | Operational/managerial control | Organization | 09/01/2017 | |
| Likhi, Rishi | Operational/managerial control | Individual | 03/16/2024 | |
| Weiss, Alexis | Operational/managerial control | Individual | 11/23/2020 | |
| Next Step Healthcare LLC | Adp of the SNF | Organization | 09/01/2017 | |
| Likhi, Rishi | Adp of the SNF | Individual | 03/16/2024 | |
| Weiss, Alexis | Adp of the SNF | Individual | 11/23/2020 |
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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on July 10, 2024: "Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on July 10, 2024: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on July 10, 2024: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on July 10, 2024: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Melrose Healthcare Melrose, 0.6 mi · 1 of 5 stars · 54 citations
- Greenwood Nursing & Rehabilitation Center Wakefield, 1.4 mi · 5 of 5 stars · 13 citations
- Life Care Center of Stoneham Stoneham, 1.5 mi · 4 of 5 stars · 31 citations
- Regalcare at Glen Ridge Medford, 2.3 mi · 1 of 5 stars · 78 citations
- Dexter House Healthcare Malden, 2.7 mi · 3 of 5 stars · 20 citations
- Regalcare at Wakefield Wakefield, 3 mi · 1 of 5 stars · 42 citations
- Regalcare at Courtyard-Medford Medford, 3.2 mi · 1 of 5 stars · 60 citations
- Rehabilitation & Nursing Center at Everett (the) Everett, 3.3 mi · 3 of 5 stars · 31 citations
Common questions
- What is Elmhurst Healthcare (the)'s Medicare star rating?
- CMS rates Elmhurst Healthcare (the) 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Elmhurst Healthcare (the) get at its last inspection?
- 0 health deficiencies at the standard inspection on May 20, 2026. The Massachusetts average is 6.8.
- Has Elmhurst Healthcare (the) been fined?
- CMS lists no fines in the last three years.
- Does Elmhurst Healthcare (the) accept Medicaid?
- CMS lists it as "Medicare", so it is not certified for Medicaid.
- Who owns Elmhurst Healthcare (the)?
- CMS lists 8 owners and managers, and links the home to Next Step Healthcare. Legal business name: 743 MAIN STREET OPERATOR LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.