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Home / Massachusetts / Fitchburg

Fitchburg Rehabilitation and Nursing Center

94 Summer Street, Fitchburg, MA 01420 · Worcester County · (978) 343-3530

87 certified beds, about 66 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1975

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 225227 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 7, 2025, inspectors cited 11 health deficiencies (the Massachusetts average is 6.8, the national average 9.2).

Of 41 health citations since October 2022, 5 were rated as actual harm or immediate jeopardy to residents.

CMS lists 2 fines totaling $43,719 in the last three years; the largest was $29,913, and the latest is dated February 20, 2025.

Nurses and nurse aides worked 3.13 hours per resident per day, against 3.86 across Massachusetts and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.

30.8% of nursing staff left within the year CMS measured (Massachusetts average 38.2%).

CMS links it to Ephram Lahasky, an affiliated group of 22 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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

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 41 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
5G
0H
0I
Potential for more than minimal harm
28D
6E
2F
Potential for minimal harm
0A
0B
0C
March 7, 2025Standard inspection · 11 citations
  1. G
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · Actual harm, isolated · Corrected (the home has a date of correction) March 11, 2025
    Inspectors wroteBased on observation, record review and interview, the facility failed to meet professional standards of practice for three Residents (44, #29, and #1) out of a total of 20 sampled residents. Specifically, 1. For Resident #44, the facility failed to: a.) adequately assess, monitor, and implement a physician order for fluid restrictions (limiting the amount of fluid a person takes in) from August 2024 to March 2025. Subsequently, Resident #44 was hospitalized in February 2025, and admitted to ICU (intensive care unit) with diagnosis of acute hypoxic respiratory failure, acute renal failure and septic shock., b.) failed to follow up on physician recommendations for new prosthetic leg, and c.) failed to implement a physician order for bilateral shoulder X-ray. 2. For Resident #29, the facility failed to obtain labs as ordered by the physician. 3. [...]
  2. G
    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
    F773 · Administration · Actual harm, isolated · Corrected (the home has a date of correction) March 11, 2025
    Inspectors wroteBased on observation, record review and interview, the facility failed to notify the Physician of critical labs for two residents (#12, and #44) out of a total of 20 sampled residents. Specifically: 1. For Resident #12, the facility failed to alert the Physician of critically high BUN (measures how much blood urea nitrogen is in your body and can may indicated a problem with kidneys or liver) and critically low potassium (measures the electrolyte potassium in the blood that is essential for proper muscle and nerve function) results, which resulted in a delay of treatment and hospitalization for acute hypokalemia and acute kidney injury. 2. For Resident #44, the facility failed to obtain laboratory services as ordered by the Physician.
  3. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 11, 2025
    Inspectors wroteBased on record review, interview and observation, the facility failed to provide respiratory care in accordance with professional standards of practice, for three of 20 sampled residents. Specifically: 1. For Resident #18, the facility failed to develop a care plan for post-traumatic stress disorder. 2. For Resident #11, the facility failed to develop a care plan for post-traumatic stress disorder. 3. For Resident #12, the facility failed to develop a care plan for suicidal ideation. 4. For Resident #44, the facility failed to develop care plans for the presence of a cardiac pacemaker. 1. Resident #18 was admitted to the facility in April 2024, with diagnoses including post-traumatic stress disorder (PTSD), anxiety and depression. [...]
  4. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 11, 2025
    Inspectors wroteBased on record review and interview, the facility failed to accurately execute an Advanced Directive for 1 Resident (#69), out of a total sample of 20 residents. Specifically, for Resident #69 the facility failed to ensure the Massachusetts Medical Order for Life Sustaining Treatment (MOLST) (An Advanced Directive that is reviewed and signed as an order by a Physician/Nurse Practitioner (NP), or Physician Assistant (PA) and confirms a Resident's decisions for life sustaining treatment), was valid and signed by the Resident.
  5. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 11, 2025
    Inspectors wroteBased on observation, record review and interview, the facility failed to notify the physician of a change in condition for one Resident, (#6), out of a total of 20 sampled residents. Specifically, the facility failed to notify the physician of a change in skin condition.
  6. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 11, 2025
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure quality of care for two Residents (#69, and #6), out of a total sample of 20 residents. Specifically, 1. For Resident #69, the facility failed to ensure for Resident #69, who is treated with anticoagulant medication (a medication that hinders clotting of the blood), that areas of discoloration consistent with bruising were identified. 2. For Resident #6, the facility failed to obtain a treatment for a change in condition related to skin management.
  7. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 11, 2025
    Inspectors wroteBased on observation, record review and interview the facility failed to ensure for one Resident (#69) that a smoking assessment was completed and that a care plan was developed for smoking.
  8. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 11, 2025
    Inspectors wroteBased on record review, interview and observation, the facility failed to provide respiratory care for three of 20 sampled residents. Specifically: 1. For Resident #18, the facility failed to implement the physician's order for oxygen use. 2. For Resident #6, the facility failed to implement the physician's order for oxygen, and did not change expired oxygen tubing. 3. For Resident #12, the facility failed to obtain a physician's order for oxygen used by the Resident.
  9. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 11, 2025
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure medications were stored as required for one Resident (#26), out of a total sample of 20 residents. Specifically, the facility failed to ensure that medication was not left at the Resident's bedside unattended.
  10. D
    Provide or get specialized rehabilitative services as required for a resident.
    F825 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 11, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure specialized rehab services were provided in a timely fashion for one Resident (#41) out of a total sample of 20 residents.
  11. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 11, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure the accuracy of its medical records for 3 of 20 sampled residents. Specifically: 1. For Resident #18, the facility failed to accurately document the oxygen delivery rate. 2. For Resident #6, the facility failed to accurately date oxygen tubing. 3. For Resident #1, the facility failed to accurately document wound dressing treatment.
February 20, 2025Complaint inspection · 3 citations
  1. E
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 13, 2025
    Inspectors wroteBased on observations, interviews and records reviewed, for five out of thirteen resident rooms on one unit (Unit A) and for three out of three resident shower rooms, the Facility failed to ensure it provided a safe, clean, comfortable and homelike environment for its residents, when the condition of the resident shower rooms were found to be dirty and baseboard heaters in several resident rooms were in disrepair, with missing or damaged covers, both of which created potentially hazardous conditions.
  2. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 13, 2025
    Inspectors wroteBased on records reviewed, interviews and observations, for one of three sampled resident care units (Unit A), the Facility failed to ensure food provided to the residents was served at safe and appetizing temperatures, when on 02/20/25, results of test tray observations indicated the food items were not served at appetizing temperatures and some of the food items were not palatable.
  3. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 13, 2025
    Inspectors wroteBased on observations, interviews and records reviewed, for the main kitchen where all food items are prepared and plated before being served to the residents, the facility failed to ensure; 1) they maintained a clean and sanitary environment in the facility's main kitchen, and 2) that kitchen (dietary) staff adhered to sanitary standards of practice during food handling when two of two cooks were observed handling food without wearing hair restraints.
November 26, 2024Complaint inspection · 2 citations
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 27, 2024
    Inspectors wroteBased on records reviewed and interviews for two of three sampled residents (Resident #1 and Resident #2) who were assessed by nursing to be at risk for elopement, the Facility failed to ensure 1) nursing updated Resident #1's comprehensive plan of care with new interventions following an elopement on 07/07/24, and 2) nursing developed and implemented an individualized comprehensive care plan with interventions, treatment goals and outcomes that addressed Resident #2's risk for elopement.
  2. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 27, 2024
    Inspectors wroteBased on records reviewed and interviews for one of three sampled residents (Resident #1), who was assessed by nursing to be at high risk for elopement, and was moderately cognitively impaired, the Facility failed to ensure he/she was provided an adequate level of staff supervision to prevent two incidents of elopement, when on 07/07/24, Resident #1 was found out in the parking lot adjacent to the facility (unescorted by a staff member) and, on 09/21/24, Resident #1 was able to exit the facility unbeknownst to staff, was found by staff a couple of blocks away from the facility with bruises on his/her face and abrasions on his/her bilateral knees and palms.
March 26, 2024Standard inspection · 19 citations
  1. G
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · Actual harm, isolated · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteBased on interview, record and policy review, the facility failed to notify the Physician/Non-Physician Practitioner (NPP: Nurse Practitioner) of a significant change in medical condition and an elopement for two Residents (#60 and #62) out of a total sample of three closed records reviewed. Specifically, the facility staff failed to: 1. For Resident #60, identify a serious change in condition and acute decline in mental status, and notify the Physician/ NPP timely, resulting in the Resident further decompensating and being transferred to the hospital. 2. For Resident #62, notify the Physician/ NPP when the Resident with compromised medical status, and no access to prescribed medications eloped (left) the facility without a Leave of Absence (LOA) order and did not return to the facility.
  2. G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide treatment, services and care that met professional standards of quality for one Resident (#60) out of a total sample of three discharged residents, resulting in a decline in medical status and hospitalization with sepsis (a life-threatening medical emergency that occurs when an infection triggers the body's immune system to damage its own organs and tissues). Specifically, the facility staff failed to: 1. Recognize, assess, and manage pulmonary symptoms that indicated a significant change in condition for Resident #60 who had multiple pulmonary diagnoses that required immediate and appropriate interventions for symptom management. 2. Provide needed care and services for a nephrostomy tube and manage symptoms of a change in nephrostomy tube output as required.
  3. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteBased on observation, interview, record and policy review, the facility failed to provide necessary care and services to treat pressure ulcers (localized damage to the skin and/or underlying soft tissue usually over a bony prominence or related to a medical or other device) and prevent further skin and pressure injury for two Residents (#22 and #4), out of two applicable residents, out of a total sample of 17 residents. Specifically, the facility staff failed to: 1. Offload Resident #22's heels per the Physician's Order for treatment of an existing right heel ulcer, and prevent skin decline in his/her left heel. 2. Implement a turning and repositioning schedule and apply specialized boots and/or pillows to offload Resident #4's heels per the plan of care.
  4. F
    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.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteBased on review of the facility's Licensed Nurse staff schedule, Daily Census list provided to the survey team, and interview, the facility failed to provide the services of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week. Specifically, the facility staff failed to: 1. Provide at least eight consecutive hours of RN services in the facility over one 24-hour period on 12/23/23, when no nurse staffing waivers were in place. 2. appropriately schedule the services of a RN when the facility scheduled the Director of Nurses (DON) as a charge nurse, providing direct resident care and the average facility resident occupancy was above 60 residents.
  5. F
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteBased on observation, policy review, and interview, the facility failed to accurately and safely ensure that routine and emergency medications and pharmaceutical services were provided to meet the needs of each resident. Specifically, the facility staff failed to ensure that: 1. Three open medication Emergency Box Kits on one unit (A) were re-ordered as required. 2. Expired medications were removed from the medication cart on one unit (A-short) out of two units observed.
  6. E
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteBased on interview, record and document review, the facility failed to provide competent nursing staff to care for one Resident (#60), out of one applicable resident, out of a total sample of 17 residents, who required Nephrostomy (temporary tube used to drain urine directly from the kidneys to a bag outside of the body) site care resulting in the Resident being hospitalized with multiple infections. Specifically, the facility staff failed to: -Ensure that all licensed Nursing staff caring for Resident #60 had the competency and skills required to provide care and services for a Nephrostomy tube, when nine out of 15 facility Licensed Nurses who cared for the Resident were provided with training on Nephrostomy site care. [...]
  7. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteBased on observation, interview, record and policy review, the facility failed to provide palatable food that was within appropriate temperatures for service on one unit (A-wing) out of two units observed and relative to four Resident's (#24, #27, #47, and #52) and members of a Resident Council Meeting. Specifically, the facility staff failed to: -for Resident's #47, #24, #27, and #52, provide food that was palatable and served at a safe and appetizing temperature. -for members of a Resident Council Meeting held during the recertification survey, provide food that was palatable, appetizing and served at a proper temperature.
  8. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteBased on record and policy review, and interview, the facility failed to ensure that an accurate and current copy of an Advanced Directive (legal documents that provide instructions for medical care and only go into effect if you are unable to communicate your own wishes) was maintained in the medical record for one Resident (#9), out of a total sample of 17 residents. Specifically, the facility staff failed to: -maintain accurate documentation of a Medical Orders for Life Sustaining Treatment (MOLST) form indicating the Resident's decision for Cardiopulmonary Resuscitation (CPR- an emergency lifesaving procedure performed when the heart stops beating) and Intubate (inserting a tube into the trachea to assist with breathing and ventilation) and Ventilate. -maintain accurate Physician's orders corresponding to the MOLST form relative to intubation status. [...]
  9. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteBased on record and policy review, and interview, the facility failed to provide protections for the health and welfare for residents residing in the facility relative to two Residents (#32 and #48) out of a total sample of 17 sampled residents. Specifically, the facility staff failed to implement an investigation and report a resident-to-resident altercation when Residents #32 and #48 were witnessed arguing with each other and Resident #48 threatened to kill Resident #32.
  10. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteBased on record and policy review, and interview, the facility failed to identify, investigate and report an alleged violation within the prescribed timeframe for two Residents (#32 and #48) out of a total sample of 17 residents. Specifically, the facility staff failed to identify a resident-to-resident altercation involving Resident #32 and Resident #48, as an alleged abuse violation, and investigate and report to the appropriate entities no later than 24 hours after the altercation occurred in accordance with state law.
  11. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteBased on record and policy review, and interview, the facility staff failed to investigate an alleged violation of verbal abuse for two Residents (#32 and #48) out of a total sample of 17 residents. Specifically, -For Resident #32, the alleged victim, the facility staff failed to thoroughly investigate an altercation with Resident #48 that included verbal abuse and death threats, and immediately assess and evaluate Resident #32 for safety needs, increased supervision and medical treatment. -For Resident #48, the alleged perpetrator, the facility staff failed to thoroughly investigate an altercation with Resident #32 that included verbal abuse and death threats, to prevent any further potential abuse to the victim and/or other residents and implement corrective action following the investigation.
  12. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteBased on interview and record review, the facility failed to coordinate an assessment with the Pre-admission Screening and Resident Review program (PASRR- is a federal requirement to help ensure that individuals who have a mental disorder or intellectual disabilities are not inappropriately placed in nursing homes for long term care. PASRR requires that: 1) all applicants to a Medicaid-certified nursing facility be evaluated for a serious mental disorder and/or intellectual disability; 2) be offered the most appropriate setting for their needs [in the community, a nursing facility, or acute care setting], and 3) receive the services they need in those settings) for one Resident (#1) out of a total sample of 17 residents. [...]
  13. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteBased on observation, interview, record and policy review, the facility failed to ensure the plan of care was revised for one Resident (#18), out of a total sample of 17 residents. Specifically, the facility staff failed to revise Resident #18's Nutritional Care Plan to reflect current nutritional interventions of pureed diet with nectar thick liquids and nutritional supplement provided.
  14. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure that one Resident (#9) out of a total sample of 17 residents, with limited range of motion (ROM) received appropriate care and services to maintain and/or improve their mobility function. Specifically, the facility staff failed to have PT (Physical Therapy)/OT (Occupational Therapy) re-evaluate and implement Resident #9's therapy services following an Orthopedic Consult and recommendations, to prevent further avoidable reduction in ROM and mobility.
  15. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteBased on interview, record review, and policy review, the facility failed to provide an environment that was free of potential accidents and hazards for one Resident (#62), out of a total sample of three closed records reviewed. Specifically, for Resident #62, the facility failed to: -assess the Resident for an independent authorized leave of absence (LOA) from the facility when he/she did not have a Physician's order for LOA and a known cognitive deficit. [...]
  16. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteBased on observation, interview, record and policy review, the facility failed to provide acceptable nutritional care and services for one Resident (#18), out of a total of 17 residents. Specifically, the facility staff failed to ensure that Resident #18 was provided the appropriate consistency of food and liquids as ordered by the Physician, and supervision/assistance per the plan of care, resulting in severe weight loss (greater than 7.5% in three months) for the Resident.
  17. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide dental services for two Residents (#1 and #18) out of a total sample of 17 residents. Specifically, the facility staff failed to: 1. Obtain consent and refer Resident #1 for dental services. 2. Implement dental recommendations for extractions as recommended by the Dentist for Resident #18.
  18. D
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    F805 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteBased on observation, interview, record and policy review, the facility failed to ensure that one Resident (#18) out of a total sample of 17 residents, received the appropriate consistency of mechanically altered food and liquids. Specifically, the facility staff failed to ensure Resident #18 was provided the appropriate consistency of pureed food and nectar thick liquids (easily pourable and are comparable to heavy syrup found in canned fruit) when he/she had a Physician's order for the specialized diet, had poor dentition and had a history of chewing/swallowing problems putting him/her at risk for choking and aspiration (food/fluids that are inhaled into the lungs and can cause infection).
  19. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteBased on observation, interview, record and policy review, the facility failed to ensure that transmission-based precautions (TBP- implemented for patients who are known or suspected to be infected with infectious agents) were implemented in order to prevent the potential spread of infection for one Resident #22, of one applicable resident on TBP precautions, out of a total sample of 17 residents. Specifically, the facility failed to ensure that the required personal protective equipment (PPE) was worn prior to entering Resident #22's room when he/she was on Contact Precautions (prevent transmission of infectious agents which are spread by direct or indirect contact with the patient or the patient's environment) for a Clostridium difficile colitis (C-Diff: inflammation of the colon caused by bacteria causing fever, abdominal pain and diarrhea) infection.
October 7, 2022Standard inspection · 6 citations
  1. D
    Give the resident's representative the ability to exercise the resident's rights.
    F551 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 25, 2022
    Inspectors wroteBased on policy review, record review and interview, the facility failed to ensure its staff obtained written consent, including education on the risks and benefits of proposed care related to the use of an anti-psychotic medication, from a Resident Representative, for one Resident (#20), out of a total sample to 12 Residents.
  2. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 25, 2022
    Inspectors wroteBased on record review and interview, the facility failed to ensure that its staff provided a written Notice of Transfer/Discharge to the Resident and/or the Resident's Representative, for one Resident (#18), out of a total sample of 12 Residents.
  3. D
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 25, 2022
    Inspectors wroteBased on policy review, interview and record review, the facility failed to ensure its staff provided the bed hold notice at the time of a hospital transfer, for two Residents (#41 and #18), out of 12 sampled residents.
  4. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 25, 2022
    Inspectors wroteBased on interview and record review the facility failed to ensure its staff accurately coded a facility acquired pressure ulcer on a Minimum Data Set (MDS) assessment for one Resident (#41) out of 12 sampled residents.
  5. 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.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 25, 2022
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure its staff provided appropriate care and services for an indwelling urinary catheter for two Residents (#16 and #18) out of four applicable sampled residents. Specifically, (1.) for Resident #16 the staff failed to (a.) ensure the catheter was changed as ordered and (b.) failed to address the Resident's non-compliance with catheter care. (2.) For Resident #18 the staff failed to obtain a Physician's order prior to changing the catheter.
  6. D
    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.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 25, 2022
    Inspectors wroteBased on interview and review of timesheets, the facility failed to ensure that the services of a Registered Nurse (RN) were used for at least eight consecutive hours a day, seven days a week from 9/4/22 through 10/1/22, specifically Sunday, 9/18/22.

Fire safety inspections

18 fire safety citations on file: 9 on March 7, 2025, 3 on March 26, 2024, 6 on October 7, 2022.

Every fire safety citation18 citations
  1. F
    Implement emergency and standby power systems.
    E 41 · March 7, 2025 · Corrected (the home has a date of correction)
  2. F
    Have properly located and lighted "Exit" signs.
    K 293 · March 7, 2025 · Corrected (the home has a date of correction)
  3. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · March 7, 2025 · Corrected (the home has a date of correction)
  4. E
    Provide properly protected cooking facilities.
    K 324 · March 7, 2025 · Corrected (the home has a date of correction)
  5. E
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · March 7, 2025 · Corrected (the home has a date of correction)
  6. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 7, 2025 · Corrected (the home has a date of correction)
  7. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 7, 2025 · Corrected (the home has a date of correction)
  8. E
    Ensure proper usage of power strips and extension cords.
    K 920 · March 7, 2025 · Corrected (the home has a date of correction)
  9. D
    Have exits that are accessible at all times.
    K 271 · March 7, 2025 · Corrected (the home has a date of correction)
  10. E
    Install properly constructed and protected linen or trash chutes.
    K 541 · March 26, 2024 · Corrected (the home has a date of correction)
  11. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · March 26, 2024 · Corrected (the home has a date of correction)
  12. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 26, 2024 · Corrected (the home has a date of correction)
  13. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · October 7, 2022 · Corrected (the home has a date of correction)
  14. E
    Install properly constructed and protected linen or trash chutes.
    K 541 · October 7, 2022 · Corrected (the home has a date of correction)
  15. E
    Have simulated fire drills held at unexpected times.
    K 712 · October 7, 2022 · Corrected (the home has a date of correction)
  16. D
    Implement emergency and standby power systems.
    E 41 · October 7, 2022 · Corrected (the home has a date of correction)
  17. D
    Install an approved automatic sprinkler system.
    K 351 · October 7, 2022 · Corrected (the home has a date of correction)
  18. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 7, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
February 20, 2025Fine $13,806
March 26, 2024Fine $29,913

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeMassachusettsUnited States
All nursing staff (RN, LPN and aides)3.133.863.86
Registered nurses0.490.650.69
All nursing staff on weekends2.883.483.42
Nurse aides1.84
Licensed practical nurses0.80
Nursing staff turnover (share who left in a year)30.8%38.2%45.8%
Registered nurse turnover40.0%42.6%42.9%
Administrators who left2

CMS expects 4.62 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 3.24 on weekdays and 2.88 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.98 in April to June 2025 to 3.13 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.130.493.242.88 0.3%0 of 9066
Oct to Dec 20253.100.523.202.86 0.3%0 of 9265
Jul to Sep 20253.080.473.192.78 1.6%0 of 9267
Apr to Jun 20252.980.473.092.71 0.9%0 of 9168
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Massachusetts, Jan to Mar 20263.790.613.943.415.0%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

Staff pay at this home

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. If you work here, your report helps start one.

Official wage estimates for Massachusetts

JobMedianMiddle halfEmployed
Massachusetts, all employers
CNAs (nursing assistants)$22.44$21.32 to $23.9438,130
LPNs and LVNs$38.57$34.91 to $40.6613,210
Registered nurses$50.27$42.05 to $65.4488,200
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

Work here? Share your pay anonymously

For Fitchburg Rehabilitation and Nursing Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
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Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMassachusettsUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
6.716.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.30.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.61.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.83.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
9.815.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
10.74.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
18.521.415.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
25.025.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.011.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.61.91.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.41.51.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Fitchburg Rehabilitation and Nursing Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (40.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

40.6% this home

No different from 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. 44 eligible stays.

Potentially preventable readmissions

10.8% 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. 57 eligible stays.

Infections that led to a hospital stay

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. 33 eligible stays.

Self-care and mobility at discharge

39.1% 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. 23 residents counted.

Falls with major injury

2.8% 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. 36 residents counted.

New or worsened pressure ulcers

0.0% 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. 36 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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. 11 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.

Owners and operators

Legal business name: FITCHBURG REHABILITATION AND NURSING CENTER LLC. CMS links this home to Ephram Lahasky, a group of 22 nursing homes averaging 1.7 stars overall.

NameRoleTypeShareSince
Horowitz, AkivaDirect ownership interestIndividual01/14/2019
Lahasky, EphramDirect ownership interestIndividual01/14/2019
Johnson, PhilipManaging control - governing bodyIndividual01/01/2025
Horowitz, AkivaOperational/managerial controlIndividual01/14/2019
Johnson, PhilipOperational/managerial controlIndividual01/01/2025
Lahasky, EphramOperational/managerial controlIndividual01/14/2019
Johnson, PhilipAdp of the SNFIndividual05/20/2025
Majekodunmi, AkindeleAdp of the SNFIndividual04/08/2025

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 12 problems in this area, most recently on March 7, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on March 7, 2025: "Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on March 7, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on February 20, 2025: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.88 hours per resident per day, below the Massachusetts average of 3.48.
  6. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

Other nursing homes nearby

Common questions

What is Fitchburg Rehabilitation and Nursing Center's Medicare star rating?
CMS rates Fitchburg Rehabilitation and Nursing Center 1 out of 5 stars overall, with 1 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Fitchburg Rehabilitation and Nursing Center get at its last inspection?
11 health deficiencies at the standard inspection on March 7, 2025. The Massachusetts average is 6.8.
Has Fitchburg Rehabilitation and Nursing Center been fined?
Yes. CMS lists 2 fines totaling $43,719 in the last three years.
Does Fitchburg Rehabilitation and Nursing Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Fitchburg Rehabilitation and Nursing Center?
CMS lists 8 owners and managers, and links the home to Ephram Lahasky. Legal business name: FITCHBURG REHABILITATION AND NURSING CENTER LLC.

Sources

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