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Quaboag Rehabilitation & Skilled Care Facility

47 East Main Street, West Brookfield, MA 01585 · Worcester County · (508) 867-7716

166 certified beds, about 137 residents a day · Non profit - Corporation · Medicare and Medicaid since 1989

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 225361 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 29, 2025, inspectors cited 0 health deficiencies (the Massachusetts average is 6.8, the national average 9.2).

None of its 8 health citations since November 2022 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 3.94 hours per resident per day, against 3.86 across Massachusetts and 3.86 nationally. Registered nurses accounted for 0.73 of those hours.

44.6% of nursing staff left within the year CMS measured (Massachusetts average 38.2%).

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 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
0E
0F
Potential for minimal harm
0A
0B
0C
May 29, 2025Standard inspection · 0 citations
November 5, 2024Complaint inspection · 2 citations
  1. D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 6, 2024
    Inspectors wroteBased on records reviewed and interviews, for one of three sampled residents (Resident #1) who could make his/her needs known, the Facility failed to ensure he/she was treated in a dignified and respectful manner, when on 09/30/24 at approximately 6:50 P.M., Certified Nurse Aide (CNA) #1 removed Resident #1's meal tray from his/her room, despite his/her protests that he/she had not finished eating, and spoke to him/her in a loud and inappropriate manner. Several residents who were in the unit's common areas were also subjected to having to listen to CNA #1's verbal outbursts of profanity.
  2. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · 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) December 6, 2024
    Inspectors wroteBased on records reviewed and interviews for one of three sampled residents (Resident #2), who required a Foley catheter (a flexible tube that drains urine from the bladder into a collection bag outside the body, the facility failed to ensure Resident #2 was provided with nursing care and treatment that met professional standards for quality, when Nursing staff did not follow up with his/her Urologist (a medical doctor who specializes in the diagnosis and treatment of diseases and conditions of the urinary tract) after he/she missed a scheduled appointment to have his/her catheter changed, to obtain a new appointment or new orders for when it needed to be changed.
April 24, 2024Standard inspection · 5 citations
  1. 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) June 3, 2024
    Inspectors wroteBased on interview, record and policy review, the facility failed to provide appropriate care and services according to professional standards of practice for a suprapubic catheter (an indwelling urinary catheter placed directly into the bladder through the abdomen) for one Resident (#32) out of a total sample of 27 residents. Specifically, for Resident #32, the facility staff failed to provide suprapubic catheter care and services as ordered by the Physician to prevent catheter related complications when the catheter was leaking and was not flushed (manual injection with normal saline to clean or clear the catheter) and/or changed as indicated.
  2. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 3, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure that a medication regimen review recommendation was completed timely for one Resident (#56) out of a total sample of 27 residents. Specifically for Resident #56, the facility failed to ensure that a Consultant Pharmacist recommendation to complete an Abnormal Involuntary Movement Scale (AIMS - a rating scale designed to measure involuntary movement known as tardive dyskinesia (TD) which can be a side effect from a person receiving antipsychotic medication) was completed timely.
  3. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 3, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure that the medication regimen was free from unnecessary drugs for one Resident (#80) out of a total sample of 27 residents. Specifically, the facility staff failed to: -ensure that Resident #80 was free from an excessive dose of medication when an antibiotic (medication used to treat bacterial infection) medication that was Physician ordered to be given for five doses, resulted in the Resident being administered six doses in error.
  4. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 3, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure that a PRN (as needed) psychotropic medication (medication that affect brain activity) was limited to 14 days for one Resident (#43) out of a total sample of 27 residents. Specifically, the facility failed to ensure a PRN order for Lorazepam (brand name Ativan - antianxiety medication) for Resident #43, was limited to 14 days.
  5. 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) June 3, 2024
    Inspectors wroteBased on observation, interview and policy review, the facility failed to ensure that Transmission Based Precautions (TBP: for patients who are known or suspected to be infected or colonized with infectious agents which require additional control measures to effectively prevent transmission) were in place and adhered to by staff in order to minimize the potential spread of infection for on one unit (Unit 2) out of four units observed. Specifically, the facility failed to ensure that staff donned (put on) the required Personal Protective Equipment (PPE) while caring for a resident that identified as requiring Contact Precautions (infection control intervention designed to reduce the transmission of organisms that can be spread by direct contact).
November 21, 2022Standard inspection · 1 citation
  1. 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) December 9, 2022
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure its staff provided care and services for one Resident (#40), out of a total sample of 27 residents, with an indwelling (left in place) urinary catheter, according to Physician's orders and professional standards. Specifically, the facility staff failed to: 1) document in the Resident's clinical record that a urine specimen was obtained by staff when it had been ordered by the Physician, and 2) change the Resident's indwelling urinary catheter prior to collecting a urine specimen, according to professional standards and as ordered by the Physician.

Fire safety inspections

3 fire safety citations on file: 3 on May 29, 2025.

Every fire safety citation3 citations
  1. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · May 29, 2025 · Corrected (the home has a date of correction)
  2. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · May 29, 2025 · Corrected (the home has a date of correction)
  3. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · May 29, 2025 · Corrected (the home has a date of correction)

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.

MeasureThis homeMassachusettsUnited States
All nursing staff (RN, LPN and aides)3.943.863.86
Registered nurses0.730.650.69
All nursing staff on weekends3.443.483.42
Nurse aides2.29
Licensed practical nurses0.92
Nursing staff turnover (share who left in a year)44.6%38.2%45.8%
Registered nurse turnover37.5%42.6%42.9%
Administrators who left0

CMS expects 4.01 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 4.15 on weekdays and 3.44 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.08 in April to June 2025 to 3.94 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.940.734.153.44 0.2%0 of 90137
Oct to Dec 20254.150.684.363.61 6.7%0 of 92134
Jul to Sep 20254.260.754.553.52 8.9%0 of 92136
Apr to Jun 20254.080.644.323.48 9.3%0 of 91136
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.

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
18.816.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.30.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.71.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.73.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.11.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
15.015.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.64.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
16.521.415.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
28.225.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
20.311.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.51.91.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.41.51.8

Owners and operators

Legal business name: FAIR HAVENS INC.

NameRoleTypeShareSince
Ascentria Care Alliance Inc5% or greater direct ownership interestOrganization100%02/01/2015
Bartholomew, AlexanderCorporate directorIndividual01/01/2024
Bovill, AngelaCorporate directorIndividual02/01/2015
Browne, TaraCorporate directorIndividual01/01/2024
Cowlagi, AshishCorporate directorIndividual01/01/2024
Goodman, RossCorporate directorIndividual02/01/2015
Mayo, WilliamCorporate directorIndividual02/01/2015
Oneal, GaryCorporate directorIndividual01/01/2024
Robertson, KeithCorporate directorIndividual01/01/2024
Russo, NicholasCorporate directorIndividual02/01/2015
Sousa, NicholasCorporate directorIndividual01/01/2024
Tappan, ChristineCorporate directorIndividual01/01/2024
Bovill, AngelaCorporate officerIndividual02/01/2015
Hanscom, KristinCorporate officerIndividual01/01/2024
Russo, NicholasCorporate officerIndividual02/01/2015
Ascentria Care Alliance IncOperational/managerial controlOrganization02/01/2015
Macdonald, JessicaOperational/managerial controlIndividual11/01/2024
Maguire, DavidOperational/managerial controlIndividual01/01/2024
Ascentria Care Alliance IncAdp of the SNFOrganization01/29/2025
Bovill, AngelaAdp of the SNFIndividual12/30/2024
Hanscom, KristinAdp of the SNFIndividual12/18/2024
Macdonald, JessicaAdp of the SNFIndividual11/01/2024
Maguire, DavidAdp of the SNFIndividual01/01/2024
Russo, NicholasAdp of the SNFIndividual12/30/2024

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 are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on April 24, 2024: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on April 24, 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."
  3. 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 November 5, 2024: "Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on November 5, 2024: "Ensure services provided by the nursing facility meet professional standards of quality."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.44 hours per resident per day, below the Massachusetts average of 3.48.

Other nursing homes nearby

Common questions

What is Quaboag Rehabilitation & Skilled Care Facility's Medicare star rating?
CMS rates Quaboag Rehabilitation & Skilled Care Facility 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Quaboag Rehabilitation & Skilled Care Facility get at its last inspection?
0 health deficiencies at the standard inspection on May 29, 2025. The Massachusetts average is 6.8.
Has Quaboag Rehabilitation & Skilled Care Facility been fined?
CMS lists no fines in the last three years.
Does Quaboag Rehabilitation & Skilled Care Facility 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 Quaboag Rehabilitation & Skilled Care Facility?
CMS lists 24 owners and managers. Legal business name: FAIR HAVENS INC.

Sources

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