Home / Massachusetts / Lancaster
1675 North Main Street, Lancaster, MA 01523 · Worcester County · (978) 365-4537
82 certified beds, about 77 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1972
CMS Care Compare ratings, data as of September 1, 2026 · CCN 225210 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 19, 2026, inspectors cited 0 health deficiencies (the Massachusetts average is 6.8, the national average 9.2).
Of 2 health citations since November 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,964 in the last three years; the largest was $8,964, and the latest is dated May 5, 2025.
Nurses and nurse aides worked 3.37 hours per resident per day, against 3.86 across Massachusetts and 3.86 nationally. Registered nurses accounted for 0.62 of those hours.
33.3% 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 2 health citations on file.
Inspectors wroteBased on records reviewed and interviews, for one of three sampled residents (Resident #1), the Facility failed to ensure he/she was free from a significant medication error, when on 02/25/25, Nurse #1 administered another resident's blood pressure medication to him/her in error. Resident #1 later experienced a change in condition, was lethargic, and his/her blood pressure was low, for which he/she required treatment and increased monitoring by nursing until his/her blood pressure stabilized.
Inspectors wroteBased on record review and interview, the facility failed to ensure that the Minimum Data Set (MDS) Assessment was coded accurately for one Resident (#12) out of a total sample of 18 residents. Specifically, the facility failed to code all of the Resident's psychiatric and mood disorder diagnoses on four separate MDS Assessments.
4 fire safety citations on file: 4 on December 26, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| May 5, 2025 | Fine | $8,964 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Massachusetts | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.37 | 3.86 | 3.86 |
| Registered nurses | 0.62 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.00 | 3.48 | 3.42 |
| Nurse aides | 1.94 | ||
| Licensed practical nurses | 0.82 | ||
| Nursing staff turnover (share who left in a year) | 33.3% | 38.2% | 45.8% |
| Registered nurse turnover | 30.0% | 42.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.63 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 3.52 on weekdays and 3.00 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.42 in April to June 2025 to 3.37 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 | 3.37 | 0.62 | 3.52 | 3.00 | 0.4% | 0 of 90 | 77 |
| Oct to Dec 2025 | 3.35 | 0.59 | 3.50 | 2.96 | 0.5% | 0 of 92 | 78 |
| Jul to Sep 2025 | 3.59 | 0.60 | 3.77 | 3.15 | 0.2% | 0 of 92 | 76 |
| Apr to Jun 2025 | 3.42 | 0.57 | 3.55 | 3.08 | 0.5% | 0 of 91 | 74 |
| 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. If you work here, your report helps start one.
| 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 | 7.2 | 16.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.2 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.7 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.0 | 15.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.5 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.2 | 21.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.9 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.1 | 11.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for River Terrace Rehabilitation and Healthcare Ctr's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (41.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
41.2% 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. 143 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. 157 eligible stays.
6.4% 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. 99 eligible stays.
62.1% 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. 66 residents counted.
0.0% 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. 121 residents counted.
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. 121 residents counted.
97.3% 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. 37 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: RIVER TERRACE 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 Guardian LLC | Direct ownership interest | Organization | 06/01/2014 | |
| Ukr Consulting LLC | Direct ownership interest | Organization | 12/31/2021 | |
| Kohn Fam Tr Gst Exempt Uad 3-25-13 | Indirect ownership interest | Organization | 06/01/2014 | |
| Nfr 2020 Irrv Tr | Indirect ownership interest | Organization | 06/01/2014 | |
| Rsbrmk Holdings LLC | Indirect ownership interest | Organization | 06/01/2014 | |
| Sk 2013 Investment Tr Ua 03252013 | Indirect ownership interest | Organization | 06/01/2014 | |
| Tryko Guardian Holdings LLC | Indirect ownership interest | Organization | 06/01/2014 | |
| Uak 2020 Irrv Tr | Indirect ownership interest | Organization | 06/01/2014 | |
| Yr 2013 Investment Trust | Indirect ownership interest | Organization | 06/01/2014 | |
| Cibc Bank USA | 5% or greater mortgage interest | Organization | 06/01/2014 | |
| Cibc Bank USA | 5% or greater security interest | Organization | 06/01/2014 | |
| Crowley, Jeffrey | Managing control - governing body | Individual | 09/30/2024 | |
| Girmay, Samson | Managing control - governing body | Individual | 02/01/2021 | |
| Harman, Dina | Managing control - governing body | Individual | 01/01/2021 | |
| Viroja, Yogesh | Managing control - governing body | Individual | 01/01/2021 | |
| Girmay, Samson | Corporate director | Individual | 02/01/2021 | |
| Posen, Mindee | Corporate officer | Individual | 12/31/2021 | |
| Marquis Limited LLC | Operational/managerial control | Organization | 01/01/2021 | |
| Reliant Pro Rehab LLC | Operational/managerial control | Organization | 12/13/2017 | |
| Girmay, Samson | Operational/managerial control | Individual | 02/01/2021 | |
| Hakim, Faiyaz | Operational/managerial control | Individual | 11/05/2016 | |
| Marquis Limited LLC | Adp of the SNF | Organization | 04/24/2025 | |
| Reliant Pro Rehab LLC | Adp of the SNF | Organization | 04/24/2025 | |
| Crowley, Jeffrey | Adp of the SNF | Individual | 09/30/2024 | |
| Girmay, Samson | Adp of the SNF | Individual | 02/01/2021 | |
| Hakim, Faiyaz | Adp of the SNF | Individual | 11/05/2016 | |
| Harman, Dina | Adp of the SNF | Individual | 01/01/2021 | |
| Posen, Mindee | Adp of the SNF | Individual | 06/01/2014 | |
| Viroja, Yogesh | Adp of the SNF | Individual | 01/01/2021 |
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.