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Home / Massachusetts / Wrentham

Serenity Hill Nursing Center

655 Dedham St., Wrentham, MA 02093 · Norfolk County · (508) 384-3400

44 certified beds, about 36 residents a day · For profit - Corporation · Medicare and Medicaid since 1999

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 225752 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 3, 2026, inspectors cited 11 health deficiencies (the Massachusetts average is 6.8, the national average 9.2).

None of its 38 health citations since May 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 4.04 hours per resident per day, against 3.86 across Massachusetts and 3.86 nationally. Registered nurses accounted for 0.40 of those hours.

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 38 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
20E
4F
Potential for minimal harm
0A
1B
1C
March 3, 2026Standard inspection · 11 citations
  1. F
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 15, 2026
    Inspectors wroteBased on observation, interview and document review, the facility failed to maintain kitchen equipment in safe operating condition. Specifically, the facility failed to promptly repair or replace a broken dish machine.
  2. E
    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, pattern · Corrected (the home has a date of correction) April 15, 2026
    Inspectors wroteBased on record review and staff interview, the facility failed to ensure that the resident representative had information in advance to exercise their rights for two Residents (#24 and #30), out of a total sample of 12 residents. Specifically, the facility failed to ensure:1. For Resident #24, a [NAME] Treatment Plan (court approved treatment plan for the administration of antipsychotic medications) was active and current for administration of an antipsychotic medication; and2. For Resident #30, the Health Care Proxy (HCP: [...]
  3. E
    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, pattern · Corrected (the home has a date of correction) April 15, 2026
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure staff provided care and services consistent with accepted standards of clinical practice for four Residents (#2, #4, #8 and #32), out of a total sample of 12 residents. Specifically, the facility failed to ensure:1. For Resident #2,a. care and treatment to the Resident's implanted cardiac pacemaker met professional standards of care;b. a physician's order for the use of an air mattress, including settings, was obtained prior to its use; and 2. For Resident #4, a physician's order for the use of an air mattress, including settings, was obtained prior to its use;3. For Resident #8, a physician's order for the use of an air mattress, including settings, was obtained prior to its use;4. For Resident #32, care and treatment to the Resident's implanted cardiac pacemaker met professional standards of care.
  4. E
    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, pattern · Corrected (the home has a date of correction) April 15, 2026
    Inspectors wroteBased on observations and interviews, the facility failed to maintain an environment free of accident hazards. Specifically, the facility failed to ensure a resident care area was free from a portable radiator (space heater), a burn/fire hazard risk.
  5. E
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 15, 2026
    Inspectors wroteBased on employee record review and interview, the facility failed to complete performance reviews of Certified Nursing Assistants (CNAs) at least once every 12 months and provide regular in-service education based on the outcome of these reviews for five out of five CNAs' (#1, #2, #3, #4, #5) employee records reviewed.
  6. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 15, 2026
    Inspectors wroteBased on observations, records reviewed, and interviews, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment. Specifically, the facility failed to:1. Maintain an accurate surveillance system that reflected potential illnesses and infections in the facility; and2. Ensure resident hand hygiene was implemented during meal service.
  7. E
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 15, 2026
    Inspectors wroteBased on record review and interview, the facility failed to implement an antibiotic stewardship program which included antibiotic use protocols and monitoring of antibiotic use in accordance with the facility's antibiotic stewardship program.
  8. E
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 15, 2026
    Inspectors wroteBased on record review and interview, the facility failed to provide education and/or offer the COVID-19 vaccination as required or appropriate per the Centers for Disease Control and Prevention (CDC) recommendations for five of five employee records reviewed for immunizations.
  9. E
    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
    F909 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 15, 2026
    Inspectors wroteBased on observation, record review, and interview, the facility failed to complete a new assessment of the bed, side rails and mattresses in active use for potential entrapment when the bed mattress was changed from the previously assessed mattress, placing two Residents (#2 and #8), out of a sample of 12 residents, who had limited mobility and utilized bilateral side rails, at risk for possible entrapment.
  10. C
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
    F838 · Administration · No actual harm, potential for minimal harm, widespread · no revisit needed April 15, 2026
    Inspectors wroteBased on document review and interview, the facility failed to develop and implement their facility assessment (a document assessing the capability of the facility and its resources to provide both emergency and day-to-day care of the population the facility currently serves). Specifically, the facility failed to ensure active involvement of all required members when conducting the facility assessment.
  11. B
    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 minimal harm, pattern · no revisit needed April 15, 2026
    Inspectors wroteBased on records reviewed and interviews, the facility failed to ensure Comprehensive Care Plans were reviewed and revised by the interdisciplinary team (IDT) after each assessment, including both the comprehensive and quarterly review assessments, for three Residents (#2, #4, and #16), out of a sample of 12 residents.
April 29, 2025Standard inspection · 17 citations
  1. F
    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, widespread · Corrected (the home has a date of correction) June 3, 2025
    Inspectors wrote3. On 4/25/25 at 8:49 A.M., the surveyor entered the open door of the clean utility room in the nursing unit hallway. Inside the room were two unlocked cabinets with several items noted inside including: -11 bottles of Antifungal powder with Miconazole Nitrate 2% -28 tubes of moisture barrier antifungal cream mupirocin ointment 2% -9 bottles of DermaCream During an interview on 4/29/25 at 1:29 P.M., the Director of Nursing said the clean utility room has a keypad lock on it and the door should be closed and locked at all times to prevent residents from accessing the hazardous items inside. 4. Resident #22 was admitted to the facility in December 2024 with a stage four pressure ulcer (full-thickness skin loss that extends through the fascia with considerable tissue loss due to prolonged pressure exerted over specific areas of the body). On 4/25/25 at 8:54 A.M., 9:07 A.M., 11:12 A.M. [...]
  2. F
    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
    F909 · Environmental · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 3, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to complete a new assessment of the bed, side rails and mattresses in active use for potential entrapment when the bed mattress was changed from the previously assessed mattress, placing two Residents (#22 and #34), out of a sample of 12 residents, who had limited mobility and utilized bilateral side rails, at risk for possible entrapment. Following an interview with the facility's Maintenance Director, it was determined that 38 of 38 beds in use in the facility were affected.
  3. E
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 31, 2025
    Inspectors wroteBased on a resident group meeting, interviews, and record reviews, the facility failed to ensure concerns from the Resident Council were thoroughly documented to ensure the residents felt their concerns were acted upon timely and included the facility response to the group.
  4. E
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 3, 2025
    Inspectors wroteBased on interviews and observations, the facility failed to ensure grievance forms were available in resident care and public areas, so residents and/or visitors were able to access forms without requesting staff assistance.
  5. 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) June 3, 2025
    Inspectors wroteBased on observations, interviews, and records reviewed, for six Residents (#10, #15, #8, #29, #12, and #37), of 13 sampled residents, the facility failed to ensure that individualized, comprehensive care plans were developed, consistently implemented, and revised as needed. Specifically, the facility failed: 1. For Resident #10, a. to develop and implement a care plan intervention after he/she sustained a fall, and b. to implement the Resident's falls care plan for a floor mat while in bed at all times; 2. For Resident #15, a. to identify non-pharmacological interventions for the use of an antipsychotic medication; and, b. to develop a comprehensive care plan related to hospice services; 3. For Resident #8, to develop a comprehensive care plan related to anticoagulation use; 4. For Resident #29, to develop a comprehensive care plan related to bladder preferences; 5. [...]
  6. E
    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, pattern · Corrected (the home has a date of correction) June 3, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure the comprehensive care plan was reviewed and revised by the interdisciplinary team for four Residents (#12, #22, #37, and #15), out of a total sample of 13 residents . Specifically, the facility failed to review and revise the care plan after comprehensive, significant change, and quarterly assessments were completed to reflect the current status of the Residents.
  7. E
    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, pattern · Corrected (the home has a date of correction) May 31, 2025
    Inspectors wroteBased on observations, interviews, and records reviewed, for three Residents (#10, #22, and #34), of 13 sampled residents, the facility failed to ensure care was provided to residents in accordance with professional standards of practice. Specifically, the facility failed: 1. For Resident #10, to ensure a physician's order was obtained prior to sending him/her to the hospital; 2. For Resident #22, to ensure a physician's order for the use of an air mattress, including settings, was obtained prior to its use; and 3. For Resident #34, to ensure a physician's order for the use of an air mattress, including settings, was obtained prior to its use.
  8. E
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 31, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure a person-centered plan of care with individualized interventions for trauma-informed care was developed for two Residents (#29 and #22), out of a total sample of 13 residents. Specifically, the facility failed to assess and implement care plan interventions for: 1. Resident #29 with a history of a traumatic and violent event; and 2. Resident #22 with a history of traumatic events.
  9. E
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
    F742 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 31, 2025
    Inspectors wroteBased on record review and interview, the facility failed to provide the appropriate treatment and services for one Resident (#29), with a history of a traumatic and violent life event, out of a total sample of 13 residents. Specifically, the facility failed to make a referral to Behavioral Health Services upon admission resulting in a 46-day delay of services.
  10. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 3, 2025
    Inspectors wroteBased on observation, interview, and document review, 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 potential transmission of communicable diseases and infections while the facility was experiencing a Group A streptococcal (GAS - bacteria that can cause various infections, ranging from mild sore throat to severe invasive diseases) outbreak. Specifically, the facility failed to: 1. Ensure staff utilized appropriate personal protective equipment (PPE) when entering in and out of resident rooms who were on transmission-based precautions for GAS; 2. Maintain an accurate surveillance system that reflected potential illnesses and infections in the facility; and 3. [...]
  11. E
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 3, 2025
    Inspectors wroteBased on document review and interview, the facility failed to provide education and offer COVID-19 vaccinations per the Centers for Disease Control and Prevention (CDC) recommendations for four Staff members out of a total sample of five staff reviewed for immunizations.
  12. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 31, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure three Residents (#8, #2, #10), out of a total sample of 13 residents, were treated with respect and dignity. Specifically, the facility failed to ensure: 1. Resident #8's Foley catheter (tube inserted into the bladder to drain urine) drainage bag was covered with a privacy shield and/or positioned away from the doorway; 2. Resident #2's catheter drainage bag was consistently placed in a privacy bag; and 3. Resident #10 was provided a dignified dining experience.
  13. 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, 2025
    Inspectors wroteBased on document review and interview, the facility failed to ensure monthly medication regimen reviews (MRR) were communicated to the physician and addressed in a timely manner for two Residents (#15 and #37), out of a total sample of 13 residents. Specifically, the facility failed: 1. For Resident #15, to ensure October 2024 consultant pharmacist recommendations for nursing to perform an Abnormal Involuntary Movement Scale (AIMS) assessment (a clinical outcome checklist completed by a healthcare provider to assess the presence and severity of adverse outcomes, such as abnormal movements of the face, limbs, and body) were acted upon timely; and 2. For Resident #37, to ensure October 2024 consultant pharmacist recommendation for nursing to perform an AIMS assessment was acted upon timely.
  14. 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, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure for two Residents (#37 and #15), out of a total sample of 13 residents, that each resident's drug regimen was free from unnecessary psychotropic medications to promote or maintain the Residents' highest practicable mental, physical, and psychosocial well-being. Specifically, the facility failed to ensure: 1. For Resident #37, that targeted behaviors and signs and symptoms of potential adverse consequences were monitored for the use of the antipsychotic medication Seroquel; and 2. For Resident #15, to ensure a rationale for use of Seroquel was documented and a gradual dose reduction (GDR) was attempted, unless documented by the prescriber as clinically contraindicated in the medical record.
  15. D
    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, isolated · Corrected (the home has a date of correction) June 3, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to follow professional standards of practice for food safety and sanitation to prevent the potential spread of foodborne illness to residents who are at high risk. Specifically, the facility failed to maintain safe and clean equipment, in one of one kitchenette.
  16. D
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 3, 2025
    Inspectors wroteBased on interview, record review, and document review, the facility failed to implement an antibiotic stewardship program which included antibiotic use protocols in accordance with the facility's antibiotic stewardship program for two Residents (#1 and #2), out of a total sample of 13 residents.
  17. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 3, 2025
    Inspectors wroteBased on document review and interview, the facility failed to ensure two Residents (#34 and #27), out of a total sample of five residents reviewed for immunizations, was screened for eligibility to receive the recommended pneumococcal vaccinations, residents/residents' representatives were educated on the benefits and potential side effects of the vaccine, and was offered and administered (if applicable) the vaccine in a timely manner.
May 14, 2024Standard inspection · 10 citations
  1. 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) May 31, 2024
    Inspectors wroteBased on review of the facility's licensed nurse staff schedules, employee punch cards, and interviews, 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 failed to provide at least eight consecutive hours of RN services in the facility over a 24-hour period for 13 days between 3/30/24 and 5/12/24, when no nurse staffing waivers were in place.
  2. E
    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, pattern · Corrected (the home has a date of correction) May 31, 2024
    Inspectors wroteBased on observations, interviews, and records reviewed, for three Residents (#24, #1, and #23), of 12 sampled residents, the facility failed to maintain professional standards of practice. Specifically, the facility failed to: 1. For Resident #24, ensure weekly skin risk assessments were conducted per facility policy and physician's orders; 2. For Resident #26, implement Wound Consultant recommendations; and 3. For Resident #23, to initiate an order for Remeron (antidepressant).
  3. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 31, 2024
    Inspectors wroteBased on observation, interview, and policy review, for four Residents (#20, #26, #31, and #1), of 12 sampled residents, 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 potential transmission of communicable diseases and infections. Specifically, the facility failed to implement Enhanced Barrier Precautions (EBP, an infection control intervention designed to reduce transmission of multidrug-resistant organisms that employs targeted gown and glove use during high contact resident care activities): 1. For Resident #20, who has an indwelling suprapubic urinary catheter, putting him/her at increased risk for infection; 2. For Resident #26, who has a chronic wound and indwelling urinary catheter, putting him/her at increased risk for infection; 3. [...]
  4. E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 31, 2024
    Inspectors wroteBased on record review, policy review, and interview, for five Residents (#15, #18, #20, #26, and #33), of six residents reviewed, the facility failed to provide the pneumococcal vaccinations per the Centers for Disease Control and Prevention (CDC) recommendations and facility policy. Specifically, for Residents #15, #18, #20, #26, and #33, the facility failed to ensure that pneumococcal vaccinations were administered after consent was obtained.
  5. 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) May 31, 2024
    Inspectors wroteBased on observations, interviews, and records reviewed, for one Resident (#1), out of 12 sampled residents, the facility failed to notify Resident #1's Responsible Party of a potential need to alter treatment. Specifically, the facility failed to notify Resident #1's Guardian about the start of a new medication and failed to obtain a Guardian Consent.
  6. 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 · Corrected (the home has a date of correction) May 31, 2024
    Inspectors wroteBased on observations, interviews, policy review, and records reviewed, for three Residents (#11, #23, and #139), out of 12 sampled residents, the facility failed to develop and implement comprehensive care plans to reflect the individual needs of the residents. Specifically, the facility failed: 1. For Resident #11, to develop a care plan for the use of psychotropic medication including antipsychotic and antidepressant medications; and 2. For Resident #23, to develop a care plan for the use of psychotropic medication including antipsychotic, antianxiety, and antidepressant medications; and 3. For Resident #139, to develop a care plan for the use of psychotropic medication including antipsychotic and antidepressant medications.
  7. 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) May 31, 2024
    Inspectors wroteBased on interviews, record review, and policy review, the facility failed to ensure for one Resident (#1), out of a total sample of 12 residents, that the Resident's drug regimen was free from unnecessary drugs. Specifically, the facility failed to ensure an antibiotic was administered for the appropriate duration.
  8. 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) May 31, 2024
    Inspectors wroteBased on records reviewed, policy review, and interviews, for two Residents (#139 and #11), of 12 sampled residents, the facility failed to ensure that each resident's drug regimen was free from unnecessary psychotropic medications. Specifically, the facility failed: 1. For Resident #139, -to ensure an Abnormal Involuntary Movement Scale (AIMS, a clinical outcome checklist completed by a healthcare provider to assess the presence and severity of adverse outcomes, such as abnormal movements of the face, limbs, and body in patients) assessment was completed, and -to ensure an as needed antipsychotic medication was limited to 14 days as required; and 2. For Resident #11, to ensure an AIMS assessment was completed.
  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) May 31, 2024
    Inspectors wroteBased on observation and staff interviews, the facility failed to ensure for one Resident (#26), out of a total sample of 12 residents, that all medications/treatments were properly labeled, stored, and secured to ensure safe administration.
  10. 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) May 31, 2024
    Inspectors wroteBased on records reviewed, policy review, and interviews, for one Resident (#1), out of 12 sampled residents, the facility failed to maintain an accurate medical record in accordance with accepted professional standards and practices. Specifically, for Resident #1, the facility failed to ensure his/her skin checks were documented in the medical record as ordered by the physician.

Fire safety inspections

38 fire safety citations on file: 7 on March 3, 2026, 11 on April 29, 2025, 20 on May 14, 2024.

Every fire safety citation38 citations
  1. F
    Use approved construction type or materials.
    K 161 · March 3, 2026 · Corrected (the home has a date of correction)
  2. F
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · March 3, 2026 · Corrected (the home has a date of correction)
  3. F
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · March 3, 2026 · Corrected (the home has a date of correction)
  4. F
    Have correct number of accessible exits for each story.
    K 241 · March 3, 2026 · Corrected (the home has a date of correction)
  5. F
    Have an enclosure around a vertical opening shaft.
    K 311 · March 3, 2026 · Corrected (the home has a date of correction)
  6. F
    Have simulated fire drills held at unexpected times.
    K 712 · March 3, 2026 · Corrected (the home has a date of correction)
  7. F
    Ensure proper usage of power strips and extension cords.
    K 920 · March 3, 2026 · Corrected (the home has a date of correction)
  8. F
    Use approved construction type or materials.
    K 161 · April 29, 2025 · Corrected (the home has a date of correction)
  9. F
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · April 29, 2025 · Corrected (the home has a date of correction)
  10. F
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · April 29, 2025 · Corrected (the home has a date of correction)
  11. F
    Have correct number of accessible exits for each story.
    K 241 · April 29, 2025 · Corrected (the home has a date of correction)
  12. F
    Have an enclosure around a vertical opening shaft.
    K 311 · April 29, 2025 · 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 · April 29, 2025 · Corrected (the home has a date of correction)
  14. F
    Provide properly protected cooking facilities.
    K 324 · April 29, 2025 · Corrected (the home has a date of correction)
  15. F
    Install properly constructed and protected linen or trash chutes.
    K 541 · April 29, 2025 · Corrected (the home has a date of correction)
  16. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · April 29, 2025 · Corrected (the home has a date of correction)
  17. F
    Ensure proper usage of power strips and extension cords.
    K 920 · April 29, 2025 · Corrected (the home has a date of correction)
  18. D
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · April 29, 2025 · Corrected (the home has a date of correction)
  19. F
    Use approved construction type or materials.
    K 161 · May 14, 2024 · Corrected (the home has a date of correction)
  20. F
    Have correct number of accessible exits for each story.
    K 241 · May 14, 2024 · Corrected (the home has a date of correction)
  21. F
    Have an enclosure around a vertical opening shaft.
    K 311 · May 14, 2024 · Corrected (the home has a date of correction)
  22. F
    Install properly constructed and protected linen or trash chutes.
    K 541 · May 14, 2024 · Corrected (the home has a date of correction)
  23. F
    Have simulated fire drills held at unexpected times.
    K 712 · May 14, 2024 · Corrected (the home has a date of correction)
  24. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · May 14, 2024 · Corrected (the home has a date of correction)
  25. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 14, 2024 · Corrected (the home has a date of correction)
  26. D
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · May 14, 2024 · Corrected (the home has a date of correction)
  27. D
    Establish policies and procedures for medical documentation.
    E 23 · May 14, 2024 · Corrected (the home has a date of correction)
  28. D
    Establish policies and procedures for volunteers.
    E 24 · May 14, 2024 · Corrected (the home has a date of correction)
  29. D
    List the names and contact information of those in the facility.
    E 30 · May 14, 2024 · Corrected (the home has a date of correction)
  30. D
    Provide emergency officials' contact information.
    E 31 · May 14, 2024 · Corrected (the home has a date of correction)
  31. D
    Provide primary/alternate means for communication.
    E 32 · May 14, 2024 · Corrected (the home has a date of correction)
  32. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · May 14, 2024 · Corrected (the home has a date of correction)
  33. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · May 14, 2024 · Corrected (the home has a date of correction)
  34. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · May 14, 2024 · Corrected (the home has a date of correction)
  35. D
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · May 14, 2024 · Corrected (the home has a date of correction)
  36. C
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · May 14, 2024 · Corrected (the home has a date of correction)
  37. C
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · May 14, 2024 · Corrected (the home has a date of correction)
  38. C
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · May 14, 2024 · 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)4.043.863.86
Registered nurses0.400.650.69
All nursing staff on weekends3.873.483.42
Nurse aides2.60
Licensed practical nurses1.04
Nursing staff turnover (share who left in a year)not reported38.2%45.8%
Registered nurse turnovernot reported42.6%42.9%
Administrators who leftnot reported

CMS expects 3.24 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 4.11 on weekdays and 3.87 on weekends, 6% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.14 in April to June 2025 to 4.04 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.040.404.113.87 3.0%1 of 9036
Jul to Sep 20254.060.404.263.54 3.0%0 of 9235
Apr to Jun 20254.140.564.393.53 16.2%1 of 9136
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 Serenity Hill 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
Employed by
Usual shift
Do you get a shift differential?
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
24.516.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
4.70.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
5.41.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.73.53.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
24.915.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.74.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
37.221.415.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.91.91.9
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 Serenity Hill Nursing Center's Medicare short-stay residents. How to read these, and what Medicare pays for.

Went home or back to the community

Not reported

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

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. 19 eligible stays.

Potentially preventable readmissions

11.1% 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. 32 eligible stays.

Infections that led to a hospital stay

Not reported

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

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. 12 eligible stays.

Self-care and mobility 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: 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. 10 residents counted.

Falls with major injury

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: 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. 11 residents counted.

New or worsened pressure ulcers

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: 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. 11 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. 1 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: LONG TERM CENTERS OF WRENTHAM, INC.

NameRoleTypeShareSince
Sweeney, MatthewDirect ownership interestIndividual01/01/2005
Woods, ThomasDirect ownership interestIndividual01/01/2005
Sweeney, MatthewCorporate officerIndividual01/01/2005
Woods, ThomasCorporate officerIndividual03/30/1999
Sweeney, MatthewOperational/managerial controlIndividual01/01/2005

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. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 9 problems in this area, most recently on March 3, 2026: "Provide and implement an infection prevention and control program."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 8 problems in this area, most recently on March 3, 2026: "Ensure services provided by the nursing facility meet professional standards of quality."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on April 29, 2025: "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."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on March 3, 2026: "Give the resident's representative the ability to exercise the resident's rights."

Other nursing homes nearby

Common questions

What is Serenity Hill Nursing Center's Medicare star rating?
CMS rates Serenity Hill Nursing Center 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Serenity Hill Nursing Center get at its last inspection?
11 health deficiencies at the standard inspection on March 3, 2026. The Massachusetts average is 6.8.
Has Serenity Hill Nursing Center been fined?
CMS lists no fines in the last three years.
Does Serenity Hill 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 Serenity Hill Nursing Center?
CMS lists 5 owners and managers. Legal business name: LONG TERM CENTERS OF WRENTHAM, INC.

Sources

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