Home / Massachusetts / Needham
865 Central Avenue, Needham, MA 02492 · Norfolk County · (781) 444-9910
72 certified beds, about 62 residents a day · Non profit - Corporation · Medicare and Medicaid since 1985
CMS Care Compare ratings, data as of September 1, 2026 · CCN 225281 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 18, 2025, inspectors cited 3 health deficiencies (the Massachusetts average is 6.8, the national average 9.2).
Of 11 health citations since May 2023, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 1 fine totaling $16,153 in the last three years; the largest was $16,153, and the latest is dated January 15, 2025.
24.3% of nursing staff left within the year CMS measured (Massachusetts average 38.2%).
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 11 health citations on file.
Inspectors wroteBased on record reviews and interviews, the facility failed to ensure one Resident (#10), out of a total sample of 18 residents, was free from unnecessary psychotropic medications. Specifically, the facility failed to ensure an as needed (PRN) dose of Seroquel (antipsychotic) was limited to no more than14 days as required.
Inspectors wroteBased on observation, interview, and record review, the facility failed to develop an individualized, person-centered care plan to meet the physical, psychosocial, and functional needs of one Resident (#12), out of a total sample of 18 residents. Specifically, the facility failed to ensure a comprehensive care plan was developed to address the use of psychotropic medication that identified target behaviors and individualized, measurable non-pharmacological interventions and measurable goals of treatment.
Inspectors wroteBased on observation, record review, and staff interview, the facility failed to ensure that for one Resident (#9), of a total sample of 18 residents, that drugs and biologicals used in the facility were labeled accurately and in accordance with the physician's order.
Inspectors wroteBased on records reviewed and interviews, for one of three sampled residents (Resident #1), who was newly admitted to the Facility, was confused, was noted to wander without regard for his/her own safety, the Facility failed to ensure he/she was provided with quality care and services that meet professional standards of practice. When although he/she was assessed by two different nurses upon admission as triggering for placement of a WanderGuard bracelet for safety, a device was not placed on him/her, and despite his/her continual wandering day and night, nursing did not reassess or re-evaluate their decision regarding placement of a WanderGuard. On [DATE], unbeknownst to staff, Resident #1 wandered off his/her unit, took the elevator to the Lobby and exited out the front door of the Facility, undetected by anyone. [...]
Inspectors wroteBased on records reviewed and interviews for one of three sampled residents (Resident #1), who required the assistance of one staff member for ambulation, exhibited increased wandering and exit seeking with the need for frequent redirection by staff for safety, the Facility failed to ensure he/she was provided with the necessary level of staff assistance/supervision to prevent him/her from eloping and sustaining serious injuries. On [DATE], at approximately 6:00 P.M., unbeknownst to staff, Resident #1 wandered off his/her unit, took the elevator to the main lobby, and although there was a Receptionist assigned to and seated in the Lobby, who was responsible for unlocking the main entrance door to let visitors and staff in/out, Resident #1 was able to exit through the main Lobby door, undetected and left the Facility. [...]
Inspectors wroteBased on record review, document review, and interview, the facility failed to implement policies and procedures to ensure residents who were eligibility to receive the recommended pneumococcal vaccine (PCV-20), were offered the vaccination and they or their legal representatives were educated on the benefits and potential side effects of the vaccine in a timely manner for three Residents (#52, #59, and #41), out of a total sample size of five residents reviewed for immunizations.
Inspectors wroteBased on record review and interviews, the facility failed to develop and implement a person-centered plan of care which included care and management for one Resident (#59) who had been determined to exhibit a behavior of wandering and was determined by the staff to be a risk of elopement (an incident when a resident leaves the premises or a safe area without authorization or the necessary supervision to do so safely), out of a total sample of 15 residents.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure their staff wore personal protective equipment (PPE) in accordance with the requirements to prevent unnecessary exposure and the potential spread of COVID-19 infections while providing care and attending to the needs of a COVID-19 positive resident.
Inspectors wroteBased on record review, policy review, and staff interviews, the facility failed to implement and follow their abuse policy related to the need to immediately report an allegation of potential abuse to the Administrator or the Director of Nursing to protect other residents from potential abuse for one Resident (#4), out of a total of 26 sampled residents.
Inspectors wroteBased on record review, policy review, and staff interviews, the facility failed to report allegations of abuse to the state agency in a timely manner for one Resident (#4), out of a total of 26 sampled residents.
Inspectors wroteBased on records reviewed and interview, the facility failed to complete a comprehensive (Annual) Minimum Data Set (MDS) assessment in a timely manner for one Resident (#14) and failed to complete discharge MDS assessments in a timely manner for two Residents (#60 and #46), out of a total sample of 26 residents.
3 fire safety citations on file: 1 on July 11, 2024, 2 on May 18, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| January 15, 2025 | Fine | $16,153 |
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) | not reported | 3.86 | 3.86 |
| Registered nurses | not reported | 0.65 | 0.69 |
| All nursing staff on weekends | not reported | 3.48 | 3.42 |
| Nurse aides | not reported | ||
| Licensed practical nurses | not reported | ||
| Nursing staff turnover (share who left in a year) | 24.3% | 38.2% | 45.8% |
| Registered nurse turnover | 26.9% | 42.6% | 42.9% |
| Administrators who left | 1 |
CMS note on this home's staffing data: The accuracy of the staffing data for this measure could not be validated by CMS.
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 7.06 on weekdays and 6.33 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 6.81 in April to June 2025 to 6.85 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 | 6.85 | 1.45 | 7.06 | 6.33 | 2.2% | 0 of 90 | 62 |
| Oct to Dec 2025 | 7.43 | 1.57 | 7.61 | 6.97 | 1.4% | 0 of 92 | 63 |
| Jul to Sep 2025 | 6.33 | 1.47 | 6.50 | 5.93 | 0.9% | 0 of 92 | 65 |
| Apr to Jun 2025 | 6.81 | 1.37 | 7.05 | 6.22 | 1.0% | 0 of 91 | 66 |
| 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 | 18.9 | 16.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.1 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.4 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.3 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.4 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.4 | 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 | 18.9 | 21.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.0 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.1 | 11.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Skilled Nursing Facility at North Hill (the)'s Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (63.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
63.0% this home
Better than 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. 270 eligible stays.
9.7% 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. 294 eligible stays.
5.7% 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. 176 eligible stays.
70.8% 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. 120 residents counted.
0.7% 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. 144 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. 144 residents counted.
100.0% 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. 91 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: NORTH HILL NEEDHAM, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Barth, Suzanne | Corporate director | Individual | 04/01/2022 | |
| Corsini, Russell | Corporate director | Individual | 04/01/2016 | |
| Creed, Sarah | Corporate director | Individual | 04/01/2015 | |
| Davis, Richard | Corporate director | Individual | 04/01/2016 | |
| Downey, Susan | Corporate director | Individual | 03/31/2024 | |
| Fischer, Stephen | Corporate director | Individual | 04/01/2024 | |
| Goff, Stewart | Corporate director | Individual | 02/12/2025 | |
| Grimes, Kevin | Corporate director | Individual | 04/01/2018 | |
| Handel, Elizabeth | Corporate director | Individual | 04/01/2024 | |
| Hoffmann, Nancy | Corporate director | Individual | 04/01/2017 | |
| Mahoney, William | Corporate director | Individual | 04/01/2024 | |
| Mellace, Susan | Corporate director | Individual | 04/01/2015 | |
| Pingitore, Peter | Corporate director | Individual | 04/01/2024 | |
| Reich Weil, Amy | Corporate director | Individual | 04/01/2018 | |
| Vasconcelles, Martina Anne Oechsle | Corporate director | Individual | 04/01/2016 | |
| Bere, Karalyn | Corporate officer | Individual | 09/15/2024 | |
| Frias, Joseph | Corporate officer | Individual | 07/15/2023 | |
| 4m Building Solutions, LLC | Operational/managerial control | Organization | 07/22/2019 | |
| Sadia's Health and Wellness Consulting, Inc | Operational/managerial control | Organization | 11/08/2021 | |
| Benoit, Paul | Operational/managerial control | Individual | 06/24/2001 | |
| Bermudez, Emily | Operational/managerial control | Individual | 03/06/2023 | |
| Downey, Susan | Operational/managerial control | Individual | 03/28/2022 | |
| Frias, Joseph | Operational/managerial control | Individual | 07/15/2023 | |
| Goff, Stewart | Operational/managerial control | Individual | 02/12/2025 | |
| Merchant, Asif | Operational/managerial control | Individual | 06/01/2023 | |
| Barth, Suzanne | Trustee of the SNF | Individual | 04/01/2022 | |
| Corsini, Russell | Trustee of the SNF | Individual | 04/01/2016 | |
| Creed, Sarah | Trustee of the SNF | Individual | 04/01/2015 | |
| Davis, Richard | Trustee of the SNF | Individual | 04/01/2016 | |
| Fischer, Stephen | Trustee of the SNF | Individual | 04/01/2024 | |
| Grimes, Kevin | Trustee of the SNF | Individual | 04/01/2018 | |
| Handel, Elizabeth | Trustee of the SNF | Individual | 04/01/2024 | |
| Hoffmann, Nancy | Trustee of the SNF | Individual | 04/01/2017 | |
| Mahoney, William | Trustee of the SNF | Individual | 04/01/2024 | |
| Mellace, Susan | Trustee of the SNF | Individual | 04/01/2015 | |
| Pingitore, Peter | Trustee of the SNF | Individual | 04/01/2024 | |
| Reich Weil, Amy | Trustee of the SNF | Individual | 04/01/2018 | |
| Vasconcelles, Martina Anne Oechsle | Trustee of the SNF | Individual | 04/01/2016 | |
| 4m Building Solutions, LLC | Adp of the SNF | Organization | 07/14/2025 | |
| A.v. Powell & Associates, LLC | Adp of the SNF | Organization | 12/15/1999 | |
| Aqueduct Technologies, Inc | Adp of the SNF | Organization | 03/14/2025 | |
| Babson College | Adp of the SNF | Organization | 11/14/1978 | |
| Baker Tilly Us LLP | Adp of the SNF | Organization | 12/16/2024 | |
| Clay & Associates, LLC | Adp of the SNF | Organization | 01/01/2023 | |
| Focus Technology Solutions, Inc | Adp of the SNF | Organization | 01/03/2023 | |
| Health Care Continuum Specialists | Adp of the SNF | Organization | 06/01/2023 | |
| Jensen Hughes, Inc. | Adp of the SNF | Organization | 01/01/2020 | |
| Manufacturers & Traders Trust Company | Adp of the SNF | Organization | 01/25/2012 | |
| Prime Buchholz LLC | Adp of the SNF | Organization | 11/08/2004 | |
| Sadia's Health and Wellness Consulting, Inc | Adp of the SNF | Organization | 07/29/2025 | |
| Benoit, Paul | Adp of the SNF | Individual | 06/24/2001 | |
| Bere, Karalyn | Adp of the SNF | Individual | 09/10/2024 | |
| Bermudez, Emily | Adp of the SNF | Individual | 03/06/2023 | |
| Costa, Natalie | Adp of the SNF | Individual | 09/15/1997 | |
| Downey, Susan | Adp of the SNF | Individual | 03/28/2022 | |
| Frias, Joseph | Adp of the SNF | Individual | 07/15/2023 | |
| Goff, Stewart | Adp of the SNF | Individual | 02/12/2025 | |
| Merchant, Asif | Adp of the SNF | Individual | 06/01/2023 |
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.