Home / Massachusetts / Newton Upper Falls
277 Elliot Street, Newton Upper Falls, MA 02464 · Middlesex County · (617) 562-0023
82 certified beds, about 76 residents a day · Non profit - Other · Medicare and Medicaid since 1995
CMS Care Compare ratings, data as of September 1, 2026 · CCN 225683 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 11, 2026, inspectors cited 5 health deficiencies (the Massachusetts average is 6.8, the national average 9.2).
Of 23 health citations since February 2024, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $16,195 in the last three years; the largest was $16,195, and the latest is dated February 6, 2024.
Nurses and nurse aides worked 3.89 hours per resident per day, against 3.86 across Massachusetts and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.
29.0% 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 23 health citations on file.
Inspectors wroteBased on observations and interview the facility failed to maintain an infection prevention and control program designed to provide a safe and sanitary environment and to help prevent the development and transmission of communicable diseases and infections on two of two units. Specifically:1. The facility failed to disinfect vital sign machines between residents.2. The facility failed to ensure staff opened personal milk cartons in a sanitary manner.
Inspectors wroteBased on observation, record review and interview, the facility failed to develop and implement a comprehensive person- centered care plan for two Residents (#34 and #66) out of a total sample of 21 residents. Specifically,1. For Resident #34 the facility failed to develop a comprehensive person-centered care plan within seven days of completing the Admission/ 5-day Minimum Data Set assessment.2. For Resident #66 the facility failed to implement the use of ted stockings (compression stockings) and Geri-sleeves (used to protect fragile skin).
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure assistance with Activities of Daily Living (ADLs) was provided for one Resident (#34) out of a total sample of 21 residents. Specifically, for Resident #34 the facility failed to provide supervision/ touching assistance with meals as per the plan of care.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide care and maintenance of a Peripherally Inserted Central Catheter (PICC: a flexible tube inserted through a vein in one's arm and passed through to the larger veins near the heart, used to deliver medications intravenously [IV] ), consistent with professional standards of practice for one Resident (#6), out of a total sample of 21 residents. Specifically, for Resident #6, the facility failed to ensure that the insertion site was able to be visualized.
Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure that respiratory care and services, consistent with professional standards of practice, were provided for one Resident (#73) out of a sample of 21 residents. Specifically, for Resident #73, the facility failed to provide oxygen to the Resident as indicated in the physician's orders.
Inspectors wroteBased on observations, record reviews and interviews, the facility failed to ensure it was free from a medication error rate of greater than 5% when two out of two nurses observed made ten errors out of 33 opportunities, resulting in a medication error rate of 30.3%. Those errors impacted two Residents (#44 and #76) out of two residents observed. Specifically, 1. For Resident # 44, Nurse #5 administered the wrong dose of Mucinex. 2. For Resident #76, Nurse #3 omitted nine medications, three of those medications were controlled substances and administered an as needed medication in replacement of a scheduled medication when the Resident did not ask for an as needed medication.
Inspectors wroteBased on observation and interview, the facility failed to properly follow sanitation and food handling practices to prevent the risk of foodborne illness in accordance with professional standards for food service safety. Review of the facility policy titled Food Handling, undated, indicated the following: - Food will be stored, prepared, handled and served so that the risk of foodborne illness is minimized. Critical Factors in Foodborne Illness 1. This facility recognizes that the critical factors implicated in foodborne illness are: c. Contaminated equipment; and d. Unsafe food sources. Minimizing Foodborne Illness 2. With these factors as the primary focus of preventative measures, this facility strives to minimize the risk of foodborne illness to our residents. Employee Training in Food Handling Practices 3. [...]
Inspectors wroteBased on observations, record review, and interviews, the facility failed to keep one Resident (#68) free from verbal abuse out of a total sample of 19 residents. Specifically, Nurse #8 threatened to move Resident (#68) to the TV room alone if the resident did not stop yelling.
Inspectors wroteBased on observation, interview, and records reviewed, the facility failed to meet professional standards of practice for two Residents (#21 and #8 ) out of a total of sample of 19 residents. Specifically, 1. For Resident #21, the facility failed to clarify two physician orders for a Lidocaine patch (a patch used to treat pain) prior to administration. 2. For Resident #8, the facility failed to ensure an air mattress was checked for proper function as per the physician's orders.
Inspectors wroteBased on observation, interview and records reviewed, the facility failed to provide treatment and care in accordance with professional standards of practice for one Resident (#282), out of a total sample of 19 residents. Specifically, the facility failed to follow physician orders to obtain daily weights for a resident with a diagnosis of congestive heart failure (a condition when the heart muscle doesn't pump blood as well as it should causing a potential for fluid buildup/weight gain), and administer a diuretic (medication used to eliminate excess fluid) if weight is elevated, when Resident #282 was found to have a seven pound weight gain in two days. Findings Include: Review of the facility policy titled Weight Assessment and Intervention, undated, included but was not limited to: [...]
Inspectors wroteBased on observation, record review and interview the facility failed to ensure respiratory care services were provided in accordance with standards of professional practice for 2 Residents (#12 and #57), out of a total sample of 19 residents. Specifically, 1. For Resident #12 the facility failed to ensure the CPAP (a CPAP is Continuous Positive Airway Pressure, a non-invasive respiratory treatment used to treat sleep apnea and other respiratory conditions) was administered in accordance with the medical plan of care, the provider was notified that the CPAP was not administered as ordered, and failed to ensure the CPAP equipment was clean and, 2. For Resident #57 the facility failed to ensure a person-centered care plan was developed for the use of supplemental oxygen.
Inspectors wroteBased on record review and interview, the facility failed to ensure that a recommendation made by the Consultant Pharmacist during the Monthly Medication Review (MMR) was addressed for one Resident (#31), of five residents reviewed, out of a total sample of 19 residents. Specifically, the facility failed to inform the provider that Resident #31's medications were not evaluated by the psychiatric services provider.
Inspectors wroteBased on observations, interviews and policy review, the facility failed to ensure staff stored drugs and biologicals in accordance with State and Federal laws. Specifically, 1. The facility failed to ensure medication carts were locked when unattended on the first-floor unit. 2. The facility failed to ensure drugs and biologicals were stored in locked compartments and that only authorized personnel have access to the medication on the first-floor unit.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to maintain accurate medical records for two Residents (#21 and #74 ), out of a total sample of 19 residents. Specifically, 1. The facility failed to accurately document they administered a physician ordered medication when they did not, and 2. The facility failed to document the daily fluids consumed by the Resident on the day shift.
Inspectors wroteBased on observation, record review and interview the facility failed for one Resident (#12), to complete the Minimum Data Set (MDS) assessment that accurately reflects the Resident's status, out of a total sample of 20 residents. Specifically, the MDS assessment indicated Resident #12 was receiving hospice care services, when he/she was not.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure comprehensive resident centered care plans were developed for two Residents (#10, and #221) out of a total sample of 20 Residents. Specifically the facility failed to; 1.) develop an individualized comprehensive resident centered care plan related to the monitoring and care of a pacemaker for Resident #10 and Resident #221.
Inspectors wroteBased on record review, policy review and interviews, the facility failed to meet professional standards of quality for one Resident (#24) out of a total sample of 20 residents. Specifically, for Resident #24, the facility failed to implement physician's orders to notify the Physician or Nurse Practitioner of a weight change.
Inspectors wroteBased on observation, record review, and interview the facility failed for one Resident (#14), to provide activities of daily living, out of a total sample of 20 residents. Specifically, for Resident #14, who is assessed to be dependent on staff for daily care, the staff failed to provide fingernail care.
Inspectors wroteBased on observations, interviews, and record review for one Resident (#171), out of 20 total sampled residents, the facility failed to provide the necessary treatment and services to prevent the development and promote healing of pressure ulcers. Specifically, the facility failed to implement a physician's order to offload the heels of Resident #171, who has a stage 3 pressure ulcer on his/her left heel.
Inspectors wroteBased on observations, interviews and record review, the facility failed to provide food in a form to meet the needs of one Resident (#47) out of a sample of 20 Residents. Specifically, the facility failed to provide a soft and bite sized diet as ordered by the physician and provide the International Dysphagia Diet Standardization Initiative (IDDSI) level 6 diet as indicated by Speech Language Pathology. Findings Include: Review of the facility policy titled Nutrition - Clinical Protocol, undated, indicted the following: - The Physician will authorize, and the staff will implement appropriate general or cause-specific interventions, as indicated, with careful consideration of the following: - Chewing and swallowing abnormalities: [...]
Inspectors wroteBased on observation, record review and interview the facility failed to implement procedures to ensure the prevention of infection for one Resident (#65), out of three applicable residents who have an indwelling urinary catheter (a flexible tube used to empty the bladder and collect urine in a drainage bag), out of a total sample of 20 residents.
Inspectors wroteBased on records reviewed and interviews, for one of three sampled residents (Resident #1), whose Plan of Care indicated that he/she required the use of a Spryte lift (mobility stand aid that supports a person's body weight to help them stand up from a seated position) with assistance of two staff members for transfers from chair to bed, the Facility failed to ensure nursing staff implemented and followed interventions identified in his/her Plan of Care while meeting his/her needs to transfer, when on 01/14/24, Certified Nurse Aide (CNA) #1 transferred Resident #1 from his/her wheelchair into bed without the use of a Spryte lift and without another staff member present to assist her. [...]
Inspectors wroteBased on records reviewed and interviews for one of three sampled residents (Resident #1), who required the use of a Spryte lift (mobility stand aid that supports a person's body weight to help them stand up from a seated position) with assistance of two staff members for transfers from chair to bed, the Facility failed to ensure he/she was provided with the necessary level of staff assistance and assistive device to maintain his/her safety, in an effort to prevent an incident/accident resulting in an injury, when on 01/14/24, Certified Nurse Aide (CNA) #1 transferred Resident #1 from wheelchair into bed without the use of a Spryte lift and without another staff member present to assist her. [...]
3 fire safety citations on file: 3 on May 2, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| February 6, 2024 | Fine | $16,195 |
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) | 3.89 | 3.86 | 3.86 |
| Registered nurses | 0.64 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.49 | 3.48 | 3.42 |
| Nurse aides | 2.29 | ||
| Licensed practical nurses | 0.96 | ||
| Nursing staff turnover (share who left in a year) | 29.0% | 38.2% | 45.8% |
| Registered nurse turnover | 0.0% | 42.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.13 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 4.05 on weekdays and 3.49 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.87 in April to June 2025 to 3.89 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 | 3.89 | 0.64 | 4.05 | 3.49 | 4.7% | 0 of 90 | 76 |
| Oct to Dec 2025 | 3.74 | 0.67 | 3.87 | 3.41 | 4.5% | 0 of 92 | 78 |
| Jul to Sep 2025 | 3.78 | 0.71 | 3.92 | 3.41 | 6.3% | 0 of 92 | 78 |
| Apr to Jun 2025 | 3.87 | 0.69 | 4.03 | 3.48 | 4.0% | 0 of 91 | 76 |
| 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 | 11.8 | 16.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.4 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.6 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.7 | 15.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.7 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.5 | 21.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.8 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.7 | 11.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.3 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Stone Rehabilitation and Senior Living's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (68.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
68.0% 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. 119 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. 145 eligible stays.
6.9% 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. 83 eligible stays.
32.7% 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. 101 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. 146 residents counted.
0.5% 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. 146 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. 65 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: STONE INSTITUTE AND NEWTON HOME FOR AGED PEOPLE.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Alexander, Michael | Corporate director | Individual | 06/01/2018 | |
| Lipresti, Nicholas | Corporate director | Individual | 04/24/2024 | |
| Lochiatto, Joyce | Corporate director | Individual | 06/01/2017 | |
| Mamuya, Wilfred | Corporate director | Individual | 06/01/2021 | |
| Quintana, Jaime | Corporate director | Individual | 04/24/2024 | |
| Shepler, Christopher | Corporate director | Individual | 06/01/2020 | |
| Alexander, Michael | Corporate officer | Individual | 06/01/2018 | |
| Berman, Adam | Corporate officer | Individual | 03/28/2023 | |
| Lipresti, Nicholas | Corporate officer | Individual | 06/18/2025 | |
| Quintana, Jaime | Corporate officer | Individual | 06/18/2025 | |
| Santerre, Jennifer | Corporate officer | Individual | 03/28/2023 | |
| Shepler, Christopher | Corporate officer | Individual | 06/01/2020 | |
| Chelsea Jewish Lifecare Inc | Operational/managerial control | Organization | 03/28/2023 | |
| Alexander, Michael | Operational/managerial control | Individual | 06/01/2018 | |
| Alley, Suzanne | Operational/managerial control | Individual | 07/13/2020 | |
| Berman, Adam | Operational/managerial control | Individual | 03/28/2023 | |
| Blake, Edward | Operational/managerial control | Individual | 10/23/2023 | |
| Carreiro, Silvio | Operational/managerial control | Individual | 04/06/2015 | |
| Charles, Naissa | Operational/managerial control | Individual | 01/15/2024 | |
| Crescenzo, Donna | Operational/managerial control | Individual | 03/28/2023 | |
| Dubreiul, Darci | Operational/managerial control | Individual | 06/01/2025 | |
| Lipresti, Nicholas | Operational/managerial control | Individual | 04/24/2024 | |
| Lochiatto, Joyce | Operational/managerial control | Individual | 06/01/2017 | |
| Mamuya, Wilfred | Operational/managerial control | Individual | 06/21/2021 | |
| Merchant, Asif | Operational/managerial control | Individual | 01/01/2016 | |
| Mullen, Elizabeth | Operational/managerial control | Individual | 03/28/2023 | |
| Pallas, Gregory | Operational/managerial control | Individual | 01/20/1984 | |
| Quintana, Jaime | Operational/managerial control | Individual | 04/24/2024 | |
| Santerre, Jennifer | Operational/managerial control | Individual | 03/28/2025 | |
| Shepler, Christopher | Operational/managerial control | Individual | 06/01/2020 | |
| Chelsea Jewish Lifecare Inc | Adp of the SNF | Organization | 07/11/2025 | |
| Alley, Suzanne | Adp of the SNF | Individual | 07/13/2020 | |
| Blake, Edward | Adp of the SNF | Individual | 10/23/2023 | |
| Carreiro, Silvio | Adp of the SNF | Individual | 04/06/2015 | |
| Charles, Naissa | Adp of the SNF | Individual | 01/15/2024 | |
| Crescenzo, Donna | Adp of the SNF | Individual | 03/28/2023 | |
| Merchant, Asif | Adp of the SNF | Individual | 01/01/2016 | |
| Mullen, Elizabeth | Adp of the SNF | Individual | 03/28/2023 | |
| Pallas, Gregory | Adp of the SNF | Individual | 01/20/1984 | |
| Santerre, Jennifer | Adp of the SNF | Individual | 03/28/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.