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Home / Massachusetts / Ashland

Waterview Lodge LLC, Rehabilitation & Healthcare

250 West Union Street, Ashland, MA 01721 · Middlesex County · (508) 848-4200

103 certified beds, about 79 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1994

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 225598 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 25, 2026, inspectors cited 13 health deficiencies (the Massachusetts average is 6.8, the national average 9.2).

None of its 37 health citations since August 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.87 hours per resident per day, against 3.86 across Massachusetts and 3.86 nationally. Registered nurses accounted for 0.68 of those hours.

12.5% of nursing staff left within the year CMS measured (Massachusetts average 38.2%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 37 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
25D
6E
4F
Potential for minimal harm
0A
1B
1C
February 25, 2026Standard inspection · 13 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 11, 2026
    Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to implement professional standards of practice for infection control and prevention for the facility's laundry processing system, ensure hand hygiene was performed before and after a medication administration by one Nurse (#3), and Unit Manager (UM) #3 and Certified Nurse Aide (CNA) #1 while they were distributing breakfast, and Housekeeping staff properly utilized equipment for cleaning of a Transmission Based Precaution (TBP- an infection control standard for residents who may be infected or colonized with certain infectious agents for which additional precautions are needed to prevent infection transmission such as the use of gowns, gloves, eye protection, or masks) room. [...]
  2. 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) April 11, 2026
    Inspectors wroteBased on observations, interviews and document review, the facility failed to ensure residents had access to grievance forms to formulate grievances anonymously on three (Unit Two, Unit Three and Unit Four) out of three units. Specifically, the facility failed to ensure that residents were able to formulate grievances anonymously and had grievance forms easily accessible for the facility residents to complete a grievance without having to rely on the staff to provide them with the form.
  3. E
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 11, 2026
    Inspectors wroteBased on interviews, and record review, the facility failed to ensure that the Minimum Data Set (MDS) Assessment was completed to accurately reflect the status of four Residents (#69, #5, #12, and #57) out of a total sample of 21 residents, increasing each Resident's risk for inaccurate assessments, and ineffective care planning and delivery of care. Specifically, 1. For Resident #69, the facility failed to conduct four consecutive Brief Interview for Mental Status (BIMS) Assessments on three non-comprehensive MDS Assessments and one comprehensive MDS Assessment using the Resident's preferred language (which was not English), when: -none of the facility staff spoke the Resident's preferred language. -an interpreter was not offered for the Resident to complete the Assessments.2. [...]
  4. 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) April 11, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a dignified experience during a medication request for one Resident (#46) out of a total sample of 21 residents. Specifically, the facility failed to ensure that Resident #46 was treated with respect and dignity when Nurse #1 was observed pointing a finger in his/her face and yelling at him/her, resulting in the Resident becoming upset.
  5. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 11, 2026
    Inspectors wroteBased on record review, and interview, the facility failed to accurately execute Advance Directives for two Residents (#1 and #42) out of a total sample of 21 residents. Specifically, the facility failed to:1. For Resident #1, ensure that the MOLST (Massachusetts Medical Order for Life-Sustaining Treatment) form was valid and reflected the signature of Resident #1's legal guardian (someone granted legal authority to care for another person who cannot make decisions independently due to age, illness, disability, or incapacity).2. [...]
  6. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 11, 2026
    Inspectors wroteBased on record reviews, and interviews, the facility failed to ensure that one Resident (#42) out of five applicable residents sampled for unnecessary medications, out of a total sample of 21 residents, was free from unnecessary psychotropic (any drug that affects behavior, mood, thoughts, or perception) medications. Specifically, for Resident #42, the facility failed to ensure that the Physician evaluated the Resident and documented the rationale for the continued use of as needed (PRN) Quetiapine (antipsychotic medication) as recommended by the Pharmacist.
  7. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 11, 2026
    Inspectors wroteBased on record review, and interview, the facility failed to report allegations of abuse to the State Agency as required for one Resident (#3) out of a total sample of 21 residents. Specifically, for Resident #3, the facility failed to:1. report an allegation of abuse to the State Agency after allegations of abuse were reported on a Grievance Form dated 12/12/25.2. ensure that an allegation of abuse was reported to the Department of Public Health (DPH) within two hours as required, after the Director of Nursing (DON) was notified by the surveyor on 2/19/26 that the Resident said Nurse #2 was verbally abusive to him/her, and the verbal abuse allegation was not reported to DPH until 2/20/26 (24 hours later).
  8. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 11, 2026
    Inspectors wroteBased on observations, interviews, and record review, for one Resident (#69) out of a total sample of 21 residents, the facility failed to provide treatment and services consistent with the needs of the Resident relative to communication which increased the Resident's risk for diminished activities of daily living (ADL) abilities. Specifically, for Resident #69, the facility failed to use methods such as the Resident's preferred language to communicate with the Resident regarding ADL care when:-the Resident's preferred language was [specific non-English language].-none of the staff at the facility spoke the Resident's preferred language.-the Resident demonstrated frequent refusal of ADL care.
  9. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 11, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that activities of daily living (ADL's) were provided as required for one Resident (#48) out of a total sample of 21 residents. Specifically, for Resident #48, the facility failed to assist with facial hair removal per Resident preference when the Resident required assistance from staff with personal care and grooming.
  10. D
    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, isolated · Corrected (the home has a date of correction) April 11, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that one Resident (#46) out of a total sample of 21 residents, was free from potential accidental hazards relative to the accessibility of an opioid medication. Specifically, for Resident #46, the facility failed to ensure:-that a prescribed medication, Ultram (Tramadol: an opioid medication) was kept in a secured medication cart and not in the unlocked drawer of the Resident's bedside table.-that the Tramadol medication was not easily accessible to the Resident, other residents, visitors and staff when the medication was left to be administered without Licensed Staff supervision and the Resident was not assessed to safely self-administer the Tramadol medication.
  11. 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) April 11, 2026
    Inspectors wroteBased on interview, and record review, the facility failed to ensure pharmacy recommendations from medication regimen reviews (MRR) were reviewed and addressed timely for two Residents (#8 and #42) out of a total sample of 21 residents. Specifically:1. For Resident #8, the facility failed to ensure that the Pharmacist's recommendation to evaluate the use of Flonase (corticosteroid nasal spray) was addressed in a timely manner by the Physician.2. For Resident #42, the facility failed to ensure that the Pharmacist recommendation for an Abnormal Involuntary Movement Scale (AIMS) assessment (rating scale used to measure involuntary movements of the face, mouth, trunk, or limbs known as tardive dyskinesia (TD) in a resident taking antipsychotic medications) was addressed timely by the Physician.
  12. 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) April 11, 2026
    Inspectors wroteBased on observation, and interview, the facility failed to ensure that drugs and biologicals were stored in accordance with State and Federal requirements on two nursing units (Unit Four and Unit Three) out of three total nursing units, and that expired medications were removed from use in a shared medication storage room for three (Unit Two, Unit Three and Unit Four) out of three medication storage rooms observed. Specifically, the facility failed to:1. ensure that medication carts on Unit Four and Unit Three were locked when the medication carts were unattended, to prevent unauthorized personnel and residents access to medications on and in the medication carts.2. [...]
  13. 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) April 11, 2026
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to maintain an accurate medical record for one Resident (#69) out of a total sample of 21 residents, relative to Resident behaviors for refusal of care, increasing the Resident's risk for ineffective behavior monitoring, behavior assessment, and the implementation of interventions to address the Resident's behavioral needs. Specifically, facility staff failed to document instances of Resident #69's refusal of care when:-Facility staff identified Resident #69 had frequent refusal of care.-The surveyor observed Resident #69 refuse care from facility staff when care was offered to the Resident.
October 29, 2024Standard inspection · 13 citations
  1. F
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    F809 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 8, 2024
    Inspectors wroteBased on interview, record review, and observation, the facility failed to offer each Resident a nourishing snack at bedtime when more than 14 hours elapsed between the substantial evening meal and breakfast the following day. Specifically, the facility failed to offer each Resident items from the basic food groups, either singly or in combination with each other, at bedtime when 15 hours elapsed daily between the scheduled substantial evening meal and breakfast the following day.
  2. F
    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, widespread · Corrected (the home has a date of correction) November 22, 2024
    Inspectors wroteBased on record review, and interview, the facility failed to offer COVID-19 vaccines, in accordance with national standards of practice to five Residents (#31, #8, #55, #68, and #64) of five applicable residents reviewed, out of a total sample of 18 residents. Specifically, the facility failed to offer COVID-19 vaccines to the eligible residents when: -The Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) recommended an additional dose of updated (2023-2024 formula) of COVID-19 vaccine be administered for older adults,aged [AGE] years and older. -The COVID-19 vaccine was not medically contraindicated and Resident's #31, #8, #55, #68, and #64 had not already been immunized with the recommended additional COVID-19 vaccine dose.
  3. E
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 8, 2024
    Inspectors wroteBased on record review, and interview, the facility failed to ensure that Minimum Data Set (MDS) Assessments were coded accurately for four Residents (#74, #9, #49, and #71) out of a total sample of 18 residents. Specifically, the facility failed to: 1. For Resident #74, ensure the most recent MDS was coded accurately relative to a fall event. 2. For Resident #9, ensure the most recent MDS was coded accurately relative to the use of a restraint. 3. For Resident #49, ensure the MDS assessment was coded accurately relative to a diagnosis of Chronic Obstructive Pulmonary Disease (COPD: a chronic lung disease that causes obstructed airflow from the lungs that leads to respiratory problems including difficulty breathing, shortness of breath and wheezing) and Oxygen use. 4. [...]
  4. E
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 8, 2024
    Inspectors wroteBased on observation, interview, record review and policy review, the facility failed to adhere to professional standards of practice to ensure that significant medication errors did not occur for four Residents (#33, #81, #21, and #22) out of four applicable residents, out of a total sample of 18 residents. Specifically, the facility failed to ensure that an appropriate process was in place for identifying Residents during the medication pass procedure for Resident's #33, #81, #21, and #22.
  5. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 8, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a clean, safe, comfortable, and homelike environment for one Resident (#23) out of a total sample of 18 residents. Specifically, the facility failed to ensure that Resident #23's wheelchair was maintained in a clean, safe, and homelike condition when the Resident's wheelchair was observed to have a damaged left armrest.
  6. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 8, 2024
    Inspectors wroteBased on record and policy review, and interview, the facility failed to investigate an incident of physical aggression for two Residents (#49 and #54) out of a total sample of 18 residents. Specifically, the facility failed to appropriately investigate a resident-to-resident altercation involving Resident #49 and Resident #54 and/or assess any potential impact resulting for both Residents.
  7. 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) December 8, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a comprehensive care plan was initiated for the care and services of three Residents (#72, #64 and #74), out of a total sample of 18 Residents. Specifically, the facility failed to: 1. For Resident #72, develop a comprehensive care plan addressing the care and services needed relative to the Resident's cognitive loss and Dementia (a group of conditions characterized by impairment of at least two brain functions, such as memory and loss of judgment). 2. For Resident #64, develop comprehensive care plans when the Minimum Data Set (MDS) Assessment triggered for cognitive loss for the Resident. 3. For Resident #74, assess and revise the Resident's Care Plan to include measurable goals for falls prevention after the Resident sustained a fall with injury.
  8. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 8, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide care and services according to professional standards of practice relative to indwelling suprapubic catheter (Foley/a flexible tube placed through a surgical incision through the abdominal wall into the bladder to drain urine) for one Resident (#30) out of a total sample of 18 residents. Specifically, the facility failed to ensure that the correct size suprapubic urinary catheter had been placed for Resident #30 as ordered, placing the Resident at increased risk for bladder irritation, infection and pain.
  9. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 8, 2024
    Inspectors wroteBased on observation, interview, policy and record review, the facility failed to provide respiratory care and services in accordance with professional standards of practice for one Resident (#49), out of a total sample of 18 residents. Specifically, for Resident #49, the facility failed to notify the Physician and administer Oxygen as ordered when the Oxygen liter flow rate (the rate of supplemental Oxygen delivered through an oxygen delivery device) being set for the Resident was not as ordered by the Physician.
  10. 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) December 8, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that medications were stored in a secure and safe manner, according to professional standards of practice for one Resident (#30), out of a total sample of 18 residents. Specifically, the facility failed to adhere to safe medication storage practices when wound care medications were left in an unlocked drawer in Resident #30's room.
  11. 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) December 8, 2024
    Inspectors wroteBased on observation, interview, and policy review, the facility failed to maintain a clean and sanitary environment in the facility main kitchen where food items were prepared and stored for resident consumption. Specifically, the facility failed to ensure all staff wore hair restraints while in the facility kitchen and in the vicinity of food preparation areas to prevent contamination and the spread of infections.
  12. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 22, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to adhere to infection prevention and control program standards for two Residents (#292, and #287) out of a total sample of 18 residents, to help prevent the development and transmission of infections. Specifically, the facility failed to: 1. Implement Contact Precautions for Resident #292, when the Resident was re-admitted to the facility with Methicillin-Resistant Staphylococcus Epidermidis (MRSE: form of Methicillin-Resistant Staphylococcus Aureus [MRSA: type of bacteria that is contagious, resistant to several antibiotics, and if left untreated, can cause sepsis or death] drug-resistant form of staph bacteria that may be difficult to treat due to their resistance to methicillin and other common antibiotics) which increased the risk for transmission of MRSE infection in the facility. 2. [...]
  13. B
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) December 8, 2024
    Inspectors wroteBased on observation and interview, the facility failed to post required nurse staffing information on a daily basis. Specifically, the facility failed to include the resident census information on the daily posting for the facility nurse staffing.
August 14, 2023Standard inspection · 11 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 27, 2023
    Inspectors wroteBased on observations, interviews, record and policy reviews, the facility failed to implement an infection prevention and control program to provide a sanitary environment and help prevent the development and transmission of communicable diseases. Specifically, the facility failed to develop policies and procedures and implement a water a management program to minimize the risk of Legionella and other opportunistic waterborne pathogens. Findings Include: Review of the Centers for Medicare and Medicaid Services (CMS) QSO-17-30 memo titled, Requirement to Reduce Legionella Risk in Healthcare Facility Water Systems to Prevent Cases and Outbreaks of Legionaire's Disease (LD), last revised 7/6/18 indicated the following: -Legionella Infections: The bacterium Legionella can cause a serious type of pneumonia called LD in persons at risk. [...]
  2. E
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 27, 2023
    Inspectors wroteBased on observation, documentation review and interview, the facility failed to implement resident-centered, meaningful, and engaging activity programming for all residents on one unit and failed to provide one Resident (#45) out of a total sample of 18 residents, an activity program that engaged the Resident and supported their physical, mental, and psychosocial well-being. Specifically, the facility failed: 1. To provide resident-centered, meaningful, and engaging activities to residents on the fourth floor. 2. To ensure facility sponsored group activities were offered to support the psychosocial well-being of the residents, including Resident #45.
  3. 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) September 27, 2023
    Inspectors wroteBased on record review and interview, the facility failed to provide education, assess for eligibility, and offer Pneumococcal Vaccinations per the Centers for Disease Control and Prevention (CDC) recommendations and facility policy for three Residents (#68, #27, and #86) out of a total sample of five residents. Specifically, the facility failed to ensure that staff offered, assessed, and provided education on the recommended 20-Valent Pneumococcal Conjugate Vaccine (PCV20) (an active immunizing agent used to prevent infection caused by certain types of pneumococcal bacteria). Findings Include: Review of the facility policy titled Pneumococcal Vaccine, revised 2/13/23, indicated the following: -The facility will incorporate guidelines and standards as recommended by the Centers for Disease Control for Pneumococcal Vaccinations. [...]
  4. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 27, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure that its staff honored the rights of one Resident (#40) to formulate advanced directives (an individual's wishes regarding medical treatment), out of a total sample of 18 residents. Specifically, the facility staff executed a Medical Order for Life-Sustaining Treatment (MOLST - a medical order form that converts an individual's wishes regarding life-sustaining treatment into medical orders) form with the Resident's Representative when the Resident continued to be capable of making their own health care decisions.
  5. 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) September 27, 2023
    Inspectors wroteBased on record review and interview, the facility failed to implement the plan of care for one Resident (#86) out of a total sample of 18 residents. Specifically, the facility failed to ensure that its staff implemented a comprehensive plan of care relative to routine behavior monitoring for Resident #86.
  6. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 27, 2023
    Inspectors wroteBased on policy review, record review and interview, the facility failed to provide care and treatment in accordance with professional standards of practice for two Residents (#4 and #33) out of a total sample of 18 residents. Specifically, 1. For Resident #4, the facility staff failed to ensure that its staff scheduled a Gastroenterologist (GI) appointment as ordered, for evaluation and management. 2. For Resident #33, the facility failed to monitor regular bowel patterns and implement a bowel regimen (a plan to prevent or treat constipation by following certain habits and using medications if needed) based on those patterns.
  7. D
    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, isolated · Corrected (the home has a date of correction) September 27, 2023
    Inspectors wroteBased on observation, record review and interview, the facility failed to provide an adequate level of assistance to prevent an accident for one Resident (#21) out of a total sample of 18 residents. Specifically, the facility staff failed to ensure that Resident #21's breakfast meal was reheated in a safe manner and the food temperature was checked before providing the meal to the Resident.
  8. D
    Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
    F741 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 27, 2023
    Inspectors wroteBased on observation, record review and interview, the facility failed to provide individualized care plan interventions to meet the behavioral health needs of one Resident (#45) out of a total sample of 18 residents. Specifically, for Resident #45 the facility staff failed to implement non-pharmacological interventions and provide care plan interventions when the resident was having increased behavioral needs.
  9. 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) September 27, 2023
    Inspectors wroteBased on record review, policy review and interview, the facility failed to monitor for side effects and adverse reactions of a medication for one Resident (#27), out of a total sample of 18 Residents. Specifically, the facility staff failed to monitor for side effects and adverse events related to the use of an anti-platelet medication (used to thin blood to prevent a stroke or heart attack).
  10. 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) September 27, 2023
    Inspectors wroteBased on documentation review and interview, the facility failed to maintain appropriate standards for safe and sanitary food storage, and sanitary hand hygiene during meal service.
  11. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) September 27, 2023
    Inspectors wroteBased on observation and interview, the facility failed to maintain the daily posting of nursing staffing data with current information in a prominent and accessible place for residents and visitors. Findings Include: During an observation on 8/10/23 at 3:30 P.M., the surveyor could not locate staffing data posted in the facility. During an interview on 8/10/23 at 3:33 P.M., the facility Receptionist said that she had a daily staffing schedule which was kept in a binder behind the reception desk and not posted for residents or visitors. The Receptionist said that she was not aware of any other staffing document to be posted. During an observation on 8/11/23 at 7:04 A.M., the surveyor observed a staffing posting dated 8/10/23 at front desk in clear plastic stand but it was not readily accessible for Residents or visitors. [...]

Fire safety inspections

32 fire safety citations on file: 2 on February 25, 2026, 28 on October 29, 2024, 2 on August 14, 2023.

Every fire safety citation32 citations
  1. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · February 25, 2026 · Corrected (the home has a date of correction)
  2. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 25, 2026 · Corrected (the home has a date of correction)
  3. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · October 29, 2024 · Corrected (the home has a date of correction)
  4. F
    Conduct risk assessment and an All-Hazards approach.
    E 6 · October 29, 2024 · Corrected (the home has a date of correction)
  5. F
    Develop a communication plan.
    E 29 · October 29, 2024 · Corrected (the home has a date of correction)
  6. F
    Establish methods for sharing information.
    E 33 · October 29, 2024 · Corrected (the home has a date of correction)
  7. F
    Conduct testing and exercise requirements.
    E 39 · October 29, 2024 · Corrected (the home has a date of correction)
  8. F
    Implement emergency and standby power systems.
    E 41 · October 29, 2024 · Corrected (the home has a date of correction)
  9. 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 · October 29, 2024 · Corrected (the home has a date of correction)
  10. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 29, 2024 · Corrected (the home has a date of correction)
  11. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · October 29, 2024 · Corrected (the home has a date of correction)
  12. F
    Have elevators that firefighters can control in the event of a fire.
    K 531 · October 29, 2024 · Corrected (the home has a date of correction)
  13. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 29, 2024 · Corrected (the home has a date of correction)
  14. E
    Provide properly protected cooking facilities.
    K 324 · October 29, 2024 · Corrected (the home has a date of correction)
  15. E
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · October 29, 2024 · Corrected (the home has a date of correction)
  16. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · October 29, 2024 · Corrected (the home has a date of correction)
  17. E
    Provide a written emergency evacuation plan.
    K 711 · October 29, 2024 · Corrected (the home has a date of correction)
  18. E
    Have proper medical gas storage and administration areas.
    K 923 · October 29, 2024 · Corrected (the home has a date of correction)
  19. D
    Address subsistence needs for staff and patients.
    E 15 · October 29, 2024 · Corrected (the home has a date of correction)
  20. D
    Establish policies and procedures for volunteers.
    E 24 · October 29, 2024 · Corrected (the home has a date of correction)
  21. D
    Provide emergency officials' contact information.
    E 31 · October 29, 2024 · Corrected (the home has a date of correction)
  22. D
    Establish emergency prep training and testing.
    E 36 · October 29, 2024 · Corrected (the home has a date of correction)
  23. D
    Establish staff and initial training requirements.
    E 37 · October 29, 2024 · Corrected (the home has a date of correction)
  24. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · October 29, 2024 · Corrected (the home has a date of correction)
  25. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · October 29, 2024 · Corrected (the home has a date of correction)
  26. D
    Have an enclosure around a vertical opening shaft.
    K 311 · October 29, 2024 · Corrected (the home has a date of correction)
  27. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · October 29, 2024 · Corrected (the home has a date of correction)
  28. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · October 29, 2024 · Corrected (the home has a date of correction)
  29. D
    Have simulated fire drills held at unexpected times.
    K 712 · October 29, 2024 · Corrected (the home has a date of correction)
  30. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · October 29, 2024 · Corrected (the home has a date of correction)
  31. D
    Implement emergency and standby power systems.
    E 41 · August 14, 2023 · Corrected (the home has a date of correction)
  32. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 14, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeMassachusettsUnited States
All nursing staff (RN, LPN and aides)3.873.863.86
Registered nurses0.680.650.69
All nursing staff on weekends3.463.483.42
Nurse aides2.46
Licensed practical nurses0.73
Nursing staff turnover (share who left in a year)12.5%38.2%45.8%
Registered nurse turnover16.7%42.6%42.9%
Administrators who left0

CMS expects 3.25 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 4.04 on weekdays and 3.46 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.82 in April to June 2025 to 3.87 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.870.684.043.46 0.0%0 of 9079
Oct to Dec 20253.890.634.113.36 0.0%0 of 9279
Jul to Sep 20253.740.583.923.28 0.0%1 of 9281
Apr to Jun 20253.820.533.983.41 0.0%0 of 9180
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 Waterview Lodge LLC, Rehabilitation & Healthcare. 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
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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
7.716.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.90.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.71.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.23.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
12.51.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
6.315.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.84.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
41.521.415.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
26.525.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
11.111.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.21.91.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.81.51.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Waterview Lodge LLC, Rehabilitation & Healthcare's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (48.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

48.8% this home

No different from the national rate

US median of homes 51.5% · Massachusetts: 121 better, 19 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 61 eligible stays.

Potentially preventable readmissions

11.0% 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. 95 eligible stays.

Infections that led to a hospital stay

8.8% 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. 70 eligible stays.

Self-care and mobility at discharge

57.1% this home

Median of homes: Massachusetts51.6% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 49 residents counted.

Falls with major injury

4.6% 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. 65 residents counted.

New or worsened pressure ulcers

2.9% 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. 65 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. 4 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: WATERVIEW LODGE LLC.

NameRoleTypeShareSince
Waterview Lodge LLC5% or greater direct ownership interestOrganization12/15/2015
Desai, Indira5% or greater direct ownership interestIndividual12/15/2015
Desai, IndiraW-2 managing employeeIndividual12/15/2015
Desai, IndiraCorporate officerIndividual12/15/2015
Desai, IndiraOperational/managerial controlIndividual12/15/2015

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on February 25, 2026: "Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 5 problems in this area, most recently on February 25, 2026: "Provide and implement an infection prevention and control program."
  3. 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 February 25, 2026: "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."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on February 25, 2026: "Ensure each resident receives an accurate assessment."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.46 hours per resident per day, below the Massachusetts average of 3.48.

Other nursing homes nearby

Common questions

What is Waterview Lodge LLC, Rehabilitation & Healthcare's Medicare star rating?
CMS rates Waterview Lodge LLC, Rehabilitation & Healthcare 3 out of 5 stars overall, with 2 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Waterview Lodge LLC, Rehabilitation & Healthcare get at its last inspection?
13 health deficiencies at the standard inspection on February 25, 2026. The Massachusetts average is 6.8.
Has Waterview Lodge LLC, Rehabilitation & Healthcare been fined?
CMS lists no fines in the last three years.
Does Waterview Lodge LLC, Rehabilitation & Healthcare 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 Waterview Lodge LLC, Rehabilitation & Healthcare?
CMS lists 5 owners and managers. Legal business name: WATERVIEW LODGE LLC.

Sources

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