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Home / Massachusetts / Westford

Westford Nursing and Rehabilitation Center

3 Park Drive, Westford, MA 01886 · Middlesex County · (978) 392-1144

123 certified beds, about 106 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1993

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 225586 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 16, 2025, inspectors cited 3 health deficiencies (the Massachusetts average is 6.8, the national average 9.2).

Of 32 health citations since February 2023, 1 was rated as actual harm or immediate jeopardy to residents.

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

Nurses and nurse aides worked 3.59 hours per resident per day, against 3.86 across Massachusetts and 3.86 nationally. Registered nurses accounted for 0.26 of those hours.

52.5% of nursing staff left within the year CMS measured (Massachusetts average 38.2%).

CMS links it to Best Care Services, an affiliated group of 10 nursing homes.

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 32 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
21D
7E
1F
Potential for minimal harm
0A
2B
0C
July 16, 2025Standard inspection · 3 citations
  1. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 29, 2025
    Inspectors wroteBased on interviews and record review, the facility failed to identify and complete a Significant Change in Status (SCSA) Minimum Data Set assessment (MDS) for one Resident (#13), when he/she changed hospice providers and remained in the facility, out of a total sample of 22 residents.
  2. 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) July 29, 2025
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure nursing implemented physician's orders and the recommendations made by therapy services for one Resident (#10) out of a total sample of 22 residents. Specifically, the facility failed to ensure Resident #10 was wearing a soft hand splint as ordered by the physician and as recommended by the therapy department.
  3. 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) July 29, 2025
    Inspectors wroteBased on observations, record review and interviews, the facility failed to provide assistance with Activities of Daily Living (ADLs) for dependent residents for one Resident (#10) out of a total sample of 22 residents. Specifically, the facility failed to ensure Resident #10's fingernails were cut short in his/her right contracted hand.
June 14, 2024Standard inspection · 8 citations
  1. E
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 18, 2024
    Inspectors wroteBased on observation, interview, policy and record review, the facility failed to provide appropriate care, services, and monitoring of a gastrostomy tube (G-tube- a tube that is placed directly into the stomach through an abdominal wall incision for administration of food, fluids, and medication, also referred to as a feeding tube) for two Residents (#57 and #80), for two applicable residents, out of a total sample of 23 residents. Specifically, the facility staff failed to: 1. For Resident #57, provide appropriate care and services to facilitate restoring oral eating skills as possible for the Resident. 2. For Resident #80, verify proper placement of a G-tube every shift to identify and prevent potential complications associated with enteral (passing through the gastrointestinal [GI] tract) feeding.
  2. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2024
    Inspectors wroteBased on record review and interview, the facility failed to notify the Office of the State Long-Term Care Ombudsman in writing, of a transfer or discharge for four Residents (#66, #43, #73, #51) out of a total sample of 23 residents. Specifically: 1. For Resident #66, the facility failed to notify the Office of the State Long-Term Care Ombudsman when the Resident was transferred out of the facility to the hospital on [DATE], 12/22/23, 3/11/24 and 5/15/24. 2. For Resident #43, the facility failed to notify the Office of the State Long-Term Care Ombudsman when the Resident was transferred to the hospital on 3/3/24. 3. For Resident #73, the facility failed to notify the Office of the State Long-Term Care Ombudsman when the Resident was transferred out of the facility to the hospital on [DATE], 2/4/24, and 2/15/24. 4. [...]
  3. D
    Assure that each resident’s assessment is updated at least once every 3 months.
    F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2024
    Inspectors wroteBased on record review and interview, the facility failed to reassess one Resident (#99) out of a total sample of 23 residents, using the quarterly review instrument specified by the State and approved by Centers for Medicare and Medicaid Services (CMS) at least once every three months. Specifically, the facility staff failed to complete a Quarterly Minimum Data Set (MDS) Assessment for Resident #99 when the MDS Assessment was due, which increased the Resident's risk for an unidentified change in status between assessments.
  4. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to complete assessments that accurately reflected the status of two Residents (#103 and #95) out of a total sample of 23 residents. Specifically, facility staff failed to complete: 1. an accurate assessment relative to wandering (aimless walking, getting lost, repetitive pacing) for Resident #103 2. an accurate assessment relative to cognition on the facility's Smoking Assessment for Resident #95.
  5. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2024
    Inspectors wroteBased on interview, record and policy review, the facility failed to provide interdisciplinary team (IDT: professionals from various disciplines who work in collaboration to address a patient with multiple physical and psychological needs. An interdisciplinary team is not just a group of experts implementing separate treatments on a patient. They complement one another's expertise and actively coordinate to work toward shared treatment goals) review and revision of care plans after each Minimum Data Set (MDS) assessment for three Residents (#103, #55, and #61) out of a total sample of 23 residents. Specifically, the facility staff failed to provide IDT review and revision of: 1. Resident #103's care plan following an MDS Assessment completed for the Resident on 3/13/24. 2. Resident #55's care plan following MDS Assessments completed for the Resident on 8/10/23, 2/6/24, and 5/7/24. 3. [...]
  6. 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) July 18, 2024
    Inspectors wroteBased on observation, interview, and policy review, the facility failed to provide an environment that was as free of accidents and hazards as possible for two Residents (#95, #44), out of a total sample of 23 residents. Specifically, the facility staff failed to: 1. For Resident #95, secure a disposable lighter from the Resident after he/she returned from a smoking activity. 2. For Resident # 44, implement monitoring of the Resident during a smoking activity when the Resident had a diagnosis of Seizure Disorder (also known as Epilepsy, a brain condition that causes recurring seizures [sudden, uncontrolled burst of electrical activity in the brain that causes changes in behavior, movements, feelings and level of consciousness]) and was known to have seizures occur while smoking independently.
  7. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide care and services consistent with professional standards for one Resident (#101) out of one applicable resident, out of a total sample of 23 residents, who required dialysis (procedure to remove waste products and excess fluid from the blood when the kidneys stop working properly) treatment. Specifically, the facility staff failed to provide the delivery of meals in coordination with Resident #101's dialysis treatment schedule to ensure that the Resident received meals and/or snacks on dialysis treatment days.
  8. B
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) July 18, 2024
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure that nursing staff implemented and established systems to accurately reconcile controlled medications using acceptable standards of practice on two Units (Edgewood and [NAME]) of three units observed. Specifically, the facility failed to: 1. Maintain documentation of prescription numbers with the date of receipt of controlled substance medications and transfers. 2. Maintain professional standards of practice for discharging and transferring controlled medications within the narcotic book.
May 7, 2024Complaint inspection · 2 citations
  1. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on records reviewed and interviews for one of three sampled residents (Resident #1), who had diagnoses of paraplegia (paralysis of legs and lower body) and Stage IV (wound that has lost full thickness tissue, exposing bone, muscle, or tendon) pressure injury to sacral (lower back) region and required physical assistance from staff for Activities of Daily Living (ADL-bathing, dressing, grooming), the Facility failed to ensure they developed a baseline Care Plan which included minimal healthcare information related to the level of assistance he/she required to complete ADLs within forty-eight hours of admission as required, and per facility policy. Findings Include: [...]
  2. 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 · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on records reviewed and interviews for one of three sampled residents (Resident #1), who had diagnoses of paraplegia (paralysis of the legs and lower body) and Stage IV (wound that has lost full thickness tissue, exposing bone, muscle, or tendon) pressure injury to sacral (lower back) region, and required physical assistance from staff for mobility and positioning, the Facility failed to ensure they maintained a complete and accurate medical record, related to Certified Nurse Aide (CNA) Activity of Daily Living (ADL) Flow Sheets and Positioning Sheets, when daily documentation by CNAs was not consistently completed.
December 5, 2023Standard inspection, Infection control · 2 citations
  1. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · infection control inspection · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wroteBased on policy review, interview, and record review, the facility failed to implement screening (assessing) for signs and symptoms of COVID-19 during a COVID-19 outbreak for one Resident (#3) out of a total sample of five residents. Specifically, for Resident #3, the facility failed to ensure that the Resident was being screened every shift for signs and symptoms of COVID-19 while the unit he/she resided on, was conducting outbreak testing.
  2. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · infection control inspection · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wroteBased on interview, record review, and policy review, the facility failed to offer the Pneumococcal Vaccination as required to one Resident (#4) out of a total sample of five residents. Specifically, for Resident #4, the facility failed to ensure the Resident was offered the Pneumococcal Vaccination at the time of admission or shortly thereafter, putting the Resident at risk for developing facility acquired Pneumonia.
October 25, 2023Complaint inspection · 2 citations
  1. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 22, 2023
    Inspectors wroteBased on records reviewed and interviews for one of three sampled residents (Resident #1), who was admitted to the Facility with a wound that required treatment, the Facility failed to ensure a baseline Care Plan that included minimal healthcare information with instructions related to his/her wound care and treatment needs, was developed and implemented within forty-eight hours of admission as required, and per facility policy. Findings Include: The Facility Policy titled Comprehensive Person-Centered Care Plan, undated, indicated the Facility must develop and implement a baseline Care Plan for each resident that includes the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care. The Policy indicated the baseline care plan must be developed within 48 hours of a resident's admission. [...]
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) November 22, 2023
    Inspectors wroteBased on records reviewed and interviews for one of three sampled residents (Resident #1), who was admitted to the Facility with a wound and had orders for wound care treatments, the Facility failed to ensure they maintained complete and accurate medical records related to nursing documentation for Resident #1's wound care and dressing changes in his/her Treatment Administration Record (TAR), when nurses signed off as having completed dressing changes, but had not, there were wound treatments not signed off on with the TAR left blank and wound care dressing change documentation by nurses did not consistently include descriptions of his/her wound. Findings Include: The Facility Policy titled Charting and Documentation, dated as revised July 2017, indicated treatments and services performed were to be documented in the resident's medical record. [...]
October 17, 2023Complaint inspection · 1 citation
  1. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 10, 2023
    Inspectors wroteBased on records reviewed and interviews for two of three sampled Employee Personnel Records (Certified Nurse Aide #1 and Certified Nurse Aide #2), the Facility failed to ensure that Massachusetts Nurse Aide Registry (NAR)checks were conducted as part of the employees background check upon hire, in accordance with Facility Policy.
February 7, 2023Standard inspection · 14 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) March 14, 2023
    Inspectors wroteBased on policy review, record review, and interview, the facility failed to ensure its staff provided the appropriate care and services related to a pressure ulcer (injury to skin and underlying tissue resulting from prolonged pressure on the skin) for one Resident (#151) out of three sampled closed records. Specifically, the facility failed to ensure its staff (1.) immediately implemented interventions to prevent further skin breakdown, (2.) implemented recommendations from the Wound Care Physician, (3.) revised the care plan to include goals and interventions related to the pressure ulcer and (4.) failed to obtain timely consent from the Resident's Representative for Physician recommended wound debridement (removal of dead tissue).
  2. 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) March 14, 2023
    Inspectors wroteBased on observation, policy review, record review and interview the facility failed to ensure its staff implemented 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 ensure its staff (1a.) washed mops separately from linens, (b.) kept clean linen out of the soiled linen area and (c.) wore appropriate Personal Protective Equipment (PPE) when handling contaminated linen, to avoid the spread of infection and (2.) implement a surveillance plan to identify the potential presence of Legionella (a bacteria that can grow and multiply in moist areas of a building water system and cause lung infections) within the facility.
  3. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 2, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure it's staff developed and/or implemented the plan of care for four Residents (#249, #73, #35 and #78) out of a total sample of 20 residents. Specifically, the facility staff failed to 1) develop a plan of care for the use of an arm sling for Resident #249, 2) implement the use of fall mats for Resident #73, 3) implement a powered air mattress as ordered for Resident #35, and 4) implement non skid socks for Resident #78 .
  4. E
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 2, 2023
    Inspectors wroteBased on record review, and interview, the facility failed to ensure that annual performance evaluations were completed (for Certified Nurse Aides- CNAs), and that regular in-service education was completed based on the outcome of those reviews. Specifically, the facility failed to ensure that two (CNAs) out of five sampled CNAs (#3 and #5) received an annual evaluation/performance review and regular in-service education based on the outcome of those reviews, as required.
  5. E
    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, pattern · Corrected (the home has a date of correction) March 2, 2023
    Inspectors wroteBased on record review and interview the facility failed to ensure that its staff provided pharmaceutical services for seven Residents (#40, #29, #3, #2, #38, #80, and #49) out of a total sample of 20 residents. Specifically, the facility staff failed to ensure that Residents #40, #29, #3, #2, #38, #80 and #49 had monthly pharmacy reviews completed by a licensed pharmacist as required.
  6. E
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    F868 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 2, 2023
    Inspectors wroteBased on record review and interview, the facility and its staff failed to ensure the required members were included in the Quality Assessment and Performance Improvement (QAPI) committee quarterly meetings. Specifically, there was no evidence that the Medical Director attended any of the quarterly QAPI meetings in 2022 as required.
  7. E
    Perform COVID19 testing on residents and staff.
    F886 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 2, 2023
    Inspectors wroteBased on policy review, record review and interview, the facility failed to ensure COVID-19 testing for staff was done in a timely manner, to prevent the spread of infection, during a COVID-19 facility outbreak. Specifically, the facility staff failed to conduct outbreak testing every 48 hours for two staff (Certified Nurse Aide (CNA) #2 and CNA #7) out of three sampled staff during a COVID-19 outbreak.
  8. E
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 2, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure that 12-hours of mandatory in-service education for Certified Nurses Assistants (CNAs) was completed as required annually. Specifically, the facility failed to ensure that 12 hours of mandatory in-service education was completed as required annually for two out of five sampled CNA's (#3 and #5).
  9. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 2, 2023
    Inspectors wroteBased on record review and interview the facility failed to ensure that its staff accurately completed Minimum Data Set (MDS) assessments for three Residents (#40, #43, and #3) out of a total sample of 20 residents. Specifically, the facility staff failed to accurately code for 1.) falls for Resident #40, 2.) current tobacco use for Resident #43, and 3.) the use of diuretic (causing increased passage of urine) medication for Resident #3.
  10. 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) March 2, 2023
    Inspectors wroteBased on record review and interview the facility failed to ensure its staff provided treatment and care in accordance with professional standards of practice for one Resident (#97) out of three sampled closed records. Specifically, the facility failed to ensure its staff (1.) immediately obtained wound treatment orders once a wound was identified (2.) failed to implement a wound treatment as ordered, for several days and (3.) failed to update the care plan with wound goals and interventions.
  11. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 2, 2023
    Inspectors wroteBased on record review, interview and policy review, the facility failed to ensure its staff provided care and services consistent with professional standards for one Resident (#86), who required renal dialysis (a procedure to remove waste products and excess fluid from the body when the kidneys stop working properly) out of a total sample of 20 residents. Specifically, the facility staff failed to 1) obtain a complete physician order for dialysis treatments 2) document monitoring for the Resident's dialysis catheter (a soft plastic tube inserted into a large vein in the chest or neck used to carry blood from the body to the dialysis machine and from the dialysis machine back into the body) 3) maintain complete and accurate communication documentation with the dialysis facility.
  12. 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) March 2, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure its staff monitored for side effects and adverse reactions to medications for one Resident (#38) out of a total sample of 20 residents Specifically, the facility staff failed to monitor for side effects and adverse reactions related to the use of an anticoagulant (medication used to thin out the blood) for Resident #38.
  13. 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) March 14, 2023
    Inspectors wroteBased on observation, policy review and interview the facility failed to ensure that its staff adhered to food safety requirements to prevent foodborne illness. Specifically, the facility staff failed store food in accordance with professional standards in the dry storage room.
  14. B
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) March 2, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure its staff provided a Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage (SNF ABN- a notice to inform a resident or resident representative that skilled Medicare services will no longer be covered and to inform them of the cost they may be responsible to pay), for one Resident (#8) out of three applicable sampled residents.

Fire safety inspections

24 fire safety citations on file: 12 on July 16, 2025, 9 on June 14, 2024, 3 on February 7, 2023.

Every fire safety citation24 citations
  1. F
    Conduct testing and exercise requirements.
    E 39 · July 16, 2025 · Corrected (the home has a date of correction)
  2. F
    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 · July 16, 2025 · Corrected (the home has a date of correction)
  3. F
    Provide properly protected cooking facilities.
    K 324 · July 16, 2025 · Corrected (the home has a date of correction)
  4. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · July 16, 2025 · Corrected (the home has a date of correction)
  5. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 16, 2025 · Corrected (the home has a date of correction)
  6. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · July 16, 2025 · Corrected (the home has a date of correction)
  7. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · July 16, 2025 · Corrected (the home has a date of correction)
  8. F
    Have simulated fire drills held at unexpected times.
    K 712 · July 16, 2025 · Corrected (the home has a date of correction)
  9. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · July 16, 2025 · Corrected (the home has a date of correction)
  10. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · July 16, 2025 · Corrected (the home has a date of correction)
  11. E
    Have an enclosure around a vertical opening shaft.
    K 311 · July 16, 2025 · Corrected (the home has a date of correction)
  12. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 16, 2025 · Corrected (the home has a date of correction)
  13. F
    Implement emergency and standby power systems.
    E 41 · June 14, 2024 · Corrected (the home has a date of correction)
  14. F
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · June 14, 2024 · Corrected (the home has a date of correction)
  15. F
    Have an enclosure around a vertical opening shaft.
    K 311 · June 14, 2024 · Corrected (the home has a date of correction)
  16. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 14, 2024 · Corrected (the home has a date of correction)
  17. F
    Install corridor and hallway doors that block smoke.
    K 363 · June 14, 2024 · Corrected (the home has a date of correction)
  18. F
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · June 14, 2024 · Corrected (the home has a date of correction)
  19. F
    Have simulated fire drills held at unexpected times.
    K 712 · June 14, 2024 · Corrected (the home has a date of correction)
  20. F
    Provide properly sized and located linen or trash receptacles.
    K 754 · June 14, 2024 · Corrected (the home has a date of correction)
  21. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 14, 2024 · Corrected (the home has a date of correction)
  22. F
    Have an enclosure around a vertical opening shaft.
    K 311 · February 7, 2023 · Corrected (the home has a date of correction)
  23. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 7, 2023 · Corrected (the home has a date of correction)
  24. F
    Ensure proper usage of power strips and extension cords.
    K 920 · February 7, 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)3.593.863.86
Registered nurses0.260.650.69
All nursing staff on weekends3.153.483.42
Nurse aides2.10
Licensed practical nurses1.24
Nursing staff turnover (share who left in a year)52.5%38.2%45.8%
Registered nurse turnover66.7%42.6%42.9%
Administrators who left0

CMS expects 3.59 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 3.77 on weekdays and 3.15 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 24.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.27 in April to June 2025 to 3.59 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.590.263.773.15 24.7%0 of 90106
Oct to Dec 20253.580.383.793.05 20.2%0 of 92104
Jul to Sep 20253.180.173.272.97 21.4%1 of 92109
Apr to Jun 20253.270.163.402.95 20.1%0 of 91113
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.

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For Westford Nursing and Rehabilitation Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
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Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMassachusettsUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
24.716.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.20.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.31.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.03.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.61.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
21.715.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.64.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
28.621.415.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
23.125.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
12.511.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.81.91.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.51.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Westford Nursing and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (49.1% 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

49.1% 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. 134 eligible stays.

Potentially preventable readmissions

10.4% 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. 156 eligible stays.

Infections that led to a hospital stay

5.0% 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. 80 eligible stays.

Self-care and mobility at discharge

39.1% 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. 46 residents counted.

Falls with major injury

0.0% this home

Median of homes: Massachusetts0.4% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 70 residents counted.

New or worsened pressure ulcers

2.3% 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. 70 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. 18 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: WESTFORD NURSING AND REHAB BHC OPERATIONS. CMS links this home to Best Care Services, a group of 10 nursing homes averaging 2.3 stars overall.

NameRoleTypeShareSince
Preswest Holding Company LLC5% or greater direct ownership interestOrganization100%08/24/2022
Chapler, YaakovManaging control - governing bodyIndividual02/01/2023
Steinberg, MosheManaging control - governing bodyIndividual02/01/2023
Al-Madi, SamiOperational/managerial controlIndividual02/01/2023
Chapler, YaakovOperational/managerial controlIndividual02/01/2023
Kmon, LaurynOperational/managerial controlIndividual03/29/2023
Levitz, MichaelOperational/managerial controlIndividual08/11/2023
Steinberg, MosheOperational/managerial controlIndividual02/01/2023
Kmon, LaurynAdp of the SNFIndividual03/29/2023
Levitz, MichaelAdp of the SNFIndividual08/11/2023

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.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 11 problems in this area, most recently on July 16, 2025: "Assess the resident when there is a significant change in condition"
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on July 16, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on December 5, 2023: "Provide and implement an infection prevention and control program."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on June 14, 2024: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.15 hours per resident per day, below the Massachusetts average of 3.48.

Other nursing homes nearby

Common questions

What is Westford Nursing and Rehabilitation Center's Medicare star rating?
CMS rates Westford Nursing and Rehabilitation Center 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Westford Nursing and Rehabilitation Center get at its last inspection?
3 health deficiencies at the standard inspection on July 16, 2025. The Massachusetts average is 6.8.
Has Westford Nursing and Rehabilitation Center been fined?
CMS lists no fines in the last three years.
Does Westford Nursing and Rehabilitation Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Westford Nursing and Rehabilitation Center?
CMS lists 10 owners and managers, and links the home to Best Care Services. Legal business name: WESTFORD NURSING AND REHAB BHC OPERATIONS.

Sources

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