ANDOVER MANOR REHAB AND NURSING
89 MORTON STREET, ANDOVER, MA 01810 · CCN 225294
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 174
- Avg residents/day
- 120.9
- Phone
- 9784750944
Inspection history vs Massachusetts & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Massachusetts avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-09 | 20 | 8.9 | 9.5 | +11.1 worse |
| 2 | 2024-01-17 | 17 | 10.0 | 9.8 | +7.0 worse |
| 3 | 2022-12-15 | 22 | 12.7 | 9.3 | +9.3 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 4 |
| Resident assessment and care planning | 8 |
| Nursing and physician services | 1 |
| Resident rights | 3 |
| Nutrition and dietary | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.49 | 43.9% |
| RN staffing (reported) | 0.44 | 62.5% |
| Total nurse staffing (adjusted) | 3.50 | — |
Fines & penalties
- Total fines
- $9,311
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- STERN CONSULTANTS
- Facilities in chain
- 22
- Chain avg overall
- 2.60 / 5
Inspection citations (59)3 actual harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-01-09 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0578Honor 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.2025-01-09 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2025-01-09 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-01-09 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-01-09 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2025-01-09 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-01-09 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-01-09 · Health · corrected 2025-02-07
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-09 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-01-09 · Health · corrected 2025-02-07
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-01-09 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0660Plan the resident's discharge to meet the resident's goals and needs.2025-01-09 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-01-09 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-01-09 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-01-09 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-01-09 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-01-09 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-01-09 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0809Ensure 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.2025-01-09 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-01-09 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-01-17 · Health · corrected 2024-03-12
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-01-17 · Health · corrected 2024-03-12
Potential for more than minimal harm
- CF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-01-17 · Health · corrected 2024-03-12
Potential for minimal harm
- BF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-01-17 · Health · corrected 2024-03-12
Potential for minimal harm
- DF0585Honor 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.2024-01-17 · Health · corrected 2024-03-12
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-17 · Health · corrected 2024-03-12
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-01-17 · Health · corrected 2024-03-12
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-01-17 · Health · corrected 2024-03-12
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-17 · Health · corrected 2024-03-12
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-01-17 · Health · corrected 2024-03-12
Potential for more than minimal harm
- EF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-01-17 · Health · corrected 2024-03-12
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-01-17 · Health · corrected 2024-03-12
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-01-17 · Health · corrected 2024-03-12
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2024-01-17 · Health · corrected 2024-03-12
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-01-17 · Health · corrected 2024-03-12
Potential for more than minimal harm
- EF0761Ensure 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.2024-01-17 · Health · corrected 2024-03-12
Potential for more than minimal harm
- DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2024-01-17 · Health · corrected 2024-03-12
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-09-27 · Health · corrected 2023-10-31
Potential for more than minimal harm
- GF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-17 · Health · corrected 2023-05-12
Actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-17 · Health · corrected 2023-05-12
Actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-12-15 · Health · corrected 2023-01-23
Potential for more than minimal harm
- DF0578Honor 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.2022-12-15 · Health · corrected 2023-01-23
Potential for more than minimal harm
- EF0584Honor 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.2022-12-15 · Health · corrected 2023-01-23
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-12-15 · Health · corrected 2023-01-23
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2022-12-15 · Health · corrected 2023-01-23
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-12-15 · Health · corrected 2023-01-23
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-12-15 · Health · corrected 2023-01-23
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2022-12-15 · Health · corrected 2023-01-23
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-12-15 · Health · corrected 2023-01-23
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-12-15 · Health · corrected 2023-01-23
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2022-12-15 · Health · corrected 2023-01-23
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-12-15 · Health · corrected 2023-01-23
Actual harm
- DF0692Provide enough food/fluids to maintain a resident's health.2022-12-15 · Health · corrected 2023-01-23
Potential for more than minimal harm
- DF0693Ensure 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.2022-12-15 · Health · corrected 2023-01-23
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2022-12-15 · Health · corrected 2023-01-23
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-12-15 · Health · corrected 2023-01-23
Potential for more than minimal harm
- FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-12-15 · Health · corrected 2023-01-23
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-12-15 · Health · corrected 2023-01-23
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-12-15 · Health · corrected 2023-01-23
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ERBLICH, AVRAHAM | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 24% | 2023-10-16 |
| ETN FAMILY HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2023-10-16 |
| TLCO HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2023-10-16 |
| FRIEDMAN, SHANA | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 11% | 2023-10-16 |
| STERN, BEZALEL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 9% | 2023-10-16 |
| ERBLICH, AVRAHAM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-10-16 |
Other facilities in ANDOVER
| Name | Overall | Beds |
|---|---|---|
| Vantage at Andover LLC | ★★★☆☆ | 135 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.