Care Village at West Roxbury
5060 WASHINGTON STREET, WEST ROXBURY, MA 02132 · CCN 225499
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 76
- Avg residents/day
- 62.9
- Phone
- 6173235440
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 | 2025-11-14 | 9 | 8.9 | 9.5 | +0.1 worse |
| 2 | 2024-10-31 | 15 | 10.0 | 9.8 | +5.0 worse |
| 3 | 2023-11-07 | 14 | 12.7 | 9.3 | +1.3 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 2 |
| Resident assessment and care planning | 2 |
| Resident rights | 1 |
| Pharmacy service | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.38 | 22.9% |
| RN staffing (reported) | 0.97 | 30.8% |
| Total nurse staffing (adjusted) | 3.61 | — |
Fines & penalties
- Total fines
- $3,418
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- BEAR MOUNTAIN HEALTHCARE
- Facilities in chain
- 8
- Chain avg overall
- 2.80 / 5
Inspection citations (38)
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-11-14 · Health · corrected 2025-12-12
Potential for more than minimal harm
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2025-11-14 · Health · corrected 2025-12-12
Potential for more than minimal harm
- DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-11-14 · Health · corrected 2025-12-12
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.2025-11-14 · Health · corrected 2025-12-12
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-11-14 · Health · corrected 2025-12-12
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2025-11-14 · Health · corrected 2025-12-12
Potential for more than minimal harm
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-11-14 · Health · corrected 2025-12-12
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.2025-11-14 · Health · corrected 2025-12-12
Potential for more than minimal harm
- DF0761Ensure 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.2025-11-14 · Health · corrected 2025-12-12
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-10-31 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-10-31 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-10-31 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-10-31 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2024-10-31 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2024-10-31 · Health · corrected 2024-12-06
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.2024-10-31 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0761Ensure 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.2024-10-31 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-31 · Health · corrected 2024-12-06
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.2024-10-31 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0584Honor 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.2024-08-27 · Health · corrected 2024-09-06
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-06-10 · Health · corrected 2024-07-12
Potential for more than minimal harm
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-06-10 · Health · corrected 2024-07-27
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-06-10 · Health · corrected 2024-07-27
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.2024-05-21 · Health · corrected 2024-06-05
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-11-07 · Health · corrected 2023-12-16
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-11-07 · Health · corrected 2023-12-16
Potential for more than minimal harm
- DF0584Honor 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.2023-11-07 · Health · corrected 2023-12-16
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-11-07 · Health · corrected 2023-12-16
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-07 · Health · corrected 2023-12-16
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-07 · Health · corrected 2023-12-16
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.2023-11-07 · Health · corrected 2023-12-16
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.2023-11-07 · Health · corrected 2023-12-16
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-11-07 · Health · corrected 2023-12-16
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-11-07 · Health · corrected 2023-12-16
Potential for more than minimal harm
- EF0699Provide care or services that was trauma informed and/or culturally competent.2023-11-07 · Health · corrected 2023-12-16
Potential for more than minimal harm
- DF0761Ensure 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.2023-11-07 · Health · corrected 2023-12-16
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2023-11-07 · Health · corrected 2023-12-16
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-11-07 · Health · corrected 2023-12-16
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| BEAR MOUNTAIN HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2018-12-01 |
| DOYLE, THOMAS | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | 2018-12-01 |
| WYNNE, JOHN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | 2018-12-01 |
| ZISKIN, SCOTT | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | 2018-12-01 |
| BEAR MOUNTAIN HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-12-01 |
| AMIRIFELI, SHIDEH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-01 |
| HACKMAN, EVELYN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-15 |
| KAPLAN, MICHAEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-07-18 |
| ZISKIN, SCOTT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-12-01 |
| DOYLE, THOMAS | Individual | CORPORATE OFFICER | — | 2018-12-01 |
| WYNNE, JOHN | Individual | CORPORATE OFFICER | — | 2018-12-01 |
| ZISKIN, SCOTT | Individual | CORPORATE OFFICER | — | 2018-12-01 |
| WEST ROXBURY PROPERTY HOLDINGS LLC | Organization | 5% OR GREATER SECURITY INTEREST | — | 2018-12-01 |
Other facilities in WEST ROXBURY
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.