Starfile / Massachusetts

MEDWAY COUNTRY MANOR SKILLED NURSING & REHABILITAT

115 HOLLISTON STREET, MEDWAY, MA 02053 · CCN 225412

SFF Candidate

Inspection history vs Massachusetts & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$191,151

Number of fines

3

Number of penalties

3

Payment denials

0

Chain

Chain

SHIMON LEFKOWITZ

Facilities in chain

5

Chain avg overall

2.80 / 5

Inspection citations (86)4 immediate jeopardy2 actual harm

1. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-02-05 · Health · corrected 2025-02-25

   Potential for more than minimal harm

2. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-02-05 · Health · corrected 2025-02-25

   Potential for more than minimal harm

3. LF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-01-29 · Health · corrected 2025-02-13

   Immediate jeopardy

4. LF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2025-01-29 · Health · corrected 2025-02-13

   Immediate jeopardy

5. LF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-01-29 · Health · corrected 2025-02-13

   Immediate jeopardy

6. LF0880Provide and implement an infection prevention and control program.2025-01-29 · Health · corrected 2025-02-13

   Immediate jeopardy

7. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-11-25 · Health · corrected 2025-01-07

   Potential for more than minimal harm

8. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-11-25 · Health · corrected 2025-01-07

   Potential for more than minimal harm

9. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-25 · Health · corrected 2025-01-07

   Potential for more than minimal harm

10. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-11-25 · Health · corrected 2025-01-07

    Potential for more than minimal harm

11. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-11-25 · Health · corrected 2025-01-07

    Potential for more than minimal harm

12. DF0699Provide care or services that was trauma informed and/or culturally competent.2024-11-25 · Health · corrected 2025-01-07

    Potential for more than minimal harm

13. EF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2024-11-25 · Health · corrected 2025-01-07

    Potential for more than minimal harm

14. FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-11-25 · Health · corrected 2025-01-07

    Potential for more than minimal harm

15. FF0730Observe each nurse aide's job performance and give regular training.2024-11-25 · Health · corrected 2025-01-07

    Potential for more than minimal harm

16. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-11-25 · Health · corrected 2025-01-07

    Potential for more than minimal harm

17. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-11-25 · Health · corrected 2025-01-07

    Potential for more than minimal harm

18. 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.2024-11-25 · Health · corrected 2025-01-07

    Potential for more than minimal harm

19. DF0759Ensure medication error rates are not 5 percent or greater.2024-11-25 · Health · corrected 2025-01-07

    Potential for more than minimal harm

20. 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.2024-11-25 · Health · corrected 2025-01-07

    Potential for more than minimal harm

21. EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2024-11-25 · Health · corrected 2025-01-07

    Potential for more than minimal harm

22. EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-11-25 · Health · corrected 2025-01-07

    Potential for more than minimal harm

23. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-25 · Health · corrected 2025-01-07

    Potential for more than minimal harm

24. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-11-25 · Health · corrected 2025-01-07

    Potential for more than minimal harm

25. DF0924Put firmly secured handrails on each side of hallways.2024-11-25 · Health · corrected 2025-01-07

    Potential for more than minimal harm

26. FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-11-25 · Health · corrected 2025-01-07

    Potential for more than minimal harm

27. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-07-02 · Health · corrected 2024-08-06

    Potential for more than minimal harm

28. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-07-02 · Health · corrected 2024-08-06

    Potential for more than minimal harm

29. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-07-02 · Health · corrected 2024-08-06

    Potential for more than minimal harm

30. DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2024-01-09 · Health · corrected 2024-02-13

    Potential for more than minimal harm

31. GF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-08-22 · Health · corrected 2023-09-22

    Actual harm

32. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-22 · Health · corrected 2023-09-22

    Potential for more than minimal harm

33. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-08-22 · Health · corrected 2023-09-22

    Actual harm

34. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-08-22 · Health · corrected 2023-09-22

    Potential for more than minimal harm

35. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-08-10 · Health · corrected 2023-09-15

    Potential for more than minimal harm

36. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-08-10 · Health · corrected 2023-09-15

    Potential for more than minimal harm

37. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-08-10 · Health · corrected 2023-09-15

    Potential for more than minimal harm

38. DF0637Assess the resident when there is a significant change in condition2023-08-10 · Health · corrected 2023-09-15

    Potential for more than minimal harm

39. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-08-10 · Health · corrected 2023-09-15

    Potential for more than minimal harm

40. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-10 · Health · corrected 2023-09-15

    Potential for more than minimal harm

41. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-08-10 · Health · corrected 2023-09-15

    Potential for more than minimal harm

42. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-08-10 · Health · corrected 2023-09-15

    Potential for more than minimal harm

43. DF0685Assist a resident in gaining access to vision and hearing services.2023-08-10 · Health · corrected 2023-09-15

    Potential for more than minimal harm

44. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-08-10 · Health · corrected 2023-09-15

    Potential for more than minimal harm

45. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-08-10 · Health · corrected 2023-09-15

    Potential for more than minimal harm

46. 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.2023-08-10 · Health · corrected 2023-09-15

    Potential for more than minimal harm

47. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-08-10 · Health · corrected 2023-09-15

    Potential for more than minimal harm

48. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-08-10 · Health · corrected 2023-09-15

    Potential for more than minimal harm

49. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-08-10 · Health · corrected 2023-09-15

    Potential for more than minimal harm

50. DF0699Provide care or services that was trauma informed and/or culturally competent.2023-08-10 · Health · corrected 2023-09-15

    Potential for more than minimal harm

51. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-08-10 · Health · corrected 2023-09-15

    Potential for more than minimal harm

52. 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.2023-08-10 · Health · corrected 2023-09-15

    Potential for more than minimal harm

53. EF0759Ensure medication error rates are not 5 percent or greater.2023-08-10 · Health · corrected 2023-09-15

    Potential for more than minimal harm

54. 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.2023-08-10 · Health · corrected 2023-09-15

    Potential for more than minimal harm

55. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-08-10 · Health · corrected 2023-09-15

    Potential for more than minimal harm

56. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-08-10 · Health · corrected 2023-09-15

    Potential for more than minimal harm

57. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-08-10 · Health · corrected 2023-09-15

    Potential for more than minimal harm

58. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-08-10 · Health · corrected 2023-09-15

    Potential for more than minimal harm

59. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-03-20 · Health · corrected 2023-04-27

    Potential for more than minimal harm

60. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2022-06-15 · Health · corrected 2022-08-18

    Potential for more than minimal harm

61. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2022-06-15 · Health · corrected 2022-08-18

    Potential for more than minimal harm

62. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-06-15 · Health · corrected 2022-08-18

    Potential for more than minimal harm

63. DF0610Respond appropriately to all alleged violations.2022-06-15 · Health · corrected 2022-08-18

    Potential for more than minimal harm

64. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-06-15 · Health · corrected 2022-08-08

    Potential for more than minimal harm

65. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-06-15 · Health · corrected 2022-08-08

    Potential for more than minimal harm

66. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-06-15 · Health · corrected 2022-08-08

    Potential for more than minimal harm

67. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-06-15 · Health · corrected 2022-08-08

    Potential for more than minimal harm

68. FF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-06-15 · Health · corrected 2022-08-08

    Potential for more than minimal harm

69. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-06-15 · Health · corrected 2022-08-08

    Potential for more than minimal harm

70. 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.2022-06-15 · Health · corrected 2022-08-08

    Potential for more than minimal harm

71. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-06-15 · Health · corrected 2022-08-08

    Potential for more than minimal harm

72. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-06-15 · Health · corrected 2022-08-08

    Potential for more than minimal harm

73. EF0758Implement 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.2022-06-15 · Health · corrected 2022-08-08

    Potential for more than minimal harm

74. DF0760Ensure that residents are free from significant medication errors.2022-06-15 · Health · corrected 2022-08-08

    Potential for more than minimal harm

75. FF0761Ensure 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.2022-06-15 · Health · corrected 2022-08-08

    Potential for more than minimal harm

76. FF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2022-06-15 · Health · corrected 2022-08-08

    Potential for more than minimal harm

77. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-06-15 · Health · corrected 2022-08-08

    Potential for more than minimal harm

78. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-06-15 · Health · corrected 2022-08-08

    Potential for more than minimal harm

79. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2022-06-15 · Health · corrected 2022-08-18

    Potential for more than minimal harm

80. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-06-15 · Health · corrected 2022-08-18

    Potential for more than minimal harm

81. DF0880Provide and implement an infection prevention and control program.2022-06-15 · Health · corrected 2022-08-08

    Potential for more than minimal harm

82. FF0885Report COVID19 data to residents and families.2022-06-15 · Health · corrected 2022-08-08

    Potential for more than minimal harm

83. FF0886Perform COVID19 testing on residents and staff.2022-06-15 · Health · corrected 2022-08-08

    Potential for more than minimal harm

84. CF0888Ensure staff are vaccinated for COVID-192022-06-15 · Health · corrected 2022-08-18

    Potential for minimal harm

85. FF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.2022-06-15 · Health · corrected 2022-08-08

    Potential for more than minimal harm

86. DF0910Ensure resident rooms meet each resident's needs.2022-06-15 · Health · corrected 2022-08-08

    Potential for more than minimal harm

Ownership

Other facilities in MEDWAY

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.