Starfile

Starfile / Massachusetts

MELROSE HEALTHCARE

40 MARTIN STREET, MELROSE, MA 02176 · CCN 225329

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★☆☆ 3
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Limited Liability company
Certified beds
106
Avg residents/day
95.3
Phone
7816657050

Inspection history vs Massachusetts & national averages

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

CycleInspection dateThis facilityMassachusetts avgNational avgvs state
12025-04-09278.99.5+18.1 worse
22024-04-031710.09.8+7.0 worse
32023-02-072312.79.3+10.3 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care9
Resident assessment and care planning3
Nursing and physician services3
Resident rights5
Nutrition and dietary4
Pharmacy service2
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.4536.8%
RN staffing (reported)0.5671.4%
Total nurse staffing (adjusted)3.38

Fines & penalties

Total fines
$49,324
Number of fines
1
Number of penalties
1
Payment denials
0

Chain

Chain
NEXT STEP HEALTHCARE
Facilities in chain
14
Chain avg overall
1.90 / 5

Inspection citations (67)1 actual harm

  1. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-04-09 · Health · corrected 2025-05-05

    Potential for more than minimal harm

  2. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-04-09 · Health · corrected 2025-05-05

    Potential for more than minimal harm

  3. 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.2025-04-09 · Health · corrected 2025-05-05

    Potential for more than minimal harm

  4. 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.2025-04-09 · Health · corrected 2025-05-05

    Potential for more than minimal harm

  5. 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.2025-04-09 · Health · corrected 2025-05-05

    Potential for more than minimal harm

  6. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-09 · Health · corrected 2025-05-05

    Potential for more than minimal harm

  7. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-09 · Health · corrected 2025-05-11

    Potential for more than minimal harm

  8. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-09 · Health · corrected 2025-05-11

    Potential for more than minimal harm

  9. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-09 · Health · corrected 2025-05-05

    Potential for more than minimal harm

  10. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-04-09 · Health · corrected 2025-05-05

    Actual harm

  11. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-09 · Health · corrected 2025-05-05

    Potential for more than minimal harm

  12. DF0692Provide enough food/fluids to maintain a resident's health.2025-04-09 · Health · corrected 2025-05-05

    Potential for more than minimal harm

  13. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-04-09 · Health · corrected 2025-05-05

    Potential for more than minimal harm

  14. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-04-09 · Health · corrected 2025-05-05

    Potential for more than minimal harm

  15. DF0699Provide care or services that was trauma informed and/or culturally competent.2025-04-09 · Health · corrected 2025-05-05

    Potential for more than minimal harm

  16. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-04-09 · Health · corrected 2025-05-05

    Potential for more than minimal harm

  17. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-04-09 · Health · corrected 2025-05-05

    Potential for more than minimal harm

  18. EF0730Observe each nurse aide's job performance and give regular training.2025-04-09 · Health · corrected 2025-05-05

    Potential for more than minimal harm

  19. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-04-09 · Health · corrected 2025-05-05

    Potential for more than minimal harm

  20. 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.2025-04-09 · Health · corrected 2025-05-11

    Potential for more than minimal harm

  21. DF0791Provide or obtain dental services for each resident.2025-04-09 · Health · corrected 2025-05-05

    Potential for more than minimal harm

  22. EF0803Ensure 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.2025-04-09 · Health · corrected 2025-05-05

    Potential for more than minimal harm

  23. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-04-09 · Health · corrected 2025-05-11

    Potential for more than minimal harm

  24. 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.2025-04-09 · Health · corrected 2025-05-05

    Potential for more than minimal harm

  25. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-09 · Health · corrected 2025-05-11

    Potential for more than minimal harm

  26. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-04-09 · Health · corrected 2025-05-05

    Potential for more than minimal harm

  27. DF0880Provide and implement an infection prevention and control program.2025-04-09 · Health · corrected 2025-05-05

    Potential for more than minimal harm

  28. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-04-03 · Health · corrected 2024-05-03

    Potential for more than minimal harm

  29. EF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2024-04-03 · Health · corrected 2024-05-03

    Potential for more than minimal harm

  30. 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.2024-04-03 · Health · corrected 2024-05-03

    Potential for more than minimal harm

  31. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-04-03 · Health · corrected 2024-05-03

    Potential for more than minimal harm

  32. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-04-03 · Health · corrected 2024-05-03

    Potential for more than minimal harm

  33. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-03 · Health · corrected 2024-05-03

    Potential for more than minimal harm

  34. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-04-03 · Health · corrected 2024-05-03

    Potential for more than minimal harm

  35. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-04-03 · Health · corrected 2024-05-03

    Potential for more than minimal harm

  36. DF0679Provide activities to meet all resident's needs.2024-04-03 · Health · corrected 2024-05-03

    Potential for more than minimal harm

  37. DF0685Assist a resident in gaining access to vision and hearing services.2024-04-03 · Health · corrected 2024-05-03

    Potential for more than minimal harm

  38. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-04-03 · Health · corrected 2024-05-03

    Potential for more than minimal harm

  39. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-04-03 · Health · corrected 2024-05-03

    Potential for more than minimal harm

  40. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-04-03 · Health · corrected 2024-05-03

    Potential for more than minimal harm

  41. 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.2024-04-03 · Health · corrected 2024-05-03

    Potential for more than minimal harm

  42. 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.2024-04-03 · Health · corrected 2024-05-03

    Potential for more than minimal harm

  43. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-03 · Health · corrected 2024-05-03

    Potential for more than minimal harm

  44. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-04-03 · Health · corrected 2024-05-03

    Potential for more than minimal harm

  45. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2023-07-26 · Health · corrected 2023-06-29

    Potential for more than minimal harm

  46. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-02-07 · Health · corrected 2023-03-10

    Potential for more than minimal harm

  47. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-02-07 · Health · corrected 2023-03-31

    Potential for more than minimal harm

  48. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-02-07 · Health · corrected 2023-03-10

    Potential for more than minimal harm

  49. FF0584Honor 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.2023-02-07 · Health · corrected 2023-03-10

    Potential for more than minimal harm

  50. EF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-02-07 · Health · corrected 2023-03-10

    Potential for more than minimal harm

  51. DF0637Assess the resident when there is a significant change in condition2023-02-07 · Health · corrected 2023-03-10

    Potential for more than minimal harm

  52. DF0641Ensure each resident receives an accurate assessment.2023-02-07 · Health · corrected 2023-03-10

    Potential for more than minimal harm

  53. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-02-07 · Health · corrected 2023-03-10

    Potential for more than minimal harm

  54. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-02-07 · Health · corrected 2023-03-10

    Potential for more than minimal harm

  55. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-02-07 · Health · corrected 2023-03-10

    Potential for more than minimal harm

  56. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-02-07 · Health · corrected 2023-03-10

    Potential for more than minimal harm

  57. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-02-07 · Health · corrected 2023-03-10

    Potential for more than minimal harm

  58. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-02-07 · Health · corrected 2023-03-10

    Potential for more than minimal harm

  59. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-02-07 · Health · corrected 2023-03-10

    Potential for more than minimal harm

  60. EF0700Try 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.2023-02-07 · Health · corrected 2023-03-10

    Potential for more than minimal harm

  61. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-02-07 · Health · corrected 2023-03-10

    Potential for more than minimal harm

  62. 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.2023-02-07 · Health · corrected 2023-03-10

    Potential for more than minimal harm

  63. DF0759Ensure medication error rates are not 5 percent or greater.2023-02-07 · Health · corrected 2023-03-10

    Potential for more than minimal harm

  64. 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.2023-02-07 · Health · corrected 2023-03-31

    Potential for more than minimal harm

  65. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-02-07 · Health · corrected 2023-03-10

    Potential for more than minimal harm

  66. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-02-07 · Health · corrected 2023-03-31

    Potential for more than minimal harm

  67. EF0880Provide and implement an infection prevention and control program.2023-02-07 · Health · corrected 2023-03-31

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
NEXT STEP HEALTHCARE LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2017-09-01
DELL'ANNO, DAMIANIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST50%2017-09-01
STEPHAN, WILLIAMIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST50%2017-09-01
NEXT STEP HEALTHCARE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2017-09-01
LIKHI, RISHIIndividualOPERATIONAL/MANAGERIAL CONTROL2024-03-16
MUBIRU, HENRYIndividualOPERATIONAL/MANAGERIAL CONTROL2025-01-27
DELL'ANNO, DAMIANIndividualCORPORATE OFFICER2017-09-01
STEPHAN, WILLIAMIndividualCORPORATE OFFICER2017-09-01

Other facilities in MELROSE

NameOverallBeds
ELMHURST HEALTHCARE (THE)★★★★★45

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