SERENITY HILL NURSING CENTER
655 DEDHAM ST, WRENTHAM, MA 02093 · CCN 225752
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 44
- Avg residents/day
- 34.6
- Phone
- 5083843400
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 | 2025-04-29 | 17 | 8.9 | 9.5 | +8.1 worse |
| 2 | 2024-05-14 | 10 | 10.0 | 9.8 | at state average |
| 3 | 2023-03-09 | 8 | 12.7 | 9.3 | -4.7 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 3 |
| Resident rights | 3 |
| Nutrition and dietary | 1 |
| Pharmacy service | 3 |
| Environmental | 1 |
| Infection control | 4 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.06 | 58.1% |
| RN staffing (reported) | 0.40 | 40.0% |
| Total nurse staffing (adjusted) | 4.78 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (35)
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-04-29 · Health · corrected 2025-05-31
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2025-04-29 · Health · corrected 2025-05-31
Potential for more than minimal harm
- EF0585Honor 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.2025-04-29 · Health · corrected 2025-06-03
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.2025-04-29 · Health · corrected 2025-06-03
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-04-29 · Health · corrected 2025-06-03
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-29 · Health · corrected 2025-05-31
Potential for more than minimal harm
- EF0699Provide care or services that was trauma informed and/or culturally competent.2025-04-29 · Health · corrected 2025-05-31
Potential for more than minimal harm
- EF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.2025-04-29 · Health · corrected 2025-05-31
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.2025-04-29 · Health · corrected 2025-06-03
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.2025-04-29 · Health · corrected 2025-06-03
Potential for more than minimal harm
- 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.2025-04-29 · Health · corrected 2025-06-03
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.2025-04-29 · Health · corrected 2025-06-03
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-04-29 · Health · corrected 2025-06-03
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2025-04-29 · Health · corrected 2025-06-03
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-04-29 · Health · corrected 2025-06-03
Potential for more than minimal harm
- EF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2025-04-29 · Health · corrected 2025-06-03
Potential for more than minimal harm
- 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.2025-04-29 · Health · corrected 2025-06-03
Potential for more than minimal harm
- DF0551Give the resident's representative the ability to exercise the resident's rights.2024-05-14 · Health · corrected 2024-05-31
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-05-14 · Health · corrected 2024-05-31
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-05-14 · Health · corrected 2024-05-31
Potential for more than minimal harm
- FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2024-05-14 · Health · corrected 2024-05-31
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-05-14 · Health · corrected 2024-05-31
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.2024-05-14 · Health · corrected 2024-05-31
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.2024-05-14 · Health · corrected 2024-05-31
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.2024-05-14 · Health · corrected 2024-05-31
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-05-14 · Health · corrected 2024-05-31
Potential for more than minimal harm
- EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-05-14 · Health · corrected 2024-05-31
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-03-09 · Health · corrected 2023-04-21
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.2023-03-09 · Health · corrected 2023-04-21
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-03-09 · Health · corrected 2023-04-21
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.2023-03-09 · Health · corrected 2023-04-21
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-03-09 · Health · corrected 2023-04-21
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-03-09 · Health · corrected 2023-04-21
Potential for more than minimal harm
- FF0885Report COVID19 data to residents and families.2023-03-09 · Health · corrected 2023-04-21
Potential for more than minimal harm
- DF0909Regularly 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.2023-03-09 · Health · corrected 2023-04-21
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| WOODS, THOMAS | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 67% | 2005-01-01 |
| WOODS, CHARLES | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 13% | 2005-01-01 |
| SWEENEY, MATTHEW | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | 2005-01-01 |
| HARRINGTON, JOHN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | 2005-01-01 |
| HARRINGTON, JOHN | Individual | W-2 MANAGING EMPLOYEE | — | 2005-01-01 |
| SWEENEY, MATTHEW | Individual | W-2 MANAGING EMPLOYEE | — | 2005-01-01 |
| HARRINGTON, JOHN | Individual | CORPORATE OFFICER | — | 2005-01-01 |
| SWEENEY, MATTHEW | Individual | CORPORATE OFFICER | — | 2005-01-01 |
| WOODS, THOMAS | Individual | CORPORATE OFFICER | — | 1999-03-30 |
Other facilities in WRENTHAM
| Name | Overall | Beds |
|---|---|---|
| ALLIANCE HEALTH AT MAPLES | ★★★☆☆ | 144 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.