SHREWSBURY REHABILITATION AND NURSING AT SOUTHGATE
40 JULIO DRIVE, SHREWSBURY, MA 01545 · CCN 225491
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 99
- Avg residents/day
- 93.9
- Phone
- 5088456786
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 | 2024-11-27 | 9 | 8.9 | 9.5 | +0.1 worse |
| 2 | 2023-09-19 | 3 | 10.0 | 9.8 | -7.0 better |
| 3 | 2022-03-11 | 9 | 12.7 | 9.3 | -3.7 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident assessment and care planning | 5 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.01 | 45.0% |
| RN staffing (reported) | 0.55 | 45.0% |
| Total nurse staffing (adjusted) | 3.71 | — |
Fines & penalties
- Total fines
- $7,901
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- ATLAS HEALTHCARE
- Facilities in chain
- 28
- Chain avg overall
- 3.80 / 5
Inspection citations (21)1 actual harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-04 · Health · corrected 2025-11-28
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-11-27 · Health · corrected 2025-01-11
Potential for more than minimal harm
- BF0641Ensure each resident receives an accurate assessment.2024-11-27 · Health · corrected 2025-01-11
Potential for minimal harm
- BF0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.2024-11-27 · Health · corrected 2025-01-11
Potential for minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-11-27 · Health · corrected 2025-01-11
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-11-27 · Health · corrected 2025-01-11
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-27 · Health · corrected 2025-01-11
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.2024-11-27 · Health · corrected 2025-01-11
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.2024-11-27 · Health · corrected 2025-01-11
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-12-06 · Health · corrected 2024-01-07
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-09-19 · Health · corrected 2023-10-20
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-19 · Health · corrected 2023-10-20
Actual harm
- DF0880Provide and implement an infection prevention and control program.2023-09-19 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-08-03 · Health · corrected 2023-08-25
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2022-03-11 · Health · corrected 2022-03-25
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2022-03-11 · Health · corrected 2022-03-25
Potential for more than minimal harm
- BF0732Post nurse staffing information every day.2022-03-11 · Health · corrected 2022-03-25
Potential for 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.2022-03-11 · Health · corrected 2022-03-25
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.2022-03-11 · Health · corrected 2022-03-25
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-03-11 · Health · corrected 2022-03-25
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-03-11 · Health · corrected 2022-03-25
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| SHREWSBURY OPERATIONS HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-05-07 |
| JMH FAMILY LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-05-07 |
| JMH FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-05-07 |
| MLS FAMILY LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-05-07 |
| MLS FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-05-07 |
| SGS FAMILY LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-05-07 |
| SGS FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-05-07 |
| HERZKA, DAVID | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-05-07 |
| LEVY, MICHAEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-05-07 |
| LEVY, MICHAEL | Individual | CORPORATE OFFICER | — | 2024-05-07 |
| SHEIKH, ZAHRA | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2024-05-07 |
| DEMMA, HEATHER | Individual | W-2 MANAGING EMPLOYEE | — | 2024-05-07 |
Other facilities in SHREWSBURY
| 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.