Above average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Recuperative Services Unit-hebrew Rehab Center during CMS and state inspections, most recent first.
A severely cognitively impaired resident with dementia and an activated HCP had their hair cut by a PCA without consent from the HCA and in a manner contrary to the resident’s cultural beliefs. The facility’s patient rights policy required respect for dignity, individuality, and culture. While providing ADL care, the PCA showered the resident, noted tangled hair, unsuccessfully tried to brush out knots, then used scissors to cut out the tangles, removing several inches of hair and leaving it uneven. The PCA did not notify the nurse, and leadership later confirmed that hair cutting was not within the PCA’s role and that the resident could not consent independently.
The facility did not successfully submit required direct care staffing data to CMS for an entire reporting period. Although the data file was uploaded, the responsible nurse did not verify the submission status for errors, resulting in the data being rejected and the deficiency not being identified in time.
The facility did not complete comprehensive MDS admission assessments within the required 14-day timeframe for multiple residents. Several assessments were completed late, and some were not completed at all by the time of survey. Both the MDS Coordinator and DON confirmed that the assessments were overdue and not in compliance with federal guidelines.
A cook in the facility failed to maintain food safety standards by using contaminated gloves to handle ready-to-eat food during breakfast service. The cook touched various unclean surfaces and continued to use the same gloves to serve food to residents, without changing gloves or washing hands. The Food Service Director acknowledged that staff should change gloves after contamination.
A resident with dysphagia was left unsupervised during meals despite a care plan requiring 100% supervision. Observations showed the resident eating alone, leading to vomiting and difficulty eating. Staff were unaware of the supervision requirement, and the facility lacked a specific policy for meal assistance, though the expectation was to follow the care plan.
A resident with COPD was administered oxygen without a physician's order, as required by professional standards. The facility lacked a policy for oxygen use, and documentation did not reflect the administration of oxygen, despite observations of the resident using it. Both nursing staff and the DON confirmed the absence of a necessary physician's order.
A resident's nasal spray and timolol eye drops were found unsecured in their room, contrary to state and federal requirements. The resident, who was cognitively intact, had not been assessed for self-administration, and there were no orders permitting self-administration. Nursing staff later secured the medications, but conflicting information was provided by the DON and QA Nurse regarding the storage of nasal spray.
A facility failed to accurately code the MDS assessment for a resident, indicating discharge to a hospital instead of home. The resident, with conditions like diabetes and chronic kidney disease, was supposed to be discharged home with therapy services. The MDS Nurse and DON acknowledged the coding error.
Unauthorized Hair Cutting Without Consent for Cognitively Impaired Resident
Penalty
Summary
A resident with dementia and anxiety, admitted in December 2025, was severely cognitively impaired with a BIMS score of 4/15 and had an activated Health Care Proxy as of 12/05/25, meaning the resident could not provide consent for care decisions. The facility’s Patient Rights policy, approved 07/22/25, stated that all patients would be treated fairly with consideration of individual needs and that staff would respect each patient’s rights, individuality, dignity, and culture. Despite this, the resident’s Health Care Agent later reported that, sometime around Christmas while the resident was on the short‑term Recuperative Services Unit, approximately four inches of the resident’s hair had been cut without consent, resulting in an uneven appearance. The Health Care Agent stated that, due to the resident’s cultural background, cutting the resident’s hair was something to which the resident would not have consented. During the facility’s review, a Personal Care Associate (PCA #1) reported that on 12/22/25, during the day shift, she had been assigned to provide care to this resident, who could not make his or her needs known. After showering and washing the resident’s hair, she observed significant tangles and knots. She attempted to brush and untangle the hair but was unable to remove all knots, and then used scissors to cut the knots from the resident’s hair. She did not inform the nurse on duty that she had cut the resident’s hair. The Risk Manager and DON both stated that cutting residents’ hair is not part of a PCA’s role, and the DON confirmed that PCA #1 had cut the resident’s hair on 12/22/25 without obtaining consent from the Health Care Agent, despite the resident’s inability to consent and the facility’s expectation that PCAs consult nursing staff when unsure about residents’ care needs or consent status.
Failure to Submit Required Staffing Data to CMS
Penalty
Summary
The facility failed to electronically submit complete and accurate direct care staffing data to CMS for the entire reporting period of Fiscal Year Quarter 2 2025, as required. Review of the CASPER Report 1705D indicated that no data was submitted for the specified quarter. Although a PBJ data file was uploaded to CMS, the submission report noted that the data would be checked for errors within 24 hours and that the status should be verified in the CASPER system. The Quality and Regulatory Compliance Nurse, who was responsible for the submission, uploaded the data file but did not check the submission status for errors within the required timeframe, as she went on vacation immediately after uploading. As a result, the facility did not identify that the PBJ data submission had been rejected due to errors. The Administrator confirmed that while the data was uploaded on time, the error in the submission was not detected because the verification step was missed. This failure to confirm acceptance of the data led to the facility not meeting the CMS requirement for timely and accurate staffing data submission for the reporting period.
Failure to Complete Timely MDS Admission Assessments
Penalty
Summary
The facility failed to complete comprehensive Minimum Data Set (MDS) assessments within the federally required timeframe for 11 out of 20 sampled residents. According to the Centers for Medicare and Medicaid Services (CMS) guidelines, admission MDS assessments must be completed no later than the 14th calendar day after a resident's admission. However, documentation showed that for these 11 residents, the assessments were completed between 15 and 30 days after admission, or in some cases, not completed at all by the time of the survey. Specific examples include assessments completed 30, 27, 26, 22, 20, and 15 days after admission, and two residents whose assessments were still incomplete more than 20 days post-admission. Interviews with the MDS Coordinator and the Director of Nursing confirmed that the assessments were not completed within the required timeframe. The MDS Coordinator acknowledged being behind on the assessments and confirmed that the required timelines were not met for the identified residents. The Director of Nursing also stated that admission MDS assessments should be completed within 14 days of admission, further confirming the deficiency.
Failure to Maintain Food Safety Standards
Penalty
Summary
The facility failed to adhere to professional standards for food service safety by allowing a cook to handle ready-to-eat food with contaminated gloves. During a breakfast service observation, the cook was seen contaminating his gloves multiple times by touching various unclean surfaces, such as a toaster, hanging ceiling outlets with visible dust, and the bottom of plates. Despite these contaminations, the cook continued to use the same gloves to handle ready-to-eat food items, including muffins and toast, which were then served to residents. The cook did not change his gloves or wash his hands throughout the observation period, which lasted from 7:49 A.M. to 8:03 A.M. The Food Service Director confirmed that staff are expected to change gloves after contamination or when switching tasks. The food prepared with contaminated gloves was intended for residents on the north side of the facility's unit, as confirmed by the food service staff.
Failure to Implement Care Plan for Resident with Dysphagia
Penalty
Summary
The facility failed to implement the care plan for a resident with dysphagia, resulting in a lack of necessary supervision during meals. The resident, who was admitted with diagnoses including failure to thrive and dysphagia, had a care plan and speech therapy evaluation indicating the need for 100% supervision during meals. Despite these documented requirements, the resident was observed eating alone in their room on multiple occasions, without staff within direct sight, which contradicted the care plan's directives. Observations by the surveyor revealed that the resident was left unsupervised during meals, leading to incidents where the resident experienced vomiting and expressed difficulty with eating due to weak arms and inability to see the food. The staff communication board in the resident's room clearly indicated the need for 1:1 setup and support at meals, yet this was not adhered to by the staff. Interviews with the resident confirmed their concerns about swallowing difficulties and the lack of supervision, which was supposed to be provided according to their care plan. Interviews with facility staff, including CNAs and nurses, highlighted a lack of awareness and communication regarding the resident's need for meal supervision. Both CNA #2 and Nurse #3 were unaware of the supervision requirement, despite it being documented in the care plan and on the communication board. The Director of Nursing acknowledged that the interventions listed in the care plan should have been followed, and the Speech Therapist confirmed that the supervision was necessary due to the resident's swallowing difficulties. The facility did not have a specific policy addressing assistance with meals, but the expectation was to provide supervision as indicated in the care plan.
Failure to Obtain Physician's Order for Oxygen Administration
Penalty
Summary
The facility failed to provide respiratory care consistent with professional standards of practice for a resident with chronic obstructive pulmonary disorder (COPD) and other respiratory issues. The deficiency was identified when the facility did not have a policy for oxygen administration and failed to obtain a physician's order for the use of oxygen, which was being actively administered to the resident. The resident's care plan mentioned oxygen per order, but there was no corresponding physician's order or documentation in the Medication Administration and Treatment Administration Records for the use of oxygen. Observations and interviews revealed that the resident was using oxygen through a nasal cannula and an oxygen mask with a nebulizer, with the flow rate set to one liter per minute. Despite the physician's note indicating the continuation of supplemental oxygen, no formal order was written. Both a nurse and the Director of Nurses confirmed the absence of a physician's order for the oxygen administration, acknowledging that such an order was required. The facility's lack of a policy for oxygen use further contributed to the deficiency.
Failure to Secure Medications for Resident
Penalty
Summary
The facility failed to store drugs and biologicals in accordance with State and Federal requirements for a resident who was admitted with diagnoses including bradycardia and spinal stenosis. The resident was cognitively intact, as indicated by a BIMS score of 15 out of 15. During observations, the surveyor noted that the resident's nasal spray and timolol eye drops were left unsecured on the overbed table and nightstand, without a physician's order permitting self-administration. The facility's policy required medications to be stored securely and only accessible to authorized personnel, but the resident's medications were not stored in compliance with these guidelines. Interviews with the resident and nursing staff revealed that the resident had not been assessed for self-administration of medications, and there were no orders for self-administration in the resident's plan of care. The nasal spray and eye drops were later secured in a locked medication box by the nursing staff. The Director of Nursing and the Quality Assurance Nurse provided conflicting information regarding the storage of nasal spray, with the DON stating it could be left at the bedside, while the QA Nurse indicated it should be secured along with the eye drops.
Inaccurate MDS Assessment Coding for Discharge Location
Penalty
Summary
The facility failed to ensure an accurate coding of the Minimum Data Set (MDS) assessment for a resident, leading to a deficiency. The resident, who was admitted with diagnoses including diabetes, chronic kidney disease, and hyponatremia, was discharged from the facility. The MDS assessment dated June 5, 2024, incorrectly indicated that the resident was discharged to a short-term general hospital. However, the Case Management/Social Work Discharge Assessment from June 4, 2024, stated that the resident was to be discharged home with nursing, physical therapy, and occupational therapy services. During interviews, the MDS Nurse acknowledged the error in coding the discharge destination, and the Director of Nursing confirmed that the MDS assessment should be coded according to the Resident Assessment Instrument (RAI) manual.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Boston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Armenian Nursing & Rehabilitation Center | 0.9 mi | ★★★★★ | 2 | 0 |
| Laurel Ridge Rehab And Skilled Care Center | 1.6 mi | ★★★★★ | 0 | 0 |
| German Center For Extended Care | 2.1 mi | ★★★★★ | 6 | 0 |
| Care Village At Parkway | 2.3 mi | ★★★★★ | 14 | 0 |
| Sherrill House | 2.4 mi | ★★★★★ | 9 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.