Deficiency Index

Campion Health & Wellness, Inc

Weston, Massachusetts · CCN 225656

10 surveys since 2011, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
20
Surveys
10
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2023
’11’15’20’23
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file9/10

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
70
Ownership
Non profit - Church related
Chain
Independent
County
Middlesex
Medicare-certified since
1994

CMS ratings

Overall
5
Health inspection
5
Staffing
5
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=4, floor 20).

Last survey on record

Apr 12, 2023

1,307 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day6.804.13
Registered-nurse hours per resident day2.21—
Annual nurse turnover30.8%30.8%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD—E1100.0%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 1 of the 20 citations on record.

In the surveyor’s words

From the most serious findings on record at Campion Health & Wellness, Inc, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF812Apr 12, 2023

    Based on observation and interview, the facility failed to properly store food items to prevent the risk of foodborne illness. Findings include: During the initial walk through of the kitchen on 4/11/23 at 7:14 A.M., the following observations were made: *An unlabeled container of a brown filling was observed with a date of 3/29 written on it in the walk-in refrigerator. *Two unlabeled containers resembling fruit cocktail with a date of 3/25 in the reach-in refrigerator. The Food Service Director (FSD) said that it was canned fruit cocktail put in a different container. *An unlabeled pan resembling pudding with no date written on it in the walk-in refrigerator. The FSD said it was tapioca pudding. […]

  • No harm, potential for more than minimal, isolatedF690Jan 20, 2022

    Based on observation, record review and interview the facility failed to ensure services were provided for an external urinary catheter according to physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings include: Review of facility's policy titled, Care of Catheters and Drainage Bags, not dated, indicated the following: -Objective: to decrease growth of microorganisms while allowing increased resident mobility, comfort, and dignity. -Drainage bags should be replaced weekly or whenever there is a concern regarding proper completion of cleansing procedures. -Bags must be dated when changed. -Place drainage bag in plastic bag in bedside cabinet next to bed pan. Be sure plastic bag is labeled with resident's name and date. […]

  • No harm, potential for more than minimal, isolatedF692Jan 20, 2022

    Based on interview and record review, the facility failed to address a significant weight loss, for 1 Resident (#8) out of a total sample of 12 residents, until 15 days after the weight loss was identified. Findings include: Review of the facility policy, titled Policy on Weight Monitoring, dated 12/28/21, indicated the following: To ensure nutritional and clinical standards are met, it is the policy of [NAME] Health & Wellness to obtain an accurate weight upon admission, readmission, and continue to be monitored weekly or by MD order throughout the stay in the facility. Procedure *Weekly weights are to be taken by CNA (certified nursing aide) and documented on weekly weight sheets, unless otherwise specified by MD, or per resident choice/ healthcare proxy. […]

  • No harm, potential for more than minimal, isolatedF880Jan 20, 2022

    Based on observation, record review and interview the facility failed to adhere to infection control practices for the care of a urinary catheter for 1 Resident (#20), out of a total sample of 12 residents. Findings include: Review of facility policy titled, Care of Catheters and Drainage Bags, not dated, indicated the following: -Objective: to decrease growth of microorganisms while allowing increased resident mobility, comfort, and dignity. -Replace cap on connection tip and place in plastic bag in bedside cabinet next to bedpan. -Be sure bag is labeled with resident's name and the date. Resident #20 was admitted to the facility in March of 2019 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

Read all 20 findings in full →

Every survey on record

FindingsAt actual harm or above

  • Apr 12, 2023Standard1 finding
  • Jan 20, 2022Standard3 findings
  • Dec 14, 2020Infection control2 findings
  • Aug 25, 2020Infection control1 finding
  • Oct 28, 2019Complaint1 finding
  • May 16, 2019Standard1 finding
  • Jun 11, 2018Standard3 findings
  • Apr 10, 2017Standard3 findings
Show the 2 earlier surveys
  • Dec 18, 2012—1 finding
  • Nov 15, 2011—4 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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