Deficiency Index

Eliot Center for Health and Rehabilitation

Natick, Massachusetts · CCN 225516

15 surveys since 2011, 3 of them producing a finding at harm level or worse.

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

Citations on record
107
Surveys
15
Harm or worse
3
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse3

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file9/15

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

The facility

Certified beds
114
Ownership
For profit - Limited Liability company
Chain
AZURE HEALTHCARE
County
Middlesex
Medicare-certified since
1990

CMS ratings

Overall
3
Health inspection
3
Staffing
3
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 80 for-profit facilities of 100–127 beds in Massachusetts.

Last survey on record

Jun 9, 2026

153 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 day3.713.64
Registered-nurse hours per resident day0.36—
Annual nurse turnover40.5%40.7%

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 minimalD3571.4%E1122.4%F12.0%
No harm, potential for minimalA—B24.1%C—
CMS’s current file: 49 of the 107 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6413×

    Ensure each resident receives an accurate assessment.

  • F6573×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F5842×

    Honor 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.

In the surveyor’s words

From the most serious findings on record at Eliot Center for Health and Rehabilitation, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Nov 21, 2023

    Based on observations, interviews and policy reviews, the facility failed to ensure that staff maintained a clean and sanitary facility kitchen. Specifically, the facility staff failed to ensure that: 1) food for resident consumption was stored appropriately to prevent contamination and were labeled and dated. 2) glove use and handwashing were performed to prevent potential contamination of food items. 3) hair restraints were worn to prevent potential physical contamination of food. 4) dishware used for resident meals/functions were clean and free of residue and debris. 5) an issue with the facility dish machine was identified when the minimum temperatures and sanitation requirements were not obtained as required. […]

  • No harm, potential for more than minimal, patternF657Jan 21, 2025

    Based on interview, and record review, the facility failed to ensure that the Resident and/or Resident Representative was provided the right to participate in the care planning process for four Residents (#40, #89, #57 and #22) out of a total sample of 19 residents. Specifically, for Resident #40, #89, #57 and #22, the facility failed to ensure that: -quarterly care plan meetings were conducted as required -the Resident/Resident Representative were invited to participate in the care planning process. -the Interdisciplinary Team (IDT) met quarterly in 2024 to review the plan of care as required. […]

  • No harm, potential for more than minimal, patternF732Jan 21, 2025

    Based on observation, and interview, the facility failed to post the required nurse staffing information daily as required. Specifically, the facility failed to: -post daily nurse staffing information in a prominent place, that was readily accessible to facility residents and visitors. -retain a copy of staffing records for 18 months as required. Findings include: During the facility recertification survey the surveyor observed no daily nursing staff information posted on the following days: -1/13/25 -1/14/25 -1/15/25 During an interview on 1/15/25 at 9:27 A.M., the Administrator said he knew the nurse staffing information should be posted in a prominent area, and he would find out where it was posted. […]

  • No harm, potential for more than minimal, patternF812Jan 21, 2025

    Based on observation, and interview, the facility failed to follow professional standards of practice for food safety and sanitation to prevent foodborne illness to residents. Specifically, the facility failed to: 1. Discard spoiled food and food that was past the use by date, and label and date prepared food. 2. Distribute and serve food in the main dining room under sanitary conditions. Findings include: 1. Review of the facility policy and procedure manual Chapter 3: Food Production and Food Safety, undated, indicated: -Refrigerated food storage, all foods should be covered, labeled and dated. All foods will be checked to assure that foods (including leftovers) will be consumed by their safe use by dates or frozen (where applicable) or discarded. […]

  • No harm, potential for more than minimal, patternF550Nov 21, 2023

    Based on observations, interviews, record and policy review, the facility failed to ensure provide dignity with resident communal dining on one unit (Fourth Floor Unit), out of a total of three units observed. The facility also failed to ensure that one Resident (#40) out of a total sample of 20 residents, was provided dignity and privacy relative to medical care. Specifically, the facility staff failed to: 1) provide residents on the Fourth Floor Unit dignity during dining when disposable cups were provided during meals, the meals in the communal dining room were served on resident meal trays, and residents who were seated at the same table were not provided their meals at the same time. […]

Read 23 findings in full →The most serious and the most recent: 23 of 107 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 9, 2026Complaint2 findings
  • Apr 21, 2026Complaint1 finding
  • Apr 14, 2026Standard4 findings
  • Jan 21, 2025Standard13 findings
  • Nov 21, 2023Standard12 findings
  • Mar 18, 2022Standard17 findings
  • Nov 4, 2020Complaint1 finding
  • Aug 5, 2019Standard4 findings
Show the 7 earlier surveys
  • Jun 12, 2018Standard9 findings
  • Mar 22, 2017Standard15 findings · 1 harm
  • Dec 14, 2015Standard10 findings
  • Sep 9, 2014Standard7 findings
  • Jun 19, 2013—8 findings
  • Jan 14, 2013—2 findings · 2 harm
  • Jun 16, 2011—2 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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