Deficiency Index

Fall River Healthcare

Fall River, Massachusetts · CCN 225723

30 surveys since 2011. The first finding at harm level was recorded in 2018.

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

Citations on record
168
Surveys
30
Harm or worse
26
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse26

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file19/30

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

The facility

Certified beds
176
Ownership
For profit - Limited Liability company
Chain
NEXT STEP HEALTHCARE
County
Bristol
Medicare-certified since
1997

CMS ratings

Overall
1
Health inspection
1
Staffing
2
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 96 for-profit facilities with 128 or more beds in Massachusetts.

Last survey on record

Jun 29, 2026

133 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 day3.423.59
Registered-nurse hours per resident day0.51—
Annual nurse turnover49.7%34.0%

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

Enforcement

Fines
$385,062 across 4 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

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 harmG59.3%H59.3%I—
No harm, potential for more than minimalD2342.6%E1935.2%F—
No harm, potential for minimalA—B11.9%C11.9%
CMS’s current file: 54 of the 168 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6584×

    Ensure services provided by the nursing facility meet professional standards of quality.

  • F6003×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F5802×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F6072×

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  • F6452×

    PASARR screening for Mental disorders or Intellectual Disabilities

In the surveyor’s words

From the most serious findings on record at Fall River Healthcare, in the surveyor’s own words.

  • Actual harm, patternF600Feb 5, 2025

    Based on observations, interviews, and record review, the facility failed to protect Resident #141's right to be free from verbal abuse by Resident #105. The total sample was 33 residents. Specifically, after the facility staff witnessed Resident #105 use racial slurs to verbally abuse Resident #141, the facility failed to develop and implement effective interventions to prevent further resident-to-resident verbal abuse, resulting in the verbal abuse continuing for three weeks and Resident #141 crying and verbalizing wanting to decrease their socialization. […]

  • Actual harm, patternF607Feb 5, 2025

    Based on observation, interview, and record review, the facility failed to implement their abuse policy and procedures to prevent further verbal abuse for one Resident (#141), in a total sample of 33 residents. Specifically, after the facility staff witnessed Resident #105 use racial slurs to verbally abuse Resident #141, the facility failed to implement their policy to initiate effective interventions to prevent further resident-to-resident verbal abuse, resulting in the verbal abuse continuing for three weeks and Resident #141 crying and verbalizing wanting to decrease their socialization. […]

  • Actual harm, patternF610Feb 5, 2025

    Based on observation, interview, and record review, the facility failed to implement their policy and procedures to investigate and prevent further verbal abuse for one Resident (#141), in a total sample of 33 residents. Specifically, after the facility staff witnessed Resident #105 use racial slurs to verbally abuse Resident #141, the facility failed to implement their policy to conduct a thorough investigation and initiate effective interventions to prevent further resident-to-resident verbal abuse, resulting in the verbal abuse continuing for three weeks and Resident #141 crying and verbalizing wanting to decrease socialization. […]

  • Actual harm, patternF740Feb 5, 2025

    Based on observation, interviews, and record review, the facility failed to provide effective and appropriate treatment and services to attain the highest practicable mental and psychological well-being for one Resident (#105) with anxiety, demonstrated behaviors, and active substance use, out of a total sample of 33 residents. Specifically, the facility failed to develop, implement, and update the plan of care to meet the Resident's behavioral needs, including interventions for verbal abuse to Resident #141, interventions for intermittent explosive disorder, and interventions for active substance use resulting in emergency room visits. […]

  • Actual harm, patternF745Feb 5, 2025

    Based on observation, interviews, and record review, the facility failed to provide social services to attain the highest practicable mental and psychological well-being for two Residents (#105 and #141), out of a total sample of 33 residents. Specifically, the facility failed 1. For Resident #105, to assess, develop, implement, and update the plan of care to meet the Resident's behavioral needs, including interventions for verbal abuse to Resident #141, interventions for intermittent explosive disorder and interventions for active substance use resulting in emergency room visits; and 2. […]

Read 46 findings in full →The most serious and the most recent: 46 of 168 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 29, 2026Complaint2 findings
  • Feb 9, 2026Complaint1 finding
  • Dec 22, 2025Standard11 findings
  • Jul 28, 2025Standard6 findings
  • Mar 31, 2025Complaint1 finding · 1 harm
  • Feb 27, 2025Complaint2 findings · 2 harm
  • Feb 5, 2025Standard25 findings · 5 harm
  • Dec 12, 2024Complaint1 finding
Show the 22 earlier surveys
  • May 23, 2024Standard16 findings · 3 harm
  • May 14, 2024Complaint1 finding
  • Apr 9, 2024Complaint2 findings
  • Feb 27, 2024Complaint2 findings · 2 harm
  • Apr 14, 2023Standard33 findings · 7 harm
  • Feb 6, 2023Complaint1 finding
  • Oct 25, 2022Complaint2 findings · 2 harm
  • Jan 26, 2021Infection control2 findings
  • Jan 12, 2021Complaint2 findings · 2 harm
  • Nov 26, 2019Standard17 findings
  • Nov 6, 2018Standard7 findings
  • Oct 24, 2018Complaint2 findings · 2 harm
  • Jul 6, 2017Standard3 findings
  • Dec 5, 2016Complaint1 finding
  • Mar 31, 2016Standard3 findings
  • Jan 23, 2015Standard1 finding
  • Jun 3, 2014Complaint1 finding
  • Nov 26, 2013—8 findings
  • May 23, 2013—1 finding
  • Sep 5, 2012—11 findings
  • Aug 18, 2011—2 findings
  • Aug 2, 2011—1 finding

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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