Highland Park Rehabilitation and Healthcare Center
Chelsea, Massachusetts · CCN 225557
30 surveys since 2011, 8 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
- 194
- Surveys
- 30
- Harm or worse
- 8
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 195
- Ownership
- For profit - Limited Liability company
- Chain
- MARQUIS HEALTH SERVICES
- County
- Suffolk
- Medicare-certified since
- 1992
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
Mar 5, 2026
249 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.02 | 3.59 |
| Registered-nurse hours per resident day | 0.67 | — |
| Annual nurse turnover | 48.6% | 34.0% |
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
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D4761.0% | E2532.5% | F33.9% |
| No harm, potential for minimal | A— | B22.6% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F5503×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F6563×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6583×
Ensure services provided by the nursing facility meet professional standards of quality.
- F6773×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F6843×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
In the surveyor’s words
From the most serious findings on record at Highland Park Rehabilitation and Healthcare Center, in the surveyor’s own words.
- Actual harm, isolatedF692Jun 28, 2021
Based on record review and interview, the facility failed to implement timely interventions after a significant weight loss and complete a full nutrition assessment after a significant weight loss for 2 residents (#21 and #59) and failed to maintain a fluid restriction for 1 resident (#123) out of a total sample of 30 residents. Findings include: According to the policy titled Weight Policy, dated 2/7/2021, indicated the following: * Weights may be ordered more frequently if there is a significant change in condition, food intake has declined and persisted (e.g., for more than a week), or there is other evidence of altered nutritional status or fluid and electrolyte imbalance. […]
- Actual harm, isolatedF760Jun 28, 2021
Based on record review and interview, the facility failed to ensure residents were free from significant medication errors when physician's orders for the administration of liquid [MEDICATION(S)] (narcotic, used to treat pain) where not followed, resulting in an overdose and which resulted in the need for hospitalization , for one closed record sampled Resident (#292) out of a total of three closed records reviewed. Findings include: Review of the facility's Medication Error Policy dated 2/6/21 indicated the following: Definitions: A medication error is any preventable event that may cause or lead to inappropriate medication use or resident harm. *Significant medication errors are those which require medical intervention and/or result in possible or confirmed morbidity or mortality. […]
- No harm, potential for more than minimal, widespreadF725Apr 22, 2024
Based on interviews and record review, the facility failed to ensure that sufficient staffing levels were maintained to safely and adequately meet each resident's personal care needs. Finding Included: Review of the facility assessment indicated the following: Staffing Plan: -The grid below depicts staffing patterns when a full census of 195 residents. Nursing, however, flex staff based on census and acuity. Weekday average hours per week are as follows: Licensed registered nurses (RN)/licensed practical nurse (LPN): 7:00 A.M.-3:00 P.M.-256 hours, 3:00 P.M.-11:00 P.M.-200 hours, and 11:00 P.M.-7:00 A.M.-176 hours. Certified nursing assistants (CNA: 7:00 A.M.-3:00 P.M.-160 hours, 3:00 P.M. […]
- No harm, potential for more than minimal, widespreadF727Jan 26, 2024
Based on records reviewed and interviews, the facility, which maintained an average daily occupancy of greater than 60 residents (averaging 164 residents per day), failed to ensure the Director of Nurses (DON #1) did not serve as a charge nurse on a unit. Findings include: Review of the Facility's Job Description for The Director of Nurses (DON), signed by DON #1 on 02/20/23, indicated the Director of Nurses reported to the Administrator, and was responsible for assuming the total responsibility for deliverance of quality resident care through the development and management of nursing personnel, fiscal resources, and maintenance of a safe environment. […]
- No harm, potential for more than minimal, widespreadF836Jan 26, 2024
Based on records reviewed and interviews, the Facility failed to ensure they maintained compliance with Federal, State and Local Laws and Professional Standards, as it related to nursing staff working hours in accordance with Massachusetts State General Laws Minimum Nursing Personnel Requirement, when based on the Facility's staffing schedules as-worked and the Timecard Reports for the months of December 2023 and January 2024, Nurse #1 worked 16 or more hours consecutively on a regular basis, and at times, Nurse #1 worked up to 40 hours consecutively. Findings include: MGL.150.007 S-770, indicated nursing personnel shall not serve on active duty more than 12 hours per day, or more than 48 hours per week, on a regular basis. […]
Read 28 findings in full →The most serious and the most recent: 28 of 194 on record.
Every survey on record
FindingsAt actual harm or above
- Mar 5, 2026Standard16 findings
- Apr 2, 2025Standard18 findings
- Apr 22, 2024Standard34 findings
- Jan 26, 2024Complaint4 findings
- Nov 29, 2023Complaint2 findings
- Aug 1, 2023Infection control3 findings
- Apr 27, 2023Complaint5 findings
- Feb 2, 2023Standard17 findings
Show the 22 earlier surveys
- Sep 14, 2022Complaint4 findings
- Jun 28, 2021Standard17 findings · 2 harm
- Jan 4, 2021Infection control2 findings
- Jul 30, 2020Infection control2 findings
- Jul 25, 2019Complaint1 finding
- Jun 19, 2019Standard15 findings · 1 harm
- May 9, 2019Complaint1 finding
- Feb 26, 2019Complaint1 finding
- Jul 12, 2018Standard12 findings
- Aug 1, 2017Complaint1 finding · 1 harm
- May 11, 2017Complaint3 findings
- Apr 4, 2017Standard5 findings
- Jul 14, 2016Standard3 findings
- May 14, 2015Standard1 finding
- Mar 26, 2014Standard9 findings · 2 harm
- Feb 6, 2014—1 finding · 1 harm
- Feb 25, 2013—7 findings · 1 harm
- Feb 13, 2012—2 findings
- Sep 13, 2011—1 finding
- Jul 5, 2011—1 finding
- Jan 20, 2011—5 findings
- Jan 7, 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.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction