Melrose Healthcare
Melrose, Massachusetts · CCN 225329
20 surveys since 2012, 14 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
- 180
- Surveys
- 20
- Harm or worse
- 14
- 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
- 106
- Ownership
- For profit - Limited Liability company
- Chain
- NEXT STEP HEALTHCARE
- County
- Middlesex
- Medicare-certified since
- 1989
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 3
- 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 80 for-profit facilities of 100–127 beds in Massachusetts.
Last survey on record
Mar 19, 2026
235 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 | 3.49 | 3.64 |
| Registered-nurse hours per resident day | 0.50 | — |
| Annual nurse turnover | 32.9% | 40.7% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $49,324 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G11.3% | H— | I— |
| No harm, potential for more than minimal | D4862.3% | E2735.1% | F11.3% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6564×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F8124×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F8424×
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F5503×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F5523×
Ensure that residents are fully informed and understand their health status, care and treatments.
In the surveyor’s words
From the most serious findings on record at Melrose Healthcare, in the surveyor’s own words.
- Actual harm, isolatedF686Apr 9, 2025
Based on observations, interviews and record review, the facility failed to provide necessary treatment, services, interventions to promote healing and prevent new ulcers from developing for one Resident (#9) out of 23 total sampled residents. Specifically, for Resident #9, the facility failed to implement multiple wound care treatment recommendations as recommended by the consultant Wound Physician Assistant (PA), including not implementing the recommended treatment type and/or at the recommended frequency, resulting in the deterioration of pressure ulcers and development of bilateral heel osteomyelitis (an infection of the bone). […]
- No harm, potential for more than minimal, widespreadF584Feb 7, 2023
Based on observation and interview, the facility failed to maintain a comfortable home like environment on 2 of 2 Resident units. Findings include: During observations on 2/5/23 at 8:16 A.M., the surveyor observed the following on the 2nd floor nursing unit: room [ROOM NUMBER] Bathroom: There was a hole in the wall above the sink. The water faucet on the left was stuck in the on position but no water was coming out. room [ROOM NUMBER]: There was no functional heat system. The Residents had to be moved out of the room as the outdoor temperatures had been below 0 degrees Fahrenheit. During an interview with the Maintenance Director on 2/6/23 at 2:44 P.M., he said that he was not aware that the heat was not working in room [ROOM NUMBER]. […]
- No harm, potential for more than minimal, patternF550Mar 19, 2026
Based on observations and interviews, the facility failed to ensure a dignified dining experience on one out of two units. Specifically, on the second-floor unit, residents were served their meals on Styrofoam takeout containers, in Styrofoam cups, and with plastic utensils. Findings include:On 3/17/26 at 8:21 A.M., the surveyor observed breakfast being served to residents on the second-floor unit in Styrofoam take out style containers. The drinks were served in Styrofoam cups and plastic silverware was utilized by the residents. On 3/17/26 at 12:30 P.M., the surveyor observed lunch being served to residents on the second- floor unit in Styrofoam take out style containers. The drinks were served in Styrofoam cups and plastic silverware was utilized by the residents. […]
- No harm, potential for more than minimal, patternF689Mar 19, 2026
Based on observation, record review and interview the facility failed to maintain a safe environment on two of two units. Specifically, the facility failed to maintain safe water temperatures in resident bathrooms. Findings include: On 3/17/26 at 3:52 P.M., the surveyor observed the following water temperatures in degrees Fahrenheit (F), in the first-floor bathrooms:102- 122.4 F101,103- 129.2 F104,106- 121.5 F108/110- 120.1 F 109/111- 120.5 F117/119- 128.2 F118/120- 126.5 F121/123- 127.9 F124/126- 135.1 F 122/124- 122.3 F On 3/17/26 at 4:25 P.M., the surveyor observed the following water temperatures in degrees Fahrenheit (F), in the second-floor bathrooms: 201/202- 129.4 F204/206- 132.5 F203/205 133.1 F212-133.6 F214/215- 132.0 F On 3/17/26 at 5:14 P.M., the surveyor and the Maintenance… […]
- No harm, potential for more than minimal, patternF812Mar 19, 2026
Based on observation and interview, the facility failed to store food in accordance with professional standards for food service safety. Specifically, the facility failed to ensure that resident food was dated and not kept past the printed expiration dated in two of two unit refrigerators. Findings include:Review of the facility's policy titled Food Brought into Facility, revised September 2019, indicated, but was not limited to, the following:-Perishable foods must be stored and identified with resident's name, food item and use by date. These can be stored in the nursing unit kitchen nourishment refrigerator.-The nursing staff is responsible for discarding perishable foods on or before the use by date. […]
Read 33 findings in full →The most serious and the most recent: 33 of 180 on record.
Every survey on record
FindingsAt actual harm or above
- Mar 19, 2026Standard10 findings
- Apr 9, 2025Standard27 findings · 1 harm
- Apr 3, 2024Standard17 findings
- Jul 26, 2023Complaint1 finding
- Feb 7, 2023Standard23 findings
- Oct 7, 2021Standard20 findings
- Jul 8, 2019Complaint1 finding
- Feb 28, 2019Standard15 findings
Show the 12 earlier surveys
- Nov 21, 2018Complaint3 findings
- Nov 8, 2017Standard2 findings
- Oct 10, 2017Complaint6 findings · 5 harm
- Feb 17, 2017Complaint1 finding · 1 harm
- Oct 25, 2016Standard9 findings · 5 harm
- Aug 31, 2016Complaint1 finding
- Nov 12, 2015Standard7 findings · 1 harm
- Jun 26, 2015Complaint1 finding
- Apr 1, 2015Complaint2 findings
- Sep 25, 2014Standard12 findings
- Aug 22, 2013Standard14 findings · 1 harm
- Sep 4, 2012—8 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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