Rehabilitation & Nursing Center at Everett (The)
Everett, Massachusetts · CCN 225300
23 surveys since 2011, 10 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
- 172
- Surveys
- 23
- Harm or worse
- 10
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 183
- Ownership
- For profit - Limited Liability company
- Chain
- PERSONAL HEALTHCARE MANAGEMENT
- County
- Middlesex
- Medicare-certified since
- 1987
CMS ratings
- Overall
- 3
- Health inspection
- 4
- Staffing
- 4
- Quality measures
- 1
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 96 for-profit facilities with 128 or more beds in Massachusetts.
Last survey on record
Aug 7, 2025
459 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 | 3.45 | 3.59 |
| Registered-nurse hours per resident day | 0.62 | — |
| Annual nurse turnover | 22.1% | 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 | D2890.3% | E39.7% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- 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.
- F5802×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F6412×
Ensure each resident receives an accurate assessment.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
In the surveyor’s words
From the most serious findings on record at Rehabilitation & Nursing Center at Everett (The), in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF584Aug 11, 2022
Based on observation and interviews, the facility failed to 1) maintain a comfortable temperature in 2 resident rooms and 2) maintain a homelike environment on 4 of 4 resident units. Findings include: 1. The facility failed to maintain a comfortable temperature in 2 resident rooms. Review of the weather reports from August 1, 2022 to August 8, 2022 for the facility's area, indicated the temperature had reached above 90 degrees 6 out of the 8 days. On 8/9/22 at 8:54 A.M., the surveyor entered room 116 and noticed there was no air conditioner in the room. The room felt very warm. […]
- No harm, potential for more than minimal, patternF880Aug 28, 2024
Based on observation, record review and interview the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Findings include: Review of the facility policy titled Infection Prevention and Control undated, indicated the following: -The Infection Prevention and Control Program includes a comprehensive, total surveillance protocol which is based on the principles of epidemiology. -To provide a systematic method of collecting, consolidating and analyzing data concerning the distribution and determinants of a given disease or event followed by dissemination of that information to those who can improve the outcomes. A. […]
- No harm, potential for more than minimal, patternF881Aug 28, 2024
Based on record review, policy review and interview, the facility failed to implement an Antibiotic Stewardship Program to promote and monitor the appropriate use of antibiotics which are used to guide decisions for evaluating antibiotic prescribing patterns in accordance with the Antibiotic Stewardship Program. Findings include: Review of the Centers for Disease Control and Prevention (CDC) guidance titled: The Core Elements of Antibiotic Stewardship for Nursing Homes, undated, indicated but was not limited to the following: - The purpose of an antibiotic stewardship program is to improve the use of antibiotics in healthcare to protect patients and reduce the threat of antibiotic resistance. […]
- No harm, potential for more than minimal, patternF760Aug 31, 2023
Based on record review and interview, the facility failed to ensure one Resident (#76) was free from a significant medication error, out of a total sample of 25 residents. Specifically, Resident #76 was administered insulin (medication used to treat elevated blood sugars) when his/her physician's order indicated for the insulin to be held. Findings include: Review of the facility policy titled, Administering Medications, dated April 2021, indicated medications are administered in a safe and timely manner, and as prescribed. 9. The following information is checked/ verified for each resident prior to administering medications: b. vital signs Resident #76 was admitted to the facility in January 2020 with diagnoses including dementia, anxiety and diabetes. […]
- No harm, potential for more than minimal, patternF759Aug 11, 2022
Based on observation, interview and record review, the facility failed to ensure that it was free of a medication error rate of 5 percent or greater. Three of four licensed nurses (Unit Manager (UM) #1, Nurse #4 and Nurse #5) observed, made errors while administering medications on 2 of 4 units. Three medication errors were observed out of 28 opportunities, resulting in a medication error rate of 10.71%. This affected three Residents (#16, #25 and #68) out of a total of five residents observed. Findings include: 1. For Resident #68, the facility failed to ensure staff (UM #1) administered medication that was not expired ([MEDICATION(S)] coated aspirin). A. […]
Read 30 findings in full →The most serious and the most recent: 30 of 172 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 7, 2025Standard6 findings
- Aug 28, 2024Standard13 findings
- Aug 31, 2023Standard12 findings
- Aug 11, 2022Standard19 findings
- Oct 4, 2019Standard6 findings
- Dec 10, 2018Standard14 findings
- Sep 15, 2017Standard24 findings · 1 harm
- Jul 18, 2017Complaint1 finding · 1 harm
Show the 15 earlier surveys
- Jul 10, 2017Complaint1 finding · 1 harm
- Dec 23, 2016Complaint1 finding
- Sep 30, 2016Complaint1 finding
- Sep 15, 2016Standard8 findings
- Feb 25, 2016Complaint4 findings · 2 harm
- Sep 14, 2015Standard12 findings
- Jun 23, 2014Standard and complaint6 findings
- Oct 8, 2013—2 findings
- Jun 4, 2013—3 findings · 3 harm
- Apr 17, 2013—2 findings
- Sep 18, 2012—1 finding
- Mar 15, 2012—1 finding
- Mar 7, 2012—1 finding
- Mar 6, 2012—19 findings · 2 harm
- Feb 3, 2011—15 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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