Deficiency Index

St Joseph Rehab & Nursing Care Center

Dorchester, Massachusetts · CCN 225493

16 surveys since 2010, 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
88
Surveys
16
Harm or worse
8
Immediate jeopardy
1
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file11/16

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

The facility

Certified beds
123
Ownership
For profit - Limited Liability company
Chain
Independent
County
Suffolk
Medicare-certified since
1990

CMS ratings

Overall
2
Health inspection
2
Staffing
3
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more 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

Jul 21, 2026

111 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 day3.723.64
Registered-nurse hours per resident day0.96—
Annual nurse turnover37.7%40.7%

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

Enforcement

Fines
$82,612 across 2 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 harmG48.9%H—I—
No harm, potential for more than minimalD2555.6%E1635.6%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 45 of the 88 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

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

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6572×

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

  • F6582×

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

  • F6772×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

In the surveyor’s words

From the most serious findings on record at St Joseph Rehab & Nursing Care Center, in the surveyor’s own words.

  • Actual harm, isolatedF756Jul 8, 2024

    Based records reviewed and interviews for one of three sampled residents (Resident #1), whose admission physician's orders included the administration of Eliquis (anticoagulant ), the Facility failed to ensure that upon completion of his/her Admission Medication Regimen Review (MRR) by the Consultant Pharmacist that nursing reviewed and addressed the pharmacy recommendation related to his/her dosage of Eliquis timely, as a result for more than a month, Resident #1 was overmedicated with Eliquis, he/she experienced an acute change in medical status due to being administered excess Eliquis, and required hospital transfer with admission, where he/she received blood transfusions and additional treatments to stabilize his/her condition. […]

  • Actual harm, isolatedF760Jul 8, 2024

    Based on records reviewed and interviews, for one of three sample residents (Resident #1), whose Hospital Discharge Summary indicated that the daily dosage of his/her Eliquis (anticoagulant) was to be decreased from 10 milligrams (mg) two times a day, to 5 mg two times a day, the facility failed to ensure Resident #1 was free from a significant medication error when due to a medication reconciliation error upon admission by nursing, he/she continued to be administered Eliquis 10 mg two times a day for more than a month after his/her admission. […]

  • Actual harm, isolatedF688Feb 9, 2024

    Based on observations, record review, policy review and interviews, the facility failed to prevent a decline in range of motion causing the development of a contracture for one Resident (#78) out of a total sample of 33 residents. Findings include: Review of the facility policy titled Range of Motion and Mobility Guideline, dated September 25, 2019, indicated the following: *Residents will not experience an avoidable reduction in range of motion (ROM) *Residents with limited range of motion will receive treatment and services to increase and/or prevent a further decrease in ROM. *Residents with limited mobility will receive appropriate services, equipment, and assistance to maintain or improve mobility unless reduction in mobility is unavoidable. […]

  • Actual harm, isolatedF740Feb 9, 2024

    Based on record reviews, policy reviews and interviews, the facility failed to provide the necessary behavioral health care and services to attain or maintain the highest practicable mental, and psychosocial well-being for two Residents (#36 and #96) out of a total sample of 33 residents. Specifically, 1) the facility failed to provide non-pharmacological interventions or behavioral health services for Resident #36 as he/she had increasing behaviors and psychological distress leading to two involuntary hospitalization s for psychiatric concerns and 2) the facility failed to provide behavioral health services for Resident #96 after he/she displayed increased depressive symptoms. […]

  • Actual harm, isolatedF684Feb 7, 2023

    Based on records reviewed and interviews for one of three sampled residents (Resident #1), who required the administration of an anticonvulsant for management and treatment of seizures, the facility failed to ensure services provided by nursing met professional standards of practice, when upon admission to the facility the Hospital Discharge Summary and medication list were not thoroughly reviewed by nursing and his/her medications were not accurately reconciled. Upon admission, the need for Resident #1 to be continued on an anticonvulsant medication was not communicated to the physician, and therefore not ordered or administered. […]

Read 26 findings in full →The most serious and the most recent: 26 of 88 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 21, 2026Complaint1 finding
  • Feb 19, 2026Standard4 findings
  • Feb 5, 2025Standard13 findings
  • Jul 8, 2024Complaint2 findings · 2 harm
  • Feb 9, 2024Standard25 findings · 2 harm
  • May 24, 2023Complaint1 finding
  • Feb 7, 2023Complaint3 findings · 2 harm
  • Dec 28, 2022Standard6 findings
Show the 8 earlier surveys
  • Jun 7, 2021Standard8 findings · 1 harm
  • Jan 13, 2021Infection control1 finding
  • Jul 8, 2020Infection control1 finding
  • Mar 19, 2019Standard2 findings
  • Feb 22, 2018Standard9 findings
  • Oct 31, 2016Standard4 findings
  • Jun 16, 2011—7 findings
  • Sep 28, 2010—1 finding · 1 harm

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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