Deficiency Index

The Massachusetts Veterans Home at Chelsea

Chelsea, Massachusetts · CCN 225110

20 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
85
Surveys
20
Harm or worse
4
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse4

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file14/20

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

The facility

Certified beds
154
Ownership
Government - State
Chain
Independent
County
Suffolk
Medicare-certified since
1967

CMS ratings

Overall
4
Health inspection
4
Staffing
4
Quality measures
3

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 134 facilities with 128 or more beds in Massachusetts.

Last survey on record

Sep 19, 2025

416 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 day6.977.59
Registered-nurse hours per resident day1.63—

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

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD2187.5%E14.2%F28.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 24 of the 85 citations on record.

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.

  • F7613×

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F5571×

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

  • F6001×

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

In the surveyor’s words

From the most serious findings on record at The Massachusetts Veterans Home at Chelsea, in the surveyor’s own words.

  • Actual harm, isolatedF600Jun 28, 2021

    Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who required 1:1 supervision (per administration, expectation was staff member to remain within arms' lengths of resident) at all times, including during ambulation, as a fall prevention intervention, the Facility failed to ensure Resident #1 was provided with an appropriate level of supervision, when on 5/07/21, the staff member who was assigned to provide 1:1 supervision at all times for him/her from 8:00 A.M. […]

  • Actual harm, isolatedF656Jun 28, 2021

    Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who was assessed as being at high risk for falls and care planned to require staff to provide 1:1 supervision (per administration, expectation was staff member to remain within arms' lengths of resident) at all times as a fall prevention measure, the Facility failed to ensure staff implemented interventions from his/her comprehensive plan of care, when on 05/07/21, Certified Nurse Aide (CNA) #1 who was assigned to provided 1:1 supervision to Resident #1 for a one hour block of time, from 8:00 A.M. […]

  • No harm, potential for more than minimal, widespreadF865Aug 3, 2023

    Based on interview, document review, and policy review, the facility failed to develop, implement, and maintain a Quality Assurance and Performance Improvement (QAPI) program that addressed the full range of care and services, was comprehensive and data-driven, and focused on indicators of outcomes of quality of life, care, and services to residents in the facility. Findings include: Review of the facility's policy titled Agency Quality Assurance Performance Improvement Committee (QAPI) dated 9/2018 indicated that the committee will review/analyze departmental reports and other QAPI data and discuss the need for improvement or change, make recommendations as appropriate to Executive Committee and perform follow-up analysis when indicted. […]

  • No harm, potential for more than minimal, widespreadF867Aug 3, 2023

    Based on record review and interview the facility failed to develop and implement policies addressing: (a) How they will use a systematic approach to determine underlying causes of problems impacting larger systems; (b) How they will develop corrective actions that will be designed to effect change at the systems level to prevent quality of care, quality of life, or safety problems; and (c) How the facility will monitor the effectiveness of its performance improvement activities to ensure that improvements are sustained. […]

  • No harm, potential for more than minimal, patternF656Aug 3, 2023

    Based on record reviews and interviews, the facility 1) failed to develop a dementia care plan for one Resident (#40), 2) failed to follow physician orders for two Residents (#22 and #2) and 3) facility failed to follow a physician order to ensure air mattress was maintained at the proper setting for one Resident (#37) out of a total sample of 17 residents. Findings include: 1. Resident #40 was admitted to the facility in March 2022 with diagnoses including dementia with behavioral disturbance. Review of Resident #40's most recent Minimum Data Set (MDS) dated [DATE], indicated that the Resident has a Brief Interview for Mental Status (BIMS) score of 9 out of a possible 15, indicating he/she has moderate cognitive impairment. […]

Read 24 findings in full →The most serious and the most recent: 24 of 85 on record.

Every survey on record

FindingsAt actual harm or above

  • Sep 19, 2025Standard3 findings
  • Jul 29, 2025Complaint2 findings
  • Oct 9, 2024Standard7 findings
  • Jul 17, 2024Complaint2 findings
  • May 14, 2024Complaint1 finding
  • Aug 3, 2023Standard9 findings
  • Oct 22, 2021Standard5 findings
  • Jun 28, 2021Complaint2 findings · 2 harm
Show the 12 earlier surveys
  • Jul 21, 2020Infection control1 finding
  • Jun 17, 2020Infection control1 finding
  • Aug 21, 2019Standard12 findings
  • Oct 19, 2018Standard9 findings
  • May 22, 2018Complaint2 findings · 2 harm
  • Jul 3, 2017Standard2 findings
  • Aug 22, 2016Standard1 finding
  • Jul 16, 2015Standard5 findings
  • Jul 11, 2014Standard7 findings
  • Jun 25, 2013Standard10 findings
  • Jun 21, 2012—1 finding
  • Jul 27, 2011—3 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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