B

PILGRIM REHABILITATION & SKILLED NURSING CENTER

96 FOREST STREET, PEABODY, MA 01960
Score: 77 / 100

Pilgrim Rehabilitation & Skilled Nursing Center earns a solid B grade from CMS data, with a score of 77/100. Performing above average across most metrics, this Peabody facility ranks in the 77th percentile among Massachusetts nursing homes.

Staffing levels at Pilgrim Rehabilitation & Skilled Nursing Center exceed national averages, with 4.23 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.94 hours per resident per day also exceeds the national average of 0.7 hours.

Recent inspections identified 16 deficiencies at Pilgrim Rehabilitation & Skilled Nursing Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.23 3.8 Above Average
Registered Nurses (RN) 0.94 0.7 Above Average
Licensed Practical Nurses (LPN) 0.82 0.7 Above Average
Certified Nursing Assistants (CNA) 2.48 2.4 Average
Weekend Total Nursing 3.81 3.8 Average
Weekend RN Hours 0.75 0.7 Average

🔍 Inspection & Deficiency History

16
Total Deficiencies
Jan 29, 2025
Most Recent Inspection
🟠 16 Moderate
View recent deficiencies (5 shown)
  • Tag 0909 Severity F
    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
    Jan 29, 2025 · Environmental Deficiencies
  • Tag 0550 Severity D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Jan 29, 2025 · Resident Rights Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Jan 29, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0695 Severity D
    Provide safe and appropriate respiratory care for a resident when needed.
    Jan 29, 2025 · Quality of Life and Care Deficiencies
  • Tag 0698 Severity D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    Jan 29, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 3.4% 4.5% Better
Falls with major injury 2.6% 3.0% Better
On antipsychotic medication 25.4% 14.5% Worse
Urinary tract infections 0.5% 2.5% Better
ADL decline (daily activities) 21.0% 14.0% Worse
Excessive weight loss 4.3% 7.5% Better
New/worsened incontinence 29.1% 45.0% Better

How This Grade Was Calculated

This facility's grade of B is based on a score of 77 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
152
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 29, 2025
Deficiencies (Cycle 1)
6