C

CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR

100 OLD BILLERICA ROAD, BEDFORD, MA 01730
Score: 65 / 100

Carleton-Willard Village Retirement & Nursing Ctr is an average performer in CMS ratings, earning a C grade with a score of 65/100. Located in Bedford, Massachusetts, the facility meets baseline standards across most quality metrics.

Staffing levels at Carleton-Willard Village Retirement & Nursing Ctr exceed national averages, with 5.13 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.05 hours per resident per day also exceeds the national average of 0.7 hours.

Recent CMS inspections identified 11 deficiencies at Carleton-Willard Village Retirement & Nursing Ctr, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 5.13 3.8 Above Average
Registered Nurses (RN) 1.05 0.7 Above Average
Licensed Practical Nurses (LPN) 0.78 0.7 Above Average
Certified Nursing Assistants (CNA) 3.31 2.4 Above Average
Weekend Total Nursing 4.95 3.8 Above Average
Weekend RN Hours 0.92 0.7 Above Average

🔍 Inspection & Deficiency History

11
Total Deficiencies
Jun 9, 2025
Most Recent Inspection
🟠 8 Moderate 🔴 3 Serious
View recent deficiencies (5 shown)
  • Tag 0600 Severity J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Jun 9, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0656 Severity J
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Jun 9, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jun 9, 2025 · Quality of Life and Care Deficiencies
  • Tag 0761 Severity E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Feb 6, 2025 · Pharmacy Service 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.
    Feb 6, 2025 · Resident Assessment and Care Planning 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 3.9% 4.5% Better
Falls with major injury 2.8% 3.0% Average
On antipsychotic medication 10.2% 14.5% Better
Urinary tract infections 1.4% 2.5% Better
ADL decline (daily activities) 15.2% 14.0% Average
Excessive weight loss 3.6% 7.5% Better
New/worsened incontinence 17.6% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $25,497

How This Grade Was Calculated

This facility's grade of C is based on a score of 65 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -2 pts

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

Facility Details

Ownership
Non profit - Corporation
Certified Beds
179
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Feb 6, 2025
Deficiencies (Cycle 1)
5