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
🏥 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
View recent deficiencies (5 shown)
- Tag 0600 Severity JProtect 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 JDevelop 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 JEnsure 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 EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiFeb 6, 2025 · Pharmacy Service Deficiencies
- Tag 0656 Severity DDevelop 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
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