B

SKILLED NURSING FACILITY AT NORTH HILL (THE)

865 CENTRAL AVENUE, NEEDHAM, MA 02492
Score: 70 / 100

Skilled Nursing Facility At North Hill (The) earns a solid B grade from CMS data, with a score of 70/100. Performing above average across most metrics, this Needham facility ranks in the 67th percentile among Massachusetts nursing homes.

Staffing levels at Skilled Nursing Facility At North Hill (The) exceed national averages, with 6.33 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.47 hours per resident per day also exceeds the national average of 0.7 hours.

Recent CMS inspections identified 11 deficiencies at Skilled Nursing Facility At North Hill (The), including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function..

Score Breakdown

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

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 6.33 3.8 Above Average
Registered Nurses (RN) 1.47 0.7 Above Average
Licensed Practical Nurses (LPN) 0.74 0.7 Average
Certified Nursing Assistants (CNA) 4.12 2.4 Above Average
Weekend Total Nursing 5.93 3.8 Above Average
Weekend RN Hours 1.14 0.7 Above Average

🔍 Inspection & Deficiency History

11
Total Deficiencies
Jul 17, 2025
Most Recent Inspection
🟠 9 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0605 Severity E
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    Jul 17, 2025 · Freedom from Abuse, Neglect, and Exploitation 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.
    Jul 17, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0761 Severity D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Jul 17, 2025 · Pharmacy Service Deficiencies
  • Tag 0684 Severity J
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Jan 14, 2025 · Quality of Life and Care Deficiencies
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jan 14, 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 1.6% 4.5% Better
Falls with major injury 5.8% 3.0% Worse
On antipsychotic medication 21.8% 14.5% Worse
Urinary tract infections 4.1% 2.5% Worse
ADL decline (daily activities) 31.8% 14.0% Worse
Excessive weight loss 4.6% 7.5% Better
New/worsened incontinence 17.6% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $16,153

How This Grade Was Calculated

This facility's grade of B is based on a score of 70 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -1 pts

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

Facility Details

Ownership
Non profit - Corporation
Certified Beds
72
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jul 17, 2025
Deficiencies (Cycle 1)
3