D

ANDOVER MANOR REHAB AND NURSING

89 MORTON STREET, ANDOVER, MA 01810
Score: 41 / 100

Andover Manor Rehab And Nursing faces challenges in its CMS ratings, earning a D grade with a score of 41/100. The facility ranks in the 35th percentile among Massachusetts nursing homes, suggesting significant room for improvement.

Staffing at Andover Manor Rehab And Nursing is near the national average, with 3.49 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 59 deficiencies at Andover Manor Rehab And Nursing. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.49 3.8 Average
Registered Nurses (RN) 0.44 0.7 Below Average
Licensed Practical Nurses (LPN) 0.85 0.7 Above Average
Certified Nursing Assistants (CNA) 2.21 2.4 Average
Weekend Total Nursing 3.11 3.8 Below Average
Weekend RN Hours 0.30 0.7 Below Average

🔍 Inspection & Deficiency History

59
Total Deficiencies
Jan 8, 2025
Most Recent Inspection
⚪ 2 Minor 🟠 57 Moderate
View recent deficiencies (5 shown)
  • Tag 0550 Severity E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Jan 8, 2025 · Resident Rights Deficiencies
  • Tag 0656 Severity E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Jan 8, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0658 Severity E
    Ensure services provided by the nursing facility meet professional standards of quality.
    Jan 8, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0578 Severity D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and
    Jan 8, 2025 · Resident Rights Deficiencies
  • Tag 0583 Severity D
    Keep residents' personal and medical records private and confidential.
    Jan 8, 2025 · Resident Rights 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 2.9% 4.5% Better
Falls with major injury 2.8% 3.0% Average
On antipsychotic medication 31.0% 14.5% Worse
Urinary tract infections 1.4% 2.5% Better
ADL decline (daily activities) 10.1% 14.0% Better
Excessive weight loss 6.8% 7.5% Average
New/worsened incontinence 27.5% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $9,311

How This Grade Was Calculated

This facility's grade of D is based on a score of 41 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -0 pts

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

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
174
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 8, 2025
Deficiencies (Cycle 1)
20