Keystone Center has received an F grade based on CMS data, with a score of 15/100 — placing it among the lowest-rated nursing facilities in Massachusetts. Families considering this Leominster facility should carefully review its inspection history and quality metrics.
Staffing levels are a potential concern at Keystone Center, with 3.36 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent inspections identified 45 deficiencies at Keystone Center. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.36 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.44 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.79 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.13 | 2.4 | Below Average |
| Weekend Total Nursing | 3.08 | 3.8 | Below Average |
| Weekend RN Hours | 0.36 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiNov 18, 2025 · Pharmacy Service Deficiencies
- Tag 0584 Severity DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dNov 18, 2025 · Resident Rights 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.Nov 18, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0688 Severity DProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medicNov 18, 2025 · Quality of Life and Care Deficiencies
- Tag 0699 Severity DProvide care or services that was trauma informed and/or culturally competent.Nov 18, 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 | 4.7% | 4.5% | Average |
| Falls with major injury | 4.0% | 3.0% | Worse |
| On antipsychotic medication | 17.6% | 14.5% | Worse |
| Urinary tract infections | 1.2% | 2.5% | Better |
| ADL decline (daily activities) | 27.1% | 14.0% | Worse |
| Excessive weight loss | 7.3% | 7.5% | Average |
| New/worsened incontinence | 21.9% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $33,476
How This Grade Was Calculated
This facility's grade of F is based on a score of 15 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -3 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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