F

MEDWAY COUNTRY MANOR SKILLED NURSING & REHABILITAT

115 HOLLISTON STREET, MEDWAY, MA 02053
Score: 0 / 100
⚠️ SFF Candidate

Medway Country Manor Skilled Nursing & Rehabilitat has received an F grade based on CMS data, with a score of 0/100 — placing it among the lowest-rated nursing facilities in Massachusetts. Families considering this Medway facility should carefully review its inspection history and quality metrics.

Staffing levels are a potential concern at Medway Country Manor Skilled Nursing & Rehabilitat, with 3.28 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 CMS inspections identified 86 deficiencies at Medway Country Manor Skilled Nursing & Rehabilitat, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: develop and implement policies and procedures to prevent abuse, neglect, and theft..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 3 / 15 pts
1 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.28 3.8 Below Average
Registered Nurses (RN) 0.40 0.7 Below Average
Licensed Practical Nurses (LPN) 0.88 0.7 Above Average
Certified Nursing Assistants (CNA) 2.00 2.4 Below Average
Weekend Total Nursing 3.05 3.8 Below Average
Weekend RN Hours 0.23 0.7 Below Average

🔍 Inspection & Deficiency History

86
Total Deficiencies
Feb 4, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 81 Moderate 🔴 4 Serious
View recent deficiencies (5 shown)
  • Tag 0607 Severity D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    Feb 4, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Feb 4, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0726 Severity L
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    Jan 28, 2025 · Nursing and Physician Services Deficiencies
  • Tag 0773 Severity L
    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
    Jan 28, 2025 · Administration Deficiencies
  • Tag 0835 Severity L
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    Jan 28, 2025 · Administration 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 7.0% 4.5% Worse
Falls with major injury 5.0% 3.0% Worse
On antipsychotic medication 30.6% 14.5% Worse
Urinary tract infections 2.5% 2.5% Average
ADL decline (daily activities) 27.4% 14.0% Worse
Excessive weight loss 9.5% 7.5% Worse
New/worsened incontinence 17.9% 45.0% Better

⚠️ Penalties & Fines

3 penalties recorded by CMS

Total fines: $191,151

How This Grade Was Calculated

This facility's grade of F is based on a score of 0 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 1★ → 3 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -10 pts

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

Facility Details

Ownership
For profit - Individual
Certified Beds
123
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Partial
Last Inspection
Nov 24, 2024
Deficiencies (Cycle 1)
20