ElderGrade
A

90/100

Excellent

Mary Ann Morse Nursing & Rehabilitation

45 Union Street, Natick, MA 01760

CMS 5/5 stars #10 of 72 in Middlesex County (508) 433-4403
Certified beds
124
Occupancy
87%
Ownership
Non-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

20/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.23 total nurse hours per resident per day (national median 3.77)
  • 0.73 RN hours per resident per day
  • Weekend staffing drops 6% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 31% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.13 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.73 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.87 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 31.10%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 18 citations

Last standard health inspection: January 23, 2026 (7 months ago).

D May 20, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

D Sep 20, 2024 F0552

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

No actual harm, potential for more than minimal harm

D Sep 20, 2024 F0578

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

No actual harm, potential for more than minimal harm

D Sep 20, 2024 F0686

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

No actual harm, potential for more than minimal harm

D Sep 20, 2024 F0744

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

No actual harm, potential for more than minimal harm

D Sep 20, 2024 F0760

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

No actual harm, potential for more than minimal harm

D Sep 20, 2024 F0842

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

No actual harm, potential for more than minimal harm

D Sep 20, 2024 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
CELESTE, KATIE Individual W-2 MANAGING EMPLOYEE
KUBIAK, LISA Individual W-2 MANAGING EMPLOYEE
MAGUIRE, ROBERT Individual W-2 MANAGING EMPLOYEE
CALCIO, JOHN Individual CORPORATE DIRECTOR
FEGLEY, MARK Individual CORPORATE DIRECTOR
GOODMAN, WILLIAM Individual CORPORATE DIRECTOR
GOTTLIEB, MICHAEL Individual CORPORATE DIRECTOR
HEFFERNAN, REBECCA Individual CORPORATE DIRECTOR
MCLEAN, ALLAN Individual CORPORATE DIRECTOR
NAGELSCHMIDT, JOHN Individual CORPORATE DIRECTOR
UPTON, DAVID Individual CORPORATE DIRECTOR
WALSH, BARBARA Individual CORPORATE DIRECTOR

What families say

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Common questions about Mary Ann Morse Nursing & Rehabilitation

What is the ElderGrade for Mary Ann Morse Nursing & Rehabilitation? +

Mary Ann Morse Nursing & Rehabilitation holds an ElderGrade of A (90 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Mary Ann Morse Nursing & Rehabilitation? +

Residents receive an average of 4.13 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Mary Ann Morse Nursing & Rehabilitation been cited for harming residents? +

Yes. 1 of the 18 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Mary Ann Morse Nursing & Rehabilitation accept Medicaid? +

Yes, Mary Ann Morse Nursing & Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.