ElderGrade
B

71/100

Above average

River Terrace Rehabilitation And Healthcare Ctr

1675 North Main Street, Lancaster, MA 01523

CMS 5/5 stars #28 of 50 in Worcester County (978) 365-4537
Certified beds
82
Occupancy
94%
Ownership
For-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.

  • $8,964 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

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

Inspection 26/30 Staffing 10/30 Stability 15/15 Outcomes 12/15 Enforcement 8/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

26/30

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

  • -4 for 1 actual-harm citation(s) in the last 3 years

Staffing

10/30

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

  • 2.79 total nurse hours per resident per day (national median 3.77)
  • 0.62 RN hours per resident per day
  • Weekend staffing drops 11% 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.

  • 33% of nursing staff left in the last year

Resident outcomes

12/15

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

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

Enforcement history

8/10

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

  • $8,964 in federal fines across 1 action(s)

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 3.37 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.62 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 3.00 hrs
National average 3.42 hrs Below average

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

Nursing staff turnover 33.30%
National average 45.80% Better than average

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

Recent inspection findings

Last standard health inspection: March 19, 2026 (5 months ago). That inspection produced no citations — the findings below are older.

G May 5, 2025 F0760 From a complaint

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Actual harm to a resident

B Dec 26, 2024 F0641

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

No actual harm, minimal potential

Who owns this home

Full record

Part of MARQUIS HEALTH SERVICES, which operates 89 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
QUINTO GUARDIAN LLC Organization DIRECT OWNERSHIP INTEREST
UKR CONSULTING LLC Organization DIRECT OWNERSHIP INTEREST
KOHN FAM TR GST EXEMPT UAD 3-25-13 Organization INDIRECT OWNERSHIP INTEREST
NFR 2020 IRRV TR Organization INDIRECT OWNERSHIP INTEREST
RSBRMK HOLDINGS LLC Organization INDIRECT OWNERSHIP INTEREST
SK 2013 INVESTMENT TR UA 03252013 Organization INDIRECT OWNERSHIP INTEREST
TRYKO GUARDIAN HOLDINGS LLC Organization INDIRECT OWNERSHIP INTEREST
UAK 2020 IRRV TR Organization INDIRECT OWNERSHIP INTEREST
YR 2013 INVESTMENT TRUST Organization INDIRECT OWNERSHIP INTEREST
CIBC BANK USA Organization 5% OR GREATER MORTGAGE INTEREST
CIBC BANK USA Organization 5% OR GREATER SECURITY INTEREST
CROWLEY, JEFFREY Individual MANAGING CONTROL - GOVERNING BODY

What families say

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Common questions about River Terrace Rehabilitation And Healthcare Ctr

What is the ElderGrade for River Terrace Rehabilitation And Healthcare Ctr? +

River Terrace Rehabilitation And Healthcare Ctr holds an ElderGrade of B (71 out of 100), which we describe as "above average". 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 River Terrace Rehabilitation And Healthcare Ctr? +

Residents receive an average of 3.37 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has River Terrace Rehabilitation And Healthcare Ctr been cited for harming residents? +

Yes. 1 of the 2 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 River Terrace Rehabilitation And Healthcare Ctr accept Medicaid? +

Yes, River Terrace Rehabilitation And Healthcare Ctr 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.