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B

83/100

Above average

Timothy Daniels House

84 Elm Street, Holliston, MA 01746

CMS 4/5 stars #24 of 72 in Middlesex County (508) 429-4566
Certified beds
40
Occupancy
73%
Ownership
For-profit
Accepts
Medicare + Medicaid

Our read on Timothy Daniels House

Timothy Daniels House runs a tight ship on staffing, 4.44 nurse hours per resident day, roughly 15% above the national average, which is why CMS gives it top marks there. That matters in a 40-bed home. But 50% annual turnover means half the people caring for your relative will be new within a year, and weekend coverage dips about 5% below weekdays. The tradeoff shows up in inspections: 35 deficiencies on record, including one abuse-related citation, with the last state visit in March 2025. Nothing rose to the level of harm or jeopardy, but a 2-out-of-5 inspection rating suggests the paperwork and care planning haven't kept pace with the staffing numbers.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

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

Inspection30/30Staffing27/30Stability9/15Outcomes9/15Enforcement8/10

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

30/30

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

  • →No citations recorded in the last 3 years

Staffing

27/30

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

  • →4.96 total nurse hours per resident per day (national median 3.77)
  • →0.88 RN hours per resident per day
  • →Weekend staffing holds steady

Staff stability

9/15

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

  • →50% of nursing staff left in the last year

Resident outcomes

9/15

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

  • →3 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.

  • →No federal fines on record
  • →-2 for 1 denial(s) of Medicare payment for new admissions

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 day4.44 hrs
National average 3.86 hrsBetter than average
Registered nurse (RN) hours0.88 hrs
National average 0.69 hrsBetter than average

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

Weekend nurse hours4.22 hrs
National average 3.42 hrsBetter than average

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

Nursing staff turnover50.00%
National average 45.80%Below average

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

Recent inspection findings

Last standard health inspection: March 10, 2026 (7 months ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

Who owns this home

Full record

Part of REHABILITATION ASSOCIATES, which operates 6 homes. Staffing budgets are usually set at chain level, not in the building.

What families say

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Common questions about Timothy Daniels House

What is the ElderGrade for Timothy Daniels House? +

Timothy Daniels House holds an ElderGrade of B (83 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 Timothy Daniels House? +

Residents receive an average of 4.44 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Timothy Daniels House been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Timothy Daniels House accept Medicaid? +

Yes, Timothy Daniels House 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.