ElderGrade
B

80.8/100

Above average

Waterview Lodge Llc, Rehabilitation & Healthcare

250 West Union Street, Ashland, MA 01721

CMS 3/5 stars #21 of 72 in Middlesex County (508) 848-4200
Certified beds
103
Occupancy
77%
Ownership
For-profit
Accepts
Medicare + Medicaid

How this grade was calculated

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

Inspection 26.8/30 Staffing 24/30 Stability 15/15 Outcomes 5/15 Enforcement 10/10

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

26.8/30

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

  • -3.2 for 26 total citations against a national median of 17

Staffing

24/30

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

  • 4.56 total nurse hours per resident per day (national median 3.77)
  • 0.68 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.

  • 13% of nursing staff left in the last year

Resident outcomes

5/15

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

  • 2 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 3.87 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.68 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 3.46 hrs
National average 3.42 hrs Better than average

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

Nursing staff turnover 12.50%
National average 45.80% Better than average

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

Recent inspection findings

All 37 citations

Last standard health inspection: February 25, 2026 (5 months ago).

F Feb 25, 2026 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

E Feb 25, 2026 F0585

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

No actual harm, potential for more than minimal harm

E Feb 25, 2026 F0641

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

No actual harm, potential for more than minimal harm

D Feb 25, 2026 F0550

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

No actual harm, potential for more than minimal harm

D Feb 25, 2026 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 Feb 25, 2026 F0605

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

No actual harm, potential for more than minimal harm

D Feb 25, 2026 F0609

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

No actual harm, potential for more than minimal harm

D Feb 25, 2026 F0676

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
DESAI, INDIRA Individual W-2 MANAGING EMPLOYEE
DESAI, INDIRA Individual CORPORATE OFFICER
DESAI, INDIRA Individual OPERATIONAL/MANAGERIAL CONTROL
WATERVIEW LODGE LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST
DESAI, INDIRA Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Waterview Lodge Llc, Rehabilitation & Healthcare

What is the ElderGrade for Waterview Lodge Llc, Rehabilitation & Healthcare? +

Waterview Lodge Llc, Rehabilitation & Healthcare holds an ElderGrade of B (80.8 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 Waterview Lodge Llc, Rehabilitation & Healthcare? +

Residents receive an average of 3.87 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Waterview Lodge Llc, Rehabilitation & Healthcare been cited for harming residents? +

No. None of the 37 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Waterview Lodge Llc, Rehabilitation & Healthcare accept Medicaid? +

Yes, Waterview Lodge Llc, Rehabilitation & Healthcare 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.