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NEXT STEP HEALTHCARE

Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency across a group says more about an operator than any single building.

Homes

14

States

1

Beds

1,667

Avg score

67

Avg turnover

40%

Federal fines

$1,209,946

Flags across this group

1 of the group's homes carry a CMS abuse icon. 2 homes are in or a candidate for the Special Focus Facility programme.

All 14 homes

A

91/100

Elmhurst Healthcare (The)

Melrose, MA · Middlesex County

CMS 5/545 bedsFor-profit
Nurse hours
4.32 /day
Staff turnover
38%
Serious cites
0

Elmhurst Healthcare runs 45 beds in Melrose under corporate for-profit ownership, and the staffing numbers here are genuinely strong: 4.32 nurse hours per resident day, roughly 12% above the national average, with a 5/5 staffing star rating to match. Weekend coverage dips about 5% below its own weekday level, which is worth knowing if your family visits or calls on Saturdays and Sundays. The 20 deficiencies on record include none at the harm or jeopardy level and none abuse-related, and the most recent inspection was June 2025. Staff turnover sits at 38.1%, better than the 45.8% national average, which suggests people tend to stay.

B

84/100

Dexter House Healthcare

Malden, MA · Middlesex County

CMS 3/5130 bedsFor-profitMedicaid
Nurse hours
3.37 /day
Staff turnover
21%
Serious cites
0

Dexter House runs 3.37 nursing hours per resident each day, roughly 13% under the national average, and weekends dip about 10% below its own weekday levels. That said, turnover sits at 21.1% against a national average of 45.8%, a notably stable workforce for a for-profit LLC, which matters because consistent staff know residents' routines. The tradeoff shows in the inspection record: 20 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level, and the most recent inspection was in September 2025. Quality and staffing measures both come in at 4 stars, health inspections at 3. If you're weighing this one, ask how weekends are covered and what that abuse citation involved.

B

74/100

Garden Place Healthcare

Attleboro, MA · Bristol County

CMS 2/5133 bedsFor-profitMedicaid
Nurse hours
3.42 /day
Staff turnover
23%
Serious cites
0

Garden Place runs 133 certified beds in Attleboro under for-profit LLC ownership, and its staff retention is the standout number here: 23.4% annual turnover against a national average of 45.8%. That kind of stability matters, but it doesn't offset the inspection record. There are 43 deficiencies on file, including two at the harm or jeopardy level and three tied to abuse, plus two fines totaling $82,488. Nurse staffing sits at 3.42 hours per resident day, about 11% under the national average, and weekends run roughly 7% thinner than weekdays. The last inspection was December 10, 2025. Low turnover is a genuine strength here, but the harm-level findings and thin weekend coverage are the things I'd ask about directly.

B

70/100

Hermitage Healthcare (The)

Worcester, MA · Worcester County

CMS 2/5101 bedsFor-profitMedicaid
Nurse hours
3.74 /day
Staff turnover
21%
Serious cites
0

Hermitage Healthcare runs 101 certified beds in Worcester under corporate for-profit ownership, and its staffing sits at 3.74 nurse hours per resident day, roughly 3% under the national average of 3.86. Weekends dip about 10% below its own weekday coverage, so the thinnest shifts land when families tend to visit. What stands out is turnover: 21% against a national average near 46%, meaning aides and nurses here tend to stay, which matters more for daily care than any single inspection score. The current record shows 33 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in August 2025. Quality measures score 1 out of 5, the weakest mark on the file.

C

68/100

West Newton Healthcare

West Newton, MA · Middlesex County

CMS 1/5123 bedsFor-profitMedicaid
Nurse hours
3.49 /day
Staff turnover
54%
Serious cites
0

West Newton Healthcare runs 123 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.49 nurse hours per resident day, it sits about 10% under the national average, and weekends dip roughly 8% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Annual turnover of 53.5% runs well above the 45.8% national figure, so caregivers cycle through faster than residents can get used to them. The inspection record is heavier still: 82 deficiencies, including one at harm or jeopardy level and two tied to abuse, plus a $184,166 fine. A December 2025 inspection is recent, but recent isn't the same as clean.

C

68/100

Melrose Healthcare

Melrose, MA · Middlesex County

CMS 1/5106 bedsFor-profitMedicaid
Nurse hours
3.49 /day
Staff turnover
33%
Serious cites
0

Melrose Healthcare is owned by a for-profit limited liability company and holds 106 certified beds. Nurse staffing runs about 3.49 hours per resident day, roughly 10 percent under the national average, and weekends dip about 5 percent below weekdays. Turnover sits at 32.9 percent, better than the 45.8 percent national figure. What stands out is the inspection record: 67 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a $49,324 fine. CMS places it in the Special Focus Facility program, and the most recent inspection was April 9, 2025.

C

67/100

Oakhill Healthcare

Middleboro, MA · Plymouth County

CMS 2/5123 bedsFor-profitMedicaid
Nurse hours
3.51 /day
Staff turnover
54%
Serious cites
0

Oakhill Healthcare runs 123 beds in Middleboro under for-profit LLC ownership, and the staffing numbers tell a consistent story. Nurses provide 3.51 hours per resident per day, roughly 9% under the national average of 3.86, and weekends drop about 6% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover sits at 53.7%, well above the 45.8% national figure, meaning the aides and nurses caring for residents are frequently new. The inspection record shows 47 deficiencies, including four tied to abuse, with no harm-level citations; the most recent inspection was in January 2026. All three CMS star ratings, health inspections, quality measures, and staffing, come in at 2 out of 5.

C

65/100

Fitchburg Healthcare

Fitchburg, MA · Worcester County

CMS 1/5160 bedsFor-profitMedicaid
Nurse hours
3.51 /day
Staff turnover
42%
Serious cites
0

Fitchburg Healthcare runs 160 beds under for-profit LLC ownership, and its staffing sits at 3.51 nurse hours per resident day, about 9% under the national average of 3.86. Weekends drop roughly 12% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 39 deficiencies, including one at the harm-or-jeopardy level and one abuse-related, plus a $33,180 fine. Staff turnover at 42% is slightly better than the 45.8% national figure, but that's a small consolation against a 1-out-of-5 inspection rating and a February 2026 inspection that's now behind it. Ask about the abuse deficiency directly before you decide anything.

C

64/100

Westborough Healthcare

Westborough, MA · Worcester County

CMS 2/5117 bedsFor-profitMedicaid
Nurse hours
3.65 /day
Staff turnover
42%
Serious cites
0

Westborough Healthcare runs 117 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 3.65 nurse hours per resident day sits about 6% under the national average of 3.86, and weekends dip roughly 5% below the home's own weekday levels. Turnover lands at 42.4%, a touch better than the 45.8% national figure, but that's the strongest number here. The inspection record shows 32 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $8,648 fine. The last inspection was February 2026. Federal quality measures score 1 out of 5 stars, and staffing sits at 2, worth weighing carefully against what your family needs.

C

62/100

Wedgemere Healthcare

Taunton, MA · Bristol County

CMS 1/594 bedsFor-profitMedicaid
Nurse hours
3.56 /day
Staff turnover
44%
Serious cites
0

Wedgemere runs lean on nursing hours, 3.56 per resident day, roughly 8% under the national average, and weekends are thinner still, about 11% below its own weekday coverage. The inspection record is the bigger concern: 50 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a $129,794 fine, with federal health and staffing ratings both at the bottom of the scale. Staff turnover, at 43.8%, is actually slightly better than the 45.8% national average, so retention isn't the main problem here. The last inspection was in January 2025, so the record is recent. If you're considering this home, ask directly how the abuse deficiency was resolved and what weekend coverage looks like on the evening shift.

C

62/100

Lee Healthcare

Lee, MA · Berkshire County

CMS 1/588 bedsFor-profitMedicaid
Nurse hours
3.18 /day
Staff turnover
62%
Serious cites
0

Lee Healthcare runs 88 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 3.18 nurse hours per resident day against a national average of 3.86, with weekends running roughly 9% thinner than weekdays. That shortfall shows up in who stays and who leaves, annual turnover of 62.3% against a national 45.8% means roughly three in five caregivers are new each year, and it's hard to build familiarity with residents that way. The current inspection record carries 34 deficiencies, one serious enough to reach harm or jeopardy level, though none are abuse-related. State inspectors were last in on September 10, 2025, and the quality measure rating sits at 1 out of 5.

C

55/100

Fall River Healthcare

Fall River, MA · Bristol County

CMS 1/5176 bedsFor-profitMedicaid
Nurse hours
3.42 /day
Staff turnover
50%
Serious cites
0

Fall River Healthcare runs 176 certified beds under for-profit LLC ownership, and the staffing numbers tell a story worth pausing on. At 3.42 nurse hours per resident day, it sits about 11% under the national average, and weekends dip roughly 9% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Annual turnover of 49.7% tops the national figure, meaning the people providing care are frequently new. The inspection record is the harder part: 52 deficiencies, 10 at harm or jeopardy level, 7 tied to abuse, and four fines totaling $385,062. The most recent inspection was December 2025.

D

54/100

Plymouth Harborside Healthcare

Plymouth, MA · Plymouth County

CMS 1/5101 bedsFor-profitMedicaid
Nurse hours
3.56 /day
Staff turnover
52%
Serious cites
0

Abuse icon on record

Plymouth Harborside is a 101-bed for-profit home that CMS has placed in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems. The numbers behind that: 58 deficiencies on the current record, 9 of them at the harm or jeopardy level, plus 2 abuse-related citations and six fines totaling $359,529. Staffing sits at 3.56 nurse hours per resident day, about 8% under the national average, and weekends run roughly 12% thinner than weekdays. Annual turnover is 52.1%. Both its health inspection and quality measure ratings come in at 1 out of 5 stars. If you're considering this home, ask pointed questions about the care plan and who's actually on the floor on Saturdays.

D

54/100

Norwood Healthcare

Norwood, MA · Norfolk County

CMS 1/5170 bedsFor-profitMedicaid
Nurse hours
3.48 /day
Staff turnover
25%
Serious cites
0

Special Focus Facility

Norwood Healthcare runs 170 certified beds under for-profit LLC ownership, and the numbers pull in opposite directions. Its nurse staffing sits about 10% under the national average, though turnover at 25% is well below the 45.8% national figure, and weekend coverage dips roughly 9% below its own weekday levels. The bigger problem is the inspection record: 68 deficiencies, seven at harm or jeopardy level, five abuse-related, and six fines totaling $190,588. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. A recent inspection date doesn't offset that history.