Massachusetts › Middlesex County › Ayer
Ayer Valley Rehab and Nursing
400 Groton Road, Ayer, MA 01432
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Ayer Valley Rehab and Nursing, in Ayer, Massachusetts, is certified for 123 beds under for-profit, limited liability company ownership and belongs to the Stern Consultants chain.
CMS gives it 1 of 5 stars overall, below the Massachusetts median of 3; the health inspection rating is 1, staffing 3 and quality measures 3.
Inspectors recorded 78 health deficiencies across the three most recent survey cycles (19, 25, 34 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 63.4 per 100 beds, more than the state median of 21.7.
CMS lists 2 penalties in the period covered: fines totalling $63K.
Reported nurse staffing is 3.7 hours per resident per day (0.8 RN), close to the Massachusetts median of 3.7; nursing staff turnover is 58.1%.
78health deficiencies, 3 survey cycles6 at actual harm or worse
$63Kfines listed by CMS2 penalties in period
3.7nurse hours per resident per daystate median 3.7
82%occupancy (residents ÷ beds)101 residents a day
Compared with county, state and nation
| Measure | This facility | Middlesex Co. median | Massachusetts median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 78 | 27 | 27 | 28.7 |
| Citations per 100 beds | 63.4 | 24.7 | 21.7 | 26.8 |
| Total nurse hours per resident day | 3.7 | 3.8 | 3.7 | 3.9 |
| RN hours per resident day | 0.8 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 58.1% | 33.0% | 37.7% | 45.8% |
| Fines listed | $63,034 | $8,512 | $0 | — |
County and state figures are medians across facilities (72 in the county, 341 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Massachusetts average per facility for the same cycle, as published by CMS. Standard health survey dates: 13 Mar 2025, 5 Mar 2024.
Severity mix: G ×6 D ×41 E ×18 F ×8 B ×1 C ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 25 Jun 2026 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | F | Complaint investigation | 26 Jun 2026 |
| 13 Mar 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 25 Mar 2025 |
| 13 Mar 2025 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Standard survey | 25 Mar 2025 |
| 13 Mar 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 25 Mar 2025 |
| 13 Mar 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 25 Mar 2025 |
| 13 Mar 2025 | F0585 | 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. | D | Standard survey | 25 Mar 2025 |
| 13 Mar 2025 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 25 Mar 2025 |
| 13 Mar 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 25 Mar 2025 |
| 13 Mar 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard survey | 25 Mar 2025 |
| 13 Mar 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 25 Mar 2025 |
| 13 Mar 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 25 Mar 2025 |
| 13 Mar 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 25 Mar 2025 |
| 13 Mar 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 25 Mar 2025 |
| 13 Mar 2025 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard survey | 25 Mar 2025 |
| 13 Mar 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 25 Mar 2025 |
| 13 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 25 Mar 2025 |
| 13 Mar 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 25 Mar 2025 |
| 13 Mar 2025 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 25 Mar 2025 |
| 13 Mar 2025 | F0843 | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | C | Standard survey | 25 Mar 2025 |
| 2 Jan 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 20 Jan 2025 |
| 2 Jan 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 20 Jan 2025 |
| 2 Jan 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 20 Jan 2025 |
| 5 Jun 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 21 Jun 2024 |
| 5 Jun 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Complaint investigation | 17 Jun 2024 |
| 5 Jun 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 17 Jun 2024 |
| 5 Mar 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Standard survey | 22 Mar 2024 |
| 5 Mar 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 22 Mar 2024 |
| 5 Mar 2024 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard survey | 25 Mar 2024 |
| 5 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 25 Mar 2024 |
| 5 Mar 2024 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 25 Mar 2024 |
| 5 Mar 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 25 Mar 2024 |
| 5 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 25 Mar 2024 |
| 5 Mar 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 25 Mar 2024 |
| 5 Mar 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 25 Mar 2024 |
| 5 Mar 2024 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard survey | 25 Mar 2024 |
| 5 Mar 2024 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | 25 Mar 2024 |
| 5 Mar 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 25 Mar 2024 |
| 5 Mar 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 25 Mar 2024 |
| 5 Mar 2024 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Standard survey | 25 Mar 2024 |
| 5 Mar 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 25 Mar 2024 |
| 5 Mar 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 25 Mar 2024 |
| 5 Mar 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 25 Mar 2024 |
| 5 Mar 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard survey | 25 Mar 2024 |
| 5 Mar 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 25 Mar 2024 |
| 5 Mar 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 25 Mar 2024 |
| 5 Mar 2024 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 25 Mar 2024 |
| 5 Mar 2024 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | B | Standard survey | 25 Mar 2024 |
| 29 Dec 2023 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | F | Complaint investigation | 23 Feb 2024 |
| 29 Dec 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 23 Feb 2024 |
| 29 Dec 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | F | Complaint investigation | 23 Feb 2024 |
| 29 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 23 Feb 2024 |
| 29 Dec 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 23 Feb 2024 |
| 29 Dec 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 23 Feb 2024 |
| 29 Dec 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 23 Feb 2024 |
| 29 Dec 2023 | F0679 | Provide activities to meet all resident's needs. | D | Complaint investigation | 23 Feb 2024 |
| 29 Dec 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 23 Feb 2024 |
| 29 Dec 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint investigation | 23 Feb 2024 |
| 29 Dec 2023 | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | C | Complaint investigation | 23 Feb 2024 |
| 29 Dec 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | C | Complaint investigation | 23 Feb 2024 |
| 29 Dec 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | C | Complaint investigation | 23 Feb 2024 |
| 27 Sep 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 1 Sep 2023 |
| 27 Sep 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 1 Sep 2023 |
| 27 Sep 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Complaint investigation | 31 Oct 2023 |
| 16 Jun 2022 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Standard survey | 21 Jul 2022 |
| 16 Jun 2022 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 16 Aug 2022 |
| 16 Jun 2022 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | G | Standard survey | 21 Jul 2022 |
| 16 Jun 2022 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 16 Aug 2022 |
| 16 Jun 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 21 Jul 2022 |
| 16 Jun 2022 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 21 Jul 2022 |
| 16 Jun 2022 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 26 Aug 2022 |
| 16 Jun 2022 | F0886 | Perform COVID19 testing on residents and staff. | E | Standard survey | 21 Jul 2022 |
| 16 Jun 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 21 Jul 2022 |
| 16 Jun 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 21 Jul 2022 |
| 16 Jun 2022 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 21 Jul 2022 |
| 16 Jun 2022 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 21 Jul 2022 |
| 16 Jun 2022 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 21 Jul 2022 |
| 16 Jun 2022 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Standard survey | 26 Aug 2022 |
| 16 Jun 2022 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 16 Aug 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 5 Mar 2024 | Fine | $53,264 | |
| 27 Sep 2023 | Fine | $9,770 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Massachusetts average. Turnover: nursing staff 58.1%, RNs 39.1%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Massachusetts median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.8% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.0% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.5% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.4% | 14.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.0% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.9% | 19.6% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Ayer Valley Rehab And Nursing Llc. Chain: Stern Consultants (22 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Stern Therapy Consultants LLC | Operational/managerial control | NOT APPLICABLE | 10/16/2023 |
| Tlco Holdings LLC | Operational/managerial control | NOT APPLICABLE | 10/16/2023 |
| Ayer Valley Propco LLC | Adp of the snf | NOT APPLICABLE | 10/16/2023 |
| Stern Therapy Consultants LLC | Adp of the snf | NOT APPLICABLE | 07/06/2025 |
| Tlco Holdings LLC | Adp of the snf | NOT APPLICABLE | 10/16/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Middlesex County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Aberjona Rehabilitation and Nursing Center | Winchester | 123 | 5 | 5 | 4 | 6 | 4.9 | — | 15 May 2024 |
| Bear Hill Healthcare and Rehabilitation Center | Stoneham | 169 | 5 | 4 | 3 | 27 | 16.0 | $16K | 15 Jan 2026 |
| Bethany Skilled Nursing Facility | Framingham | 169 | 5 | 5 | 5 | 4 | 2.4 | $9K | 26 Sep 2024 |
| Brookhaven At Lexington | Lexington | 49 | 5 | 5 | — | 4 | 8.2 | — | 22 Oct 2024 |
| Campion Health & Wellness, Inc | Weston | 70 | 5 | 5 | 5 | 1 | 1.4 | — | 12 Apr 2023 |
| Care One At Wilmington | Wilmington | 132 | 5 | 5 | 3 | 4 | 3.0 | — | 31 Jul 2025 |
| Carleton-Willard Village Retirement & Nursing Ctr | Bedford | 179 | 5 | 3 | 5 | 11 | 6.1 | $25K | 10 Jun 2025 |
| D'Youville Care For Advanced Therapy | Lowell | 33 | 5 | 5 | 4 | 5 | 15.2 | — | 9 Apr 2024 |
All 72 facilities in Middlesex County
Questions and answers
How many deficiencies has Ayer Valley Rehab and Nursing been cited for?
78 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Massachusetts median is 27 per facility.
Has Ayer Valley Rehab and Nursing been fined?
Yes. CMS lists fines totalling $63K in the period covered.
How does staffing at Ayer Valley Rehab and Nursing compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Massachusetts median of 3.7 and a national average of 3.9.
Who operates Ayer Valley Rehab and Nursing?
It is part of the Stern Consultants chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Stern Therapy Consultants LLC and Tlco Holdings LLC. Individual owners and managers are not listed on this site.
When was Ayer Valley Rehab and Nursing last inspected?
The most recent survey or investigation in the CMS record is dated 25 Jun 2026; the most recent standard health survey was 13 Mar 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.