Elder Care Record

Massachusetts › Middlesex County › Melrose

Elmhurst Healthcare (the)

743 Main Street, Melrose, MA 02176

CCN 225659 · For-profit, corporation · 45 certified beds · chain Next Step Healthcare

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.

Elmhurst Healthcare (the) is a For-profit, corporation nursing home in Melrose, Massachusetts, certified for 45 beds and caring for about 31 residents a day.

CMS gives it 5 of 5 stars overall, above the Massachusetts median of 3; the health inspection rating is 5, staffing 5 and quality measures 4.

Inspectors recorded 20 health deficiencies across the three most recent survey cycles (0, 4, 16 by cycle, most recent first), none at the actual-harm level. That is 44.4 per 100 beds, more than the state median of 21.7.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 4.3 hours per resident per day (1.1 RN), close to the Massachusetts median of 3.7; nursing staff turnover is 38.1%.

20health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
4.3nurse hours per resident per daystate median 3.7
69%occupancy (residents ÷ beds)31 residents a day

Compared with county, state and nation

MeasureThis facilityMiddlesex Co. medianMassachusetts medianUS average
Overall star rating5333.0
Health citations, 3 cycles20272728.7
Citations per 100 beds44.424.721.726.8
Total nurse hours per resident day4.33.83.73.9
RN hours per resident day1.10.60.60.7
Nursing staff turnover38.1%33.0%37.7%45.8%
Fines listed$0$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

Cycle 1 (latest)0
Cycle 24
Cycle 316

Dark bar: this facility. Grey bar: Massachusetts average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 Jun 2025, 10 Jul 2024.

Severity mix: D ×19 B ×1

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 dateTagWhat the tag requiresSeverityTypeCorrected
10 Jul 2024F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey26 Jul 2024
10 Jul 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey26 Jul 2024
10 Jul 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey26 Jul 2024
10 Jul 2024F0880Provide and implement an infection prevention and control program.DStandard survey26 Jul 2024
10 May 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey30 May 2023
10 May 2023F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey30 May 2023
10 May 2023F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey30 May 2023
10 May 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey30 May 2023
10 May 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey30 May 2023
10 May 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey30 May 2023
10 May 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey30 May 2023
10 May 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey30 May 2023
10 May 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey30 May 2023
10 May 2023F0692Provide enough food/fluids to maintain a resident's health.DStandard survey30 May 2023
10 May 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey30 May 2023
10 May 2023F0761Ensure 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.DStandard survey30 May 2023
10 May 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey30 May 2023
10 May 2023F0880Provide and implement an infection prevention and control program.DStandard survey30 May 2023
10 May 2023F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey30 May 2023
10 May 2023F0641Ensure each resident receives an accurate assessment.BStandard survey30 May 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing4.32 h
Nurse aides2.11 h
LPN1.06 h
RN1.14 h
Weekend total4.12 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Massachusetts average. Turnover: nursing staff 38.1%, RNs 22.2%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMassachusetts medianUS median
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.6%1.0%1.0%

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, corporation. Legal business name: 743 Main Street Operator Llc. Chain: Next Step Healthcare (14 facilities).

OrganisationRole in the CMS recordInterestSince
Next Step Healthcare LLCOperational/managerial controlNOT APPLICABLE09/01/2017
Next Step Healthcare LLCAdp of the snfNOT APPLICABLE09/01/2017

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Aberjona Rehabilitation and Nursing CenterWinchester12355464.9—15 May 2024
Bear Hill Healthcare and Rehabilitation CenterStoneham1695432716.0$16K15 Jan 2026
Bethany Skilled Nursing FacilityFramingham16955542.4$9K26 Sep 2024
Brookhaven At LexingtonLexington4955—48.2—22 Oct 2024
Campion Health & Wellness, IncWeston7055511.4—12 Apr 2023
Care One At WilmingtonWilmington13255343.0—31 Jul 2025
Carleton-Willard Village Retirement & Nursing CtrBedford179535116.1$25K10 Jun 2025
D'Youville Care For Advanced TherapyLowell33554515.2—9 Apr 2024

All 72 facilities in Middlesex County

Questions and answers

How many deficiencies has Elmhurst Healthcare (the) been cited for?

20 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Massachusetts median is 27 per facility.

Has Elmhurst Healthcare (the) been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Elmhurst Healthcare (the) compare?

Reported total nurse staffing is 4.3 hours per resident per day against a Massachusetts median of 3.7 and a national average of 3.9.

Who operates Elmhurst Healthcare (the)?

It is part of the Next Step Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Next Step Healthcare LLC. Individual owners and managers are not listed on this site.

When was Elmhurst Healthcare (the) last inspected?

The most recent survey or investigation in the CMS record is dated 10 Jul 2024; the most recent standard health survey was 11 Jun 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.