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Maristhill Nursing & Rehabilitation CenterCMS ratings, inspections and fines

Address
66 Newton Street, Waltham, MA 02453
CCN
225408
Ownership type
Non-profit, corporation
Certified beds
123
Residents per day
88
CMS flags
None in the CMS record
CMS star ratings
Overall rating3 of 5
Health inspection rating2 of 5
Staffing rating5 of 5
Quality measure rating2 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Maristhill Nursing & Rehabilitation Center an overall rating of 3 of 5 stars. The last standard survey was on 25 Nov 2025. The latest survey cycle has 12 health citations. The median for nursing homes in Massachusetts is 6. CMS lists 1 fine of $9,496 for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Maristhill Nursing & Rehabilitation Center, with medians
Rating (1 to 5 stars)This homeMiddlesex County medianMassachusetts medianUS average (CMS)
Overall rating33.03.03.0
Health inspection rating23.03.02.8
Staffing rating54.03.02.9
Quality measure rating23.03.03.6

A median is the middle value of the homes in the group: 72 homes in the county, 341 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Maristhill Nursing & Rehabilitation Center in the last three survey cycles
Survey cycleStandard surveyCitationsMassachusetts median
Cycle 1 (latest)25 Nov 2025126
Cycle 210 Oct 2024148
Cycle 3No date1710

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 43 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harmF0
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 12 citations

Standard survey of this cycle: .

Health citations of Maristhill Nursing & Rehabilitation Center in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
25 Nov 2025F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey25 Dec 2025
25 Nov 2025F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard survey25 Dec 2025
25 Nov 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey25 Dec 2025
25 Nov 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey25 Dec 2025
25 Nov 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey25 Dec 2025
25 Nov 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey25 Dec 2025
25 Nov 2025F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey25 Dec 2025
25 Nov 2025F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey25 Dec 2025
25 Nov 2025F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard survey25 Dec 2025
25 Nov 2025F0761Ensure 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.EStandard survey25 Dec 2025
25 Nov 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey25 Dec 2025
25 Nov 2025F0880Provide and implement an infection prevention and control program.EStandard survey25 Dec 2025

Survey cycle 2: 14 citations

Standard survey of this cycle: .

Health citations of Maristhill Nursing & Rehabilitation Center in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
24 Feb 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation3 Apr 2025
10 Oct 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey24 Nov 2024
10 Oct 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey24 Nov 2024
10 Oct 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey24 Nov 2024
10 Oct 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey24 Nov 2024
10 Oct 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey24 Nov 2024
10 Oct 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey24 Nov 2024
10 Oct 2024F0685Assist a resident in gaining access to vision and hearing services.DStandard survey24 Nov 2024
10 Oct 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard survey24 Nov 2024
10 Oct 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey24 Nov 2024
10 Oct 2024F0699Provide care or services that was trauma informed and/or culturally competent.DStandard survey24 Nov 2024
10 Oct 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey24 Nov 2024
10 Oct 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey24 Nov 2024
10 Oct 2024F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey24 Nov 2024

Survey cycle 3: 17 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Maristhill Nursing & Rehabilitation Center in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
4 Oct 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey18 Nov 2023
4 Oct 2023F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard survey18 Nov 2023
4 Oct 2023F0637Assess the resident when there is a significant change in conditionDStandard survey18 Nov 2023
4 Oct 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey18 Nov 2023
4 Oct 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey18 Nov 2023
4 Oct 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey18 Nov 2023
4 Oct 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey18 Nov 2023
4 Oct 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey18 Nov 2023
4 Oct 2023F0700Try 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.DStandard survey18 Nov 2023
4 Oct 2023F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard survey18 Nov 2023
4 Oct 2023F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey18 Nov 2023
4 Oct 2023F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey18 Nov 2023
4 Oct 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 survey18 Nov 2023
4 Oct 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey18 Nov 2023
4 Oct 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey18 Nov 2023
4 Oct 2023F0880Provide and implement an infection prevention and control program.DStandard survey18 Nov 2023
4 Oct 2023F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey18 Nov 2023

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of Maristhill Nursing & Rehabilitation Center in the CMS penalties file
DateTypeFineDays without payment
24 Feb 2025Fine$9,496

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Maristhill Nursing & Rehabilitation Center
StaffThis homeMassachusetts medianMassachusetts average (CMS)
All nurse staff3.903.703.86
Registered nurses (RN)1.200.600.65
Licensed practical nurses (LPN)0.540.95
Nurse aides2.172.26
All nurse staff, weekends3.573.303.48
Nurse staff turnover in a year
15.3%
Nurse staff turnover, Massachusetts median
37.7%
RN turnover in a year
9.5%
Administrators who left in a year
0

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Maristhill Nursing & Rehabilitation Center, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeMassachusetts medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay19.0%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.8%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.5%1.5%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.8%3.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay4.2%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay16.3%14.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.3%3.8%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay21.0%19.6%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
Non-profit, corporation
Legal business name
CHS of Waltham Inc
Chain
Covenant Health (8 homes in the CMS chain file)

The CMS ownership record of this home lists no organisation.

The site shows organisations only. It does not show the names of persons.

Other homes in Middlesex County

The 12 nearest other nursing homes in Middlesex County, Massachusetts
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
West Newton HealthcareWest Newton1 of 517$184,16618 Dec 2025
Belmont Manor Nursing Home, InBelmont2 of 510$031 Dec 2025
Lasell HouseNewton5 of 50$011 Sep 2025
Brookhaven at LexingtonLexington5 of 50$024 Nov 2025
Pine Knoll Nursing CenterSpecial Focus FacilityLexingtonNot rated33$454,0522 Mar 2026
Care One at NewtonNewton2 of 518$20,18618 Jul 2025
Sancta Maria Nursing FacilityCambridge2 of 511$13,06525 Mar 2026
Watertown Rehabilitation and Nursing CenterWatertown1 of 515$56,44028 Apr 2026
Neville Center at Fresh Pond for Nursing & RehabCambridge4 of 55$013 May 2026
Stone Rehabilitation and Senior LivingNewton Upper Falls3 of 55$16,19511 Mar 2026
Park Avenue Health CenterArlington1 of 59$113,6123 Dec 2025
Campion Health & Wellness, IncWeston5 of 50$07 May 2025

All 72 nursing homes in Middlesex County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Maristhill Nursing & Rehabilitation Center (CCN 225408). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/maristhill-nursing-rehabilitation-center-waltham-ma-225408/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Maristhill Nursing & Rehabilitation Center last inspected?
The latest inspection with a citation in the CMS record was on 25 Nov 2025. It was a standard survey. It gave 12 citations. The standard survey before the last one was on 10 Oct 2024.
Who operates Maristhill Nursing & Rehabilitation Center?
The CMS record gives the ownership type as non-profit, corporation. CMS lists the home in the chain Covenant Health. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
Is Maristhill Nursing & Rehabilitation Center a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Massachusetts as Special Focus Facilities and 10 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.