Meadow Green Nursing and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 45 Woburn Street, Waltham, MA 02453
- CCN
- 225440
- Ownership type
- For-profit, limited liability company
- Certified beds
- 123
- Chain
- None in the CMS record
- Residents per day
- 92
- CMS flags
- None in the CMS record
Open the watch listCare 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 Meadow Green Nursing and Rehabilitation Center an overall rating of 1 of 5 stars. The last standard survey was on 9 Feb 2026. The latest survey cycle has 15 health citations. The median for nursing homes in Massachusetts is 6. CMS lists 2 fines with a total of $195,559 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.
Changes in the CMS recordFeed of changes in Massachusetts (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Middlesex County median | Massachusetts median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 4.0 | 3.0 | 2.9 |
| Quality measure rating | 4 | 3.0 | 3.0 | 3.6 |
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.
| Survey cycle | Standard survey | Citations | Massachusetts median |
|---|---|---|---|
| Cycle 1 (latest) | 9 Feb 2026 | 15 | 6 |
| Cycle 2 | 27 Feb 2025 | 13 | 8 |
| Cycle 3 | No date | 35 | 10 |
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.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | I0 | ||
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 15 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 9 Feb 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard survey | 12 Mar 2026 |
| 9 Feb 2026 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 12 Mar 2026 |
| 9 Feb 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 12 Mar 2026 |
| 9 Feb 2026 | 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 | 12 Mar 2026 |
| 9 Feb 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 12 Mar 2026 |
| 9 Feb 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 12 Mar 2026 |
| 9 Feb 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 12 Mar 2026 |
| 9 Feb 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 12 Mar 2026 |
| 9 Feb 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 12 Mar 2026 |
| 9 Feb 2026 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 12 Mar 2026 |
| 9 Feb 2026 | 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 | 12 Mar 2026 |
| 9 Feb 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 12 Mar 2026 |
| 9 Feb 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 12 Mar 2026 |
| 9 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 12 Mar 2026 |
| 9 Feb 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 12 Mar 2026 |
Survey cycle 2: 13 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 27 Feb 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 8 Apr 2025 |
| 27 Feb 2025 | F0578 | 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. | D | Standard survey | 8 Apr 2025 |
| 27 Feb 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard survey | 8 Apr 2025 |
| 27 Feb 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 8 Apr 2025 |
| 27 Feb 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 8 Apr 2025 |
| 27 Feb 2025 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 8 Apr 2025 |
| 27 Feb 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 8 Apr 2025 |
| 27 Feb 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 8 Apr 2025 |
| 27 Feb 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 8 Apr 2025 |
| 27 Feb 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 | 8 Apr 2025 |
| 27 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 8 Apr 2025 |
| 15 Oct 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 | 4 Nov 2024 |
| 15 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 5 Nov 2024 |
Survey cycle 3: 35 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Mar 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 16 May 2024 |
| 13 Mar 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 23 Apr 2024 |
| 13 Mar 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 23 Apr 2024 |
| 13 Mar 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 23 Apr 2024 |
| 13 Mar 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | F | Standard survey | 23 Apr 2024 |
| 13 Mar 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 15 May 2024 |
| 13 Mar 2024 | 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 | 23 Apr 2024 |
| 13 Mar 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | H | Standard survey | 23 Apr 2024 |
| 13 Mar 2024 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 23 Apr 2024 |
| 13 Mar 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 23 Apr 2024 |
| 13 Mar 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 23 Apr 2024 |
| 13 Mar 2024 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 23 Apr 2024 |
| 13 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 | 23 Apr 2024 |
| 13 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 | 23 Apr 2024 |
| 13 Mar 2024 | F0637 | Assess the resident when there is a significant change in condition | E | Standard survey | 23 Apr 2024 |
| 13 Mar 2024 | 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 | 15 May 2024 |
| 13 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. | D | Standard survey | 23 Apr 2024 |
| 13 Mar 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 15 May 2024 |
| 13 Mar 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 17 May 2024 |
| 13 Mar 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 23 Apr 2024 |
| 13 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 29 Apr 2024 |
| 13 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. | E | Standard survey | 23 Apr 2024 |
| 13 Mar 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 23 Apr 2024 |
| 13 Mar 2024 | 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. | F | Standard survey | 15 May 2024 |
| 13 Mar 2024 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 23 Apr 2024 |
| 13 Mar 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 23 Apr 2024 |
| 13 Mar 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard survey | 23 Apr 2024 |
| 13 Mar 2024 | 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. | F | Standard survey | 23 Apr 2024 |
| 13 Mar 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 29 Apr 2024 |
| 13 Mar 2024 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 23 Apr 2024 |
| 13 Mar 2024 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 23 Apr 2024 |
| 13 Mar 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 23 Apr 2024 |
| 13 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 17 May 2024 |
| 13 Mar 2024 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | Standard survey | 23 Apr 2024 |
| 13 Mar 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard survey | 23 Apr 2024 |
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.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 15 Oct 2024 | Fine | $9,318 | |
| 13 Mar 2024 | Fine | $186,241 |
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.
| Staff | This home | Massachusetts median | Massachusetts average (CMS) |
|---|---|---|---|
| All nurse staff | 3.92 | 3.70 | 3.86 |
| Registered nurses (RN) | 0.63 | 0.60 | 0.65 |
| Licensed practical nurses (LPN) | 0.96 | 0.95 | |
| Nurse aides | 2.33 | 2.26 | |
| All nurse staff, weekends | 3.72 | 3.30 | 3.48 |
- Nurse staff turnover in a year
- 64.7%
- Nurse staff turnover, Massachusetts median
- 37.7%
- RN turnover in a year
- 73.7%
- Administrators who left in a year
- No data
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.
| Measure (CMS text) | Residents | This home | Massachusetts median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 23.3% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.8% | 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 | 7.8% | 14.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.9% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.1% | 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
- For-profit, limited liability company
- Legal business name
- Meadow Green Nursing Home Inc
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| A. Franchi Contractors, Inc. | Operational/managerial control | 8 Apr 1985 |
The site shows organisations only. It does not show the names of persons.
Other homes in Middlesex County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Care One at Lexington | Lexington | 3 of 5 | 8 | $51,765 | 24 Dec 2025 | |
| Pine Knoll Nursing CenterSpecial Focus Facility | Lexington | Not rated | 33 | $454,052 | 2 Mar 2026 | |
| Brookhaven at Lexington | Lexington | 5 of 5 | 0 | $0 | 24 Nov 2025 | |
| Park Avenue Health Center | Arlington | 1 of 5 | 9 | $113,612 | 3 Dec 2025 | |
| Aberjona Rehabilitation and Nursing Center | Winchester | 5 of 5 | 0 | $0 | 13 May 2025 | |
| Winchester Rehabilitation and Nursing Center | Winchester | 5 of 5 | 3 | $0 | 6 Feb 2026 | |
| Woburn Rehabilitation and Nursing Center | Woburn | 2 of 5 | 15 | $8,512 | 9 Jan 2025 | |
| Carleton-Willard Village Retirement & Nursing Ctr | Bedford | 5 of 5 | 0 | $25,497 | 13 May 2026 | |
| Belmont Manor Nursing Home, In | Belmont | 2 of 5 | 10 | $0 | 31 Dec 2025 | |
| Maristhill Nursing & Rehabilitation Center | Waltham | 3 of 5 | 12 | $9,496 | 25 Nov 2025 | |
| Sancta Maria Nursing Facility | Cambridge | 2 of 5 | 11 | $13,065 | 25 Mar 2026 | |
| The Commons Skilled Nursing & Rehabilitation | Lincoln | 5 of 5 | 9 | $0 | 26 Nov 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Meadow Green Nursing and Rehabilitation Center (CCN 225440). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/meadow-green-nursing-and-rehabilitation-center-waltham-ma-225440/
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 Meadow Green Nursing and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 9 Feb 2026. It was a standard survey. It gave 15 citations. The standard survey before the last one was on 27 Feb 2025.
- Who operates Meadow Green Nursing and Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists no chain for the home. The CMS ownership file names A. Franchi Contractors, Inc. for operational or managerial control. This site does not show the names of persons.
- Is Meadow Green Nursing and 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.