Medway Country Manor Skilled Nursing & RehabilitatCMS ratings, inspections and fines
- Address
- 115 Holliston Street, Medway, MA 02053
- CCN
- 225412
- Ownership type
- For-profit, individual
- Certified beds
- 123
- Chain
- Chain name not shown
- Residents per day
- 115
- CMS flags
- Special Focus Facility
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 Medway Country Manor Skilled Nursing & Rehabilitat no star ratings, because the home is in the Special Focus Facility program. The last standard survey was on 19 Mar 2026. The latest survey cycle has 9 health citations. The median for nursing homes in Massachusetts is 6. CMS lists 3 fines with a total of $230,018 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 | Norfolk County median | Massachusetts median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | No data | 3.0 | 3.0 | 3.0 |
| Health inspection rating | No data | 3.0 | 3.0 | 2.8 |
| Staffing rating | No data | 3.0 | 3.0 | 2.9 |
| Quality measure rating | No data | 4.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 33 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) | 19 Mar 2026 | 9 | 6 |
| Cycle 2 | 25 Nov 2024 | 26 | 8 |
| Cycle 3 | No date | 32 | 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 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 9 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 19 Mar 2026 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 24 Apr 2026 |
| 19 Mar 2026 | 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. | F | Standard survey | 24 Apr 2026 |
| 19 Mar 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 24 Apr 2026 |
| 19 Mar 2026 | 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 | 24 Apr 2026 |
| 19 Mar 2026 | F0685 | Assist a resident in gaining access to vision and hearing services. | E | Standard survey | 24 Apr 2026 |
| 19 Mar 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 24 Apr 2026 |
| 19 Mar 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 24 Apr 2026 |
| 19 Mar 2026 | 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 | Standard survey | 24 Apr 2026 |
| 19 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 24 Apr 2026 |
Survey cycle 2: 26 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 Feb 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 25 Feb 2025 |
| 5 Feb 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 25 Feb 2025 |
| 29 Jan 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. | L | Complaint investigation | 13 Feb 2025 |
| 29 Jan 2025 | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | L | Complaint investigation | 13 Feb 2025 |
| 29 Jan 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | L | Complaint investigation | 13 Feb 2025 |
| 29 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | L | Complaint investigation | 13 Feb 2025 |
| 25 Nov 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 | Standard survey | 7 Jan 2025 |
| 25 Nov 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 7 Jan 2025 |
| 25 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 7 Jan 2025 |
| 25 Nov 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 7 Jan 2025 |
| 25 Nov 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 7 Jan 2025 |
| 25 Nov 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 7 Jan 2025 |
| 25 Nov 2024 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Standard survey | 7 Jan 2025 |
| 25 Nov 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. | F | Standard survey | 7 Jan 2025 |
| 25 Nov 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | F | Standard survey | 7 Jan 2025 |
| 25 Nov 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 | 7 Jan 2025 |
| 25 Nov 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 7 Jan 2025 |
| 25 Nov 2024 | F0758 | Implement 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. | D | Standard survey | 7 Jan 2025 |
| 25 Nov 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 7 Jan 2025 |
| 25 Nov 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. | D | Standard survey | 7 Jan 2025 |
| 25 Nov 2024 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard survey | 7 Jan 2025 |
| 25 Nov 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 7 Jan 2025 |
| 25 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 7 Jan 2025 |
| 25 Nov 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 7 Jan 2025 |
| 25 Nov 2024 | F0924 | Put firmly secured handrails on each side of hallways. | D | Standard survey | 7 Jan 2025 |
| 25 Nov 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. | F | Standard survey | 7 Jan 2025 |
Survey cycle 3: 32 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 |
|---|---|---|---|---|---|
| 2 Jul 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 6 Aug 2024 |
| 2 Jul 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 6 Aug 2024 |
| 2 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 6 Aug 2024 |
| 9 Jan 2024 | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint investigation | 13 Feb 2024 |
| 22 Aug 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Complaint investigation | 22 Sep 2023 |
| 22 Aug 2023 | 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 | 22 Sep 2023 |
| 22 Aug 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 22 Sep 2023 |
| 22 Aug 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 22 Sep 2023 |
| 10 Aug 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 15 Sep 2023 |
| 10 Aug 2023 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 15 Sep 2023 |
| 10 Aug 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 15 Sep 2023 |
| 10 Aug 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 15 Sep 2023 |
| 10 Aug 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 15 Sep 2023 |
| 10 Aug 2023 | 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 | 15 Sep 2023 |
| 10 Aug 2023 | 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 | 15 Sep 2023 |
| 10 Aug 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 15 Sep 2023 |
| 10 Aug 2023 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 15 Sep 2023 |
| 10 Aug 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 15 Sep 2023 |
| 10 Aug 2023 | 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 | 15 Sep 2023 |
| 10 Aug 2023 | F0693 | Ensure 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. | D | Standard survey | 15 Sep 2023 |
| 10 Aug 2023 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 15 Sep 2023 |
| 10 Aug 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 15 Sep 2023 |
| 10 Aug 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 15 Sep 2023 |
| 10 Aug 2023 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 15 Sep 2023 |
| 10 Aug 2023 | 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 | 15 Sep 2023 |
| 10 Aug 2023 | F0758 | Implement 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. | D | Standard survey | 15 Sep 2023 |
| 10 Aug 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 15 Sep 2023 |
| 10 Aug 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 | Standard survey | 15 Sep 2023 |
| 10 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 15 Sep 2023 |
| 10 Aug 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 15 Sep 2023 |
| 10 Aug 2023 | 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 | 15 Sep 2023 |
| 10 Aug 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 15 Sep 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.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 19 Mar 2026 | Fine | $89,440 | |
| 29 Jan 2025 | Fine | $134,285 | |
| 5 Sep 2023 | Fine | $6,293 |
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 | 3.24 | 3.70 | 3.86 |
| Registered nurses (RN) | 0.35 | 0.60 | 0.65 |
| Licensed practical nurses (LPN) | 0.90 | 0.95 | |
| Nurse aides | 1.99 | 2.26 | |
| All nurse staff, weekends | 3.03 | 3.30 | 3.48 |
- Nurse staff turnover in a year
- 40.8%
- Nurse staff turnover, Massachusetts median
- 37.7%
- RN turnover in a year
- 42.9%
- 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.
| 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 | 30.7% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.3% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.0% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.8% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.8% | 14.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.7% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.4% | 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, individual
- Chain
- Chain name not shown
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Mavado Management LLC | Operational/managerial control | 1 Jun 2014 | |
| Mavado Management LLC | Adp of the snf | 26 Nov 2025 |
The site shows organisations only. It does not show the names of persons. CMS lists this home in a chain that has the name of a person, so the site shows no chain name and no chain page.
Other homes in Norfolk County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| The Gardens at Cedarwood | Franklin | 2 of 5 | 5 | $7,596 | 17 Jun 2025 | |
| Thomas Upham House | Medfield | 5 of 5 | 3 | $0 | 20 Nov 2025 | |
| Serenity Hill Nursing Center | Wrentham | 1 of 5 | 11 | $0 | 3 Mar 2026 | |
| Alliance Health at Maples | Wrentham | 3 of 5 | 6 | $47,886 | 8 Sep 2025 | |
| Premier Healthcare at Harrington House | Walpole | 2 of 5 | 7 | $43,891 | 28 Apr 2026 | |
| Charlwell House Health and Rehabilitation | Norwood | 1 of 5 | 13 | $0 | 30 May 2025 | |
| Victoria Haven Nursing Facility | Norwood | 2 of 5 | 17 | $40,641 | 21 Jan 2026 | |
| Foremost at Sharon LLC | Sharon | 2 of 5 | 9 | $26,232 | 5 Jun 2025 | |
| Norwood HealthcareSpecial Focus candidate | Norwood | 1 of 5 | 19 | $110,264 | 9 Feb 2026 | |
| Adviniacare Newton Wellesley | Wellesley | 4 of 5 | 8 | $132,408 | 31 Dec 2025 | |
| Ellis Nursing Home (the) | Norwood | 5 of 5 | 4 | $57,158 | 14 May 2026 | |
| Briarwood Rehabilitation & Healthcare Center | Needham | 4 of 5 | 4 | $8,788 | 17 Jun 2026 |
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 Medway Country Manor Skilled Nursing & Rehabilitat (CCN 225412). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/medway-country-manor-skilled-nursing-rehabilitat-medway-ma-225412/
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 Medway Country Manor Skilled Nursing & Rehabilitat last inspected?
- The latest inspection with a citation in the CMS record was on 19 Mar 2026. It was a standard survey. It gave 9 citations. The standard survey before the last one was on 25 Nov 2024.
- Who operates Medway Country Manor Skilled Nursing & Rehabilitat?
- The CMS record gives the ownership type as for-profit, individual. CMS lists the home in a chain that has the name of a person. This site does not show that name. The CMS ownership file names Mavado Management LLC for operational or managerial control. This site does not show the names of persons.
- What does the Special Focus status mean for Medway Country Manor Skilled Nursing & Rehabilitat?
- CMS lists the home as a Special Focus Facility. The State Survey Agency inspects a Special Focus Facility every six months. CMS gives no star ratings to a home in the program.
- 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.