Massachusetts › Middlesex County › Melrose
Melrose Healthcare
40 Martin Street, Melrose, MA 02176
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.
Melrose Healthcare is a For-profit, limited liability company nursing home in Melrose, Massachusetts, certified for 106 beds and caring for about 94 residents a day.
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 2.
Inspectors recorded 66 health deficiencies across the three most recent survey cycles (27, 17, 22 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 62.3 per 100 beds, more than the state median of 21.7.
CMS lists 1 penalty in the period covered: fines totalling $49K.
Reported nurse staffing is 3.5 hours per resident per day (0.5 RN), close to the Massachusetts median of 3.7; nursing staff turnover is 32.9%.
CMS flags that the facility is a Special Focus Facility candidate.
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 | 66 | 27 | 27 | 28.7 |
| Citations per 100 beds | 62.3 | 24.7 | 21.7 | 26.8 |
| Total nurse hours per resident day | 3.5 | 3.8 | 3.7 | 3.9 |
| RN hours per resident day | 0.5 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 32.9% | 33.0% | 37.7% | 45.8% |
| Fines listed | $49,324 | $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: 9 Apr 2025, 3 Apr 2024.
Severity mix: G ×1 D ×40 E ×24 F ×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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 9 Apr 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 5 May 2025 |
| 9 Apr 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 5 May 2025 |
| 9 Apr 2025 | 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 | 5 May 2025 |
| 9 Apr 2025 | 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 | 5 May 2025 |
| 9 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 11 May 2025 |
| 9 Apr 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 11 May 2025 |
| 9 Apr 2025 | 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 | 5 May 2025 |
| 9 Apr 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. | E | Standard survey | 5 May 2025 |
| 9 Apr 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 5 May 2025 |
| 9 Apr 2025 | 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. | E | Standard survey | 11 May 2025 |
| 9 Apr 2025 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 5 May 2025 |
| 9 Apr 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 11 May 2025 |
| 9 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 11 May 2025 |
| 9 Apr 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 5 May 2025 |
| 9 Apr 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 | 5 May 2025 |
| 9 Apr 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 | 5 May 2025 |
| 9 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 5 May 2025 |
| 9 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 5 May 2025 |
| 9 Apr 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 5 May 2025 |
| 9 Apr 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 5 May 2025 |
| 9 Apr 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 5 May 2025 |
| 9 Apr 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 5 May 2025 |
| 9 Apr 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 5 May 2025 |
| 9 Apr 2025 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 5 May 2025 |
| 9 Apr 2025 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard survey | 5 May 2025 |
| 9 Apr 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 | 5 May 2025 |
| 9 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 5 May 2025 |
| 3 Apr 2024 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Standard survey | 3 May 2024 |
| 3 Apr 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 | 3 May 2024 |
| 3 Apr 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. | E | Standard survey | 3 May 2024 |
| 3 Apr 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 | 3 May 2024 |
| 3 Apr 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 3 May 2024 |
| 3 Apr 2024 | 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 | 3 May 2024 |
| 3 Apr 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 3 May 2024 |
| 3 Apr 2024 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 3 May 2024 |
| 3 Apr 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 3 May 2024 |
| 3 Apr 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 3 May 2024 |
| 3 Apr 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 3 May 2024 |
| 3 Apr 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 3 May 2024 |
| 3 Apr 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 3 May 2024 |
| 3 Apr 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 3 May 2024 |
| 3 Apr 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 | 3 May 2024 |
| 3 Apr 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 | 3 May 2024 |
| 3 Apr 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 3 May 2024 |
| 7 Feb 2023 | 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. | F | Standard survey | 10 Mar 2023 |
| 7 Feb 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 10 Mar 2023 |
| 7 Feb 2023 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | Standard survey | 10 Mar 2023 |
| 7 Feb 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 | Standard survey | 10 Mar 2023 |
| 7 Feb 2023 | 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. | E | Standard survey | 10 Mar 2023 |
| 7 Feb 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. | E | Standard survey | 31 Mar 2023 |
| 7 Feb 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 10 Mar 2023 |
| 7 Feb 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 | 31 Mar 2023 |
| 7 Feb 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 31 Mar 2023 |
| 7 Feb 2023 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 31 Mar 2023 |
| 7 Feb 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 10 Mar 2023 |
| 7 Feb 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 10 Mar 2023 |
| 7 Feb 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 10 Mar 2023 |
| 7 Feb 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 | 10 Mar 2023 |
| 7 Feb 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 10 Mar 2023 |
| 7 Feb 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 10 Mar 2023 |
| 7 Feb 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 10 Mar 2023 |
| 7 Feb 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 10 Mar 2023 |
| 7 Feb 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 10 Mar 2023 |
| 7 Feb 2023 | 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 | 10 Mar 2023 |
| 7 Feb 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 | 10 Mar 2023 |
| 7 Feb 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 10 Mar 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 9 Apr 2025 | Fine | $49,324 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Massachusetts average. Turnover: nursing staff 32.9%, RNs 64.3%; 1 administrator 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 | 3.4% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.1% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.8% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.5% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.6% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.1% | 14.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.4% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 29.9% | 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: 40 Martin Street Operator Llc. Chain: Next Step Healthcare (14 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Next Step Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 09/01/2017 |
| Next Step Healthcare LLC | Adp of the snf | NOT APPLICABLE | 09/01/2017 |
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
| 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 Melrose Healthcare been cited for?
66 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Massachusetts median is 27 per facility.
Has Melrose Healthcare been fined?
Yes. CMS lists fines totalling $49K in the period covered.
How does staffing at Melrose Healthcare compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Massachusetts median of 3.7 and a national average of 3.9.
Who operates Melrose Healthcare?
It is part of the Next Step Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Next Step Healthcare LLC. Individual owners and managers are not listed on this site.
When was Melrose Healthcare last inspected?
The most recent survey or investigation in the CMS record is dated 9 Apr 2025; the most recent standard health survey was 9 Apr 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.