Massachusetts › Norfolk County › Needham
Skilled Nursing Facility At North Hill (the)
865 Central Avenue, Needham, MA 02492
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.
Skilled Nursing Facility At North Hill (the), in Needham, Massachusetts, is certified for 72 beds under non-profit, corporation ownership.
CMS gives it 2 of 5 stars overall, below the Massachusetts median of 3; the health inspection rating is 3, staffing 1 and quality measures 4.
Inspectors recorded 11 health deficiencies across the three most recent survey cycles (3, 5, 3 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 15.3 per 100 beds, fewer than the state median of 21.7.
CMS lists 1 penalty in the period covered: fines totalling $16K.
Compared with county, state and nation
| Measure | This facility | Norfolk Co. median | Massachusetts median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 11 | 29 | 27 | 28.7 |
| Citations per 100 beds | 15.3 | 22.6 | 21.7 | 26.8 |
| Total nurse hours per resident day | — | 3.8 | 3.7 | 3.9 |
| RN hours per resident day | — | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 24.3% | 31.4% | 37.7% | 45.8% |
| Fines listed | $16,153 | $0 | $0 | — |
County and state figures are medians across facilities (33 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: 18 Jul 2025, 11 Jul 2024.
Severity mix: J ×2 D ×7 E ×2
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 |
|---|---|---|---|---|---|
| 18 Jul 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Standard survey | 21 Aug 2025 |
| 18 Jul 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 | 21 Aug 2025 |
| 18 Jul 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. | D | Standard survey | 21 Aug 2025 |
| 15 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 29 Jan 2025 |
| 15 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 29 Jan 2025 |
| 11 Jul 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 5 Aug 2024 |
| 11 Jul 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 | 5 Aug 2024 |
| 11 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 5 Aug 2024 |
| 18 May 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 19 Jun 2023 |
| 18 May 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 19 Jun 2023 |
| 18 May 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 19 Jun 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 15 Jan 2025 | Fine | $16,153 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Massachusetts average. Turnover: nursing staff 24.3%, RNs 26.9%; 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 | 18.9% | 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 | 3.4% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.2% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.4% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.4% | 14.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.5% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.0% | 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: non-profit, corporation. Legal business name: North Hill Needham, Inc..
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| 4m Building Solutions, LLC | Operational/managerial control | NOT APPLICABLE | 07/22/2019 |
| Sadia'S Health and Wellness Consulting, Inc | Operational/managerial control | NOT APPLICABLE | 11/08/2021 |
| 4m Building Solutions, LLC | Adp of the snf | NOT APPLICABLE | 07/14/2025 |
| A.V. Powell & Associates, LLC | Adp of the snf | NOT APPLICABLE | 12/15/1999 |
| Aqueduct Technologies, Inc | Adp of the snf | NOT APPLICABLE | 03/14/2025 |
| Babson College | Adp of the snf | NOT APPLICABLE | 11/14/1978 |
| Baker Tilly Us LLP | Adp of the snf | NOT APPLICABLE | 12/16/2024 |
| Clay & Associates, LLC | Adp of the snf | NOT APPLICABLE | 01/01/2023 |
| Focus Technology Solutions, Inc | Adp of the snf | NOT APPLICABLE | 01/03/2023 |
| Health Care Continuum Specialists | Adp of the snf | NOT APPLICABLE | 06/01/2023 |
| Jensen Hughes, Inc. | Adp of the snf | NOT APPLICABLE | 01/01/2020 |
| Manufacturers & Traders Trust Company | Adp of the snf | NOT APPLICABLE | 01/25/2012 |
| Prime Buchholz LLC | Adp of the snf | NOT APPLICABLE | 11/08/2004 |
| Sadia'S Health and Wellness Consulting, Inc | Adp of the snf | NOT APPLICABLE | 07/29/2025 |
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 Norfolk County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Alliance Health At Braintree | Braintree | 101 | 5 | 5 | 4 | 4 | 4.0 | — | 25 Jul 2024 |
| Copley At Stoughton Nursing Care Center | Stoughton | 123 | 5 | 3 | 5 | 22 | 17.9 | — | 14 Jan 2026 |
| Dwyer Home | Weymouth | 50 | 5 | 5 | 4 | 4 | 8.0 | — | 12 Dec 2023 |
| Ellis Nursing Home (the) | Norwood | 191 | 5 | 4 | 3 | 27 | 14.1 | $57K | 14 May 2026 |
| John Scott House Nursing & Rehabilitation Center | Braintree | 138 | 5 | 4 | 4 | 24 | 17.4 | — | 15 Jan 2026 |
| Newbridge On the Charles Skilled Nursing Facility | Dedham | 48 | 5 | 5 | 4 | 1 | 2.1 | — | 13 May 2026 |
| South Cove Manor Nursing & Rehabilitation Center | Quincy | 141 | 5 | 5 | 4 | 16 | 11.3 | — | 31 Jul 2024 |
| Thomas Upham House | Medfield | 42 | 5 | 4 | 5 | 11 | 26.2 | — | 20 Nov 2025 |
All 33 facilities in Norfolk County
Questions and answers
How many deficiencies has Skilled Nursing Facility At North Hill (the) been cited for?
11 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Massachusetts median is 27 per facility.
Has Skilled Nursing Facility At North Hill (the) been fined?
Yes. CMS lists fines totalling $16K in the period covered.
How does staffing at Skilled Nursing Facility At North Hill (the) compare?
CMS does not report staffing hours for this facility.
Who operates Skilled Nursing Facility At North Hill (the)?
Ownership type is non-profit, corporation. Organisations in the CMS ownership record include 4m Building Solutions, LLC and Sadia'S Health and Wellness Consulting, Inc. Individual owners and managers are not listed on this site.
When was Skilled Nursing Facility At North Hill (the) last inspected?
The most recent survey or investigation in the CMS record is dated 18 Jul 2025; the most recent standard health survey was 18 Jul 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.