Massachusetts › Middlesex County › Holliston
Timothy Daniels House
84 Elm Street, Holliston, MA 01746
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.
Timothy Daniels House, in Holliston, Massachusetts, is certified for 40 beds under for-profit, corporation ownership and belongs to the Rehabilitation Associates chain.
CMS gives it 4 of 5 stars overall, above the Massachusetts median of 3; the health inspection rating is 3, staffing 5 and quality measures 3.
Inspectors recorded 26 health deficiencies across the three most recent survey cycles (1, 16, 9 by cycle, most recent first), none at the actual-harm level. That is 65.0 per 100 beds, more than the state median of 21.7.
CMS lists 1 penalty in the period covered: no fines and 1 payment denial.
Reported nurse staffing is 4.4 hours per resident per day (0.9 RN), close to the Massachusetts median of 3.7; nursing staff turnover is 50.0%.
Compared with county, state and nation
| Measure | This facility | Middlesex Co. median | Massachusetts median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 26 | 27 | 27 | 28.7 |
| Citations per 100 beds | 65.0 | 24.7 | 21.7 | 26.8 |
| Total nurse hours per resident day | 4.4 | 3.8 | 3.7 | 3.9 |
| RN hours per resident day | 0.9 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 50.0% | 33.0% | 37.7% | 45.8% |
| Fines listed | $0 | $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: 10 Mar 2026, 6 Mar 2025.
Severity mix: D ×10 E ×11 F ×3 B ×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 |
|---|---|---|---|---|---|
| 25 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 19 Dec 2025 |
| 6 Mar 2025 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard survey | 5 Apr 2025 |
| 6 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 5 Apr 2025 |
| 6 Mar 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 5 Apr 2025 |
| 6 Mar 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 Apr 2025 |
| 6 Mar 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. | E | Standard survey | 5 Apr 2025 |
| 6 Mar 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | Standard survey | 5 Apr 2025 |
| 6 Mar 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 | 5 Apr 2025 |
| 6 Mar 2025 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 5 Apr 2025 |
| 6 Mar 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 5 Apr 2025 |
| 6 Mar 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 5 Apr 2025 |
| 6 Mar 2025 | 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 | 5 Apr 2025 |
| 6 Mar 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 | 5 Apr 2025 |
| 6 Mar 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 5 Apr 2025 |
| 6 Mar 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 5 Apr 2025 |
| 6 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 5 Apr 2025 |
| 6 Mar 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | Standard survey | 25 Mar 2025 |
| 16 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 28 Mar 2024 |
| 16 Feb 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 | 26 Mar 2024 |
| 16 Feb 2024 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Standard survey | 15 Mar 2024 |
| 16 Feb 2024 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 26 Mar 2024 |
| 16 Feb 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 28 Mar 2024 |
| 16 Feb 2024 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Standard survey | 28 Mar 2024 |
| 16 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 28 Mar 2024 |
| 16 Feb 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 | 22 Mar 2024 |
| 16 Feb 2024 | F0641 | Ensure each resident receives an accurate assessment. | B | Standard survey | 26 Mar 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 16 Feb 2024 | Payment denial | — | 18 days |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Massachusetts average. Turnover: nursing staff 50.0%, RNs 28.6%; 0 administrators 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 | 21.4% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.8% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.8% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.9% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.2% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.6% | 14.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.2% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.2% | 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, corporation. Legal business name: 84 Elm St Inc.. Chain: Rehabilitation Associates (6 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Rehabilitation Associates Inc | Operational/managerial control | NOT APPLICABLE | 05/24/1972 |
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 Timothy Daniels House been cited for?
26 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Massachusetts median is 27 per facility.
Has Timothy Daniels House been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Timothy Daniels House compare?
Reported total nurse staffing is 4.4 hours per resident per day against a Massachusetts median of 3.7 and a national average of 3.9.
Who operates Timothy Daniels House?
It is part of the Rehabilitation Associates chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Rehabilitation Associates Inc. Individual owners and managers are not listed on this site.
When was Timothy Daniels House last inspected?
The most recent survey or investigation in the CMS record is dated 25 Nov 2025; the most recent standard health survey was 10 Mar 2026.
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.