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Waterview Lodge LLC, Rehabilitation & HealthcareCMS ratings, inspections and fines

Address
250 West Union Street, Ashland, MA 01721
CCN
225598
Ownership type
For-profit, limited liability company
Certified beds
103
Chain
None in the CMS record
Residents per day
79
CMS flags
None in the CMS record
CMS star ratings
Overall rating3 of 5
Health inspection rating2 of 5
Staffing rating5 of 5
Quality measure rating2 of 5
Care 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 Waterview Lodge LLC, Rehabilitation & Healthcare an overall rating of 3 of 5 stars. The last standard survey was on 25 Feb 2026. The latest survey cycle has 13 health citations. The median for nursing homes in Massachusetts is 6. CMS lists no fines 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.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Waterview Lodge LLC, Rehabilitation & Healthcare, with medians
Rating (1 to 5 stars)This homeMiddlesex County medianMassachusetts medianUS average (CMS)
Overall rating33.03.03.0
Health inspection rating23.03.02.8
Staffing rating54.03.02.9
Quality measure rating23.03.03.6

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.

Health citations of Waterview Lodge LLC, Rehabilitation & Healthcare in the last three survey cycles
Survey cycleStandard surveyCitationsMassachusetts median
Cycle 1 (latest)25 Feb 2026136
Cycle 229 Oct 2024138
Cycle 3No date1110

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.

Scope and severity of the 37 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyG0H0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0

Survey cycle 1 (latest): 13 citations

Standard survey of this cycle: .

Health citations of Waterview Lodge LLC, Rehabilitation & Healthcare in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
25 Feb 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey11 Apr 2026
25 Feb 2026F0578Honor 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.DStandard survey11 Apr 2026
25 Feb 2026F0585Honor 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.EStandard survey11 Apr 2026
25 Feb 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey11 Apr 2026
25 Feb 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey11 Apr 2026
25 Feb 2026F0641Ensure each resident receives an accurate assessment.EStandard survey11 Apr 2026
25 Feb 2026F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard survey11 Apr 2026
25 Feb 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey11 Apr 2026
25 Feb 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey11 Apr 2026
25 Feb 2026F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey11 Apr 2026
25 Feb 2026F0761Ensure 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.DStandard survey11 Apr 2026
25 Feb 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey11 Apr 2026
25 Feb 2026F0880Provide and implement an infection prevention and control program.FStandard survey11 Apr 2026

Survey cycle 2: 13 citations

Standard survey of this cycle: .

Health citations of Waterview Lodge LLC, Rehabilitation & Healthcare in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
29 Oct 2024F0584Honor 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.DStandard survey8 Dec 2024
29 Oct 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard survey8 Dec 2024
29 Oct 2024F0641Ensure each resident receives an accurate assessment.EStandard survey8 Dec 2024
29 Oct 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey8 Dec 2024
29 Oct 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey8 Dec 2024
29 Oct 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey8 Dec 2024
29 Oct 2024F0732Post nurse staffing information every day.BStandard survey8 Dec 2024
29 Oct 2024F0760Ensure that residents are free from significant medication errors.EStandard survey8 Dec 2024
29 Oct 2024F0761Ensure 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.DStandard survey8 Dec 2024
29 Oct 2024F0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.FStandard survey8 Dec 2024
29 Oct 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey8 Dec 2024
29 Oct 2024F0880Provide and implement an infection prevention and control program.DStandard survey22 Nov 2024
29 Oct 2024F0887Educate 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.FStandard survey22 Nov 2024

Survey cycle 3: 11 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Waterview Lodge LLC, Rehabilitation & Healthcare in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
14 Aug 2023F0578Honor 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.DStandard survey27 Sep 2023
14 Aug 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey27 Sep 2023
14 Aug 2023F0679Provide activities to meet all resident's needs.EStandard survey27 Sep 2023
14 Aug 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey27 Sep 2023
14 Aug 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey27 Sep 2023
14 Aug 2023F0732Post nurse staffing information every day.CStandard survey27 Sep 2023
14 Aug 2023F0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.DStandard survey27 Sep 2023
14 Aug 2023F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey27 Sep 2023
14 Aug 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey27 Sep 2023
14 Aug 2023F0880Provide and implement an infection prevention and control program.FStandard survey27 Sep 2023
14 Aug 2023F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard survey27 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.

CMS lists no fine and no payment denial for this home in its penalties file.

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.

Nurse staffing hours per resident per day at Waterview Lodge LLC, Rehabilitation & Healthcare
StaffThis homeMassachusetts medianMassachusetts average (CMS)
All nurse staff3.873.703.86
Registered nurses (RN)0.680.600.65
Licensed practical nurses (LPN)0.730.95
Nurse aides2.462.26
All nurse staff, weekends3.463.303.48
Nurse staff turnover in a year
12.5%
Nurse staff turnover, Massachusetts median
37.7%
RN turnover in a year
16.7%
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.

Quality measures of Waterview Lodge LLC, Rehabilitation & Healthcare, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeMassachusetts medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay7.7%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.9%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.7%1.5%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.2%3.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay12.5%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay6.3%14.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.8%3.8%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay41.5%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
Waterview Lodge LLC
Organisations in the CMS ownership record of Waterview Lodge LLC, Rehabilitation & Healthcare
OrganisationRole in the CMS recordInterestSince
Waterview Lodge LLC5% or greater direct ownership interest15 Dec 2015

The site shows organisations only. It does not show the names of persons.

Other homes in Middlesex County

The 12 nearest other nursing homes in Middlesex County, Massachusetts
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Bethany Skilled Nursing FacilityFramingham5 of 50$9,3184 Jun 2025
Carlyle HouseFramingham1 of 57$25,26329 Jul 2025
Timothy Daniels HouseHolliston4 of 51$010 Mar 2026
Casa De Ramana Rehabilitation CenterFramingham4 of 50$8,5125 Mar 2026
St Patrick's ManorFramingham4 of 50$33,15712 May 2026
Eliot Center for Health and RehabilitationNatick3 of 57$014 Apr 2026
Oak Knoll Rehabilitation and Healthcare CenterFramingham3 of 51$211,81913 Feb 2026
Alliance Health at Marie EstherMarlborough4 of 55$7,9015 Sep 2025
Beaumont Rehab & Skilled Nursing Ctr - NatickNatick4 of 52$10,5176 Apr 2026
Mary Ann Morse Nursing & RehabilitationNatick5 of 51$023 Jan 2026
Royal Wayland Rehabilitation and Nursing CenterWayland5 of 50$10,72528 May 2025
Sudbury Pines Extended CareSudbury2 of 55$022 Apr 2026

All 72 nursing homes in Middlesex County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Waterview Lodge LLC, Rehabilitation & Healthcare (CCN 225598). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/waterview-lodge-llc-rehabilitation-healthcare-ashland-ma-225598/

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 Waterview Lodge LLC, Rehabilitation & Healthcare last inspected?
The latest inspection with a citation in the CMS record was on 25 Feb 2026. It was a standard survey. It gave 13 citations. The standard survey before the last one was on 29 Oct 2024.
Who operates Waterview Lodge LLC, Rehabilitation & Healthcare?
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 no organisation for operational or managerial control. This site does not show the names of persons.
Is Waterview Lodge LLC, Rehabilitation & Healthcare 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.