Carvalho Grove Health and Rehabilitation Center
273 Oak Grove Avenue · Fall River, MA · 02723 · 7818313966
112 certified beds For profit - Limited Liability company Chain: Alpha SNF Ma
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $16,556 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.37 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.38 | 0.55–0.75 |
| Weekend hours / resident-day | 3.15 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 7 · $39,082 |
Inspection citations (48 in the current record)
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Actual harm · G February 3, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 23, 2026 · Resident Assessment and Care Planning
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Actual harm · G February 3, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 23, 2026 · Quality of Life and Care
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Potential for harm · D February 3, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 3, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 19, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 28, 2025 · Resident Rights
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Potential for harm · D February 19, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected March 28, 2025 · Resident Rights
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Potential for harm · D February 19, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 28, 2025 · Resident Rights
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Potential for harm · E February 19, 2025
Keep residents' personal and medical records private and confidential.
Corrected March 28, 2025 · Resident Rights
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Potential for harm · E February 19, 2025
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.
Corrected March 28, 2025 · Resident Rights
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Potential for harm · E February 19, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 19, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 19, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 28, 2025 · Quality of Life and Care
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Potential for harm · D February 19, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 28, 2025 · Quality of Life and Care
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Potential for harm · E February 19, 2025
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected March 28, 2025 · Nursing and Physician Services
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Potential for harm · E February 19, 2025
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected March 28, 2025 · Nursing and Physician Services
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Potential for harm · E February 19, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 28, 2025 · Pharmacy Service
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Potential for harm · D February 19, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected March 28, 2025 · Pharmacy Service
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Potential for harm · D February 19, 2025
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.
Corrected March 28, 2025 · Pharmacy Service
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Potential for harm · E February 19, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 28, 2025 · Nutrition and Dietary
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Potential for harm · F February 19, 2025
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected March 28, 2025 · Administration
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Potential for harm · D February 19, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · F February 19, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected March 28, 2025 · Administration
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Potential for harm · D February 19, 2025
Provide and implement an infection prevention and control program.
Corrected March 28, 2025 · Infection Control
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Potential for harm · D February 19, 2025
Implement a program that monitors antibiotic use.
Corrected March 28, 2025 · Infection Control
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No harm found · C February 19, 2025
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected March 28, 2025 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 3, 2026 | Fine | $8,278 |
| February 3, 2026 | Fine | $8,278 |
| January 8, 2024 | Fine | $4,178 |
| January 2, 2024 | Fine | $3,529 |
| December 11, 2023 | Fine | $8,469 |
| November 20, 2023 | Fine | $2,117 |
| October 30, 2023 | Fine | $4,233 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225453 · certified since July 1, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.