Keystone Center
44 Keystone Drive · Leominster, MA · 01453 · 9785379327
106 certified beds For profit - Limited Liability company Chain: Ephram Lahasky
- Inspection results have improved across recent cycles.
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
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.45 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.43 | 0.55–0.75 |
| Weekend hours / resident-day | 3.14 | ≈ weekday level |
| Nursing turnover / year | 40% | median 45% |
| Fines (3-yr window) | 1 · $26,033 |
Inspection citations (43 in the current record)
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Potential for harm · D November 19, 2025
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.
Corrected December 3, 2025 · Resident Rights
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Potential for harm · D November 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 December 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 19, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected December 3, 2025 · Quality of Life and Care
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Potential for harm · D November 19, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected December 3, 2025 · Quality of Life and Care
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Potential for harm · E November 19, 2025
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.
Corrected December 3, 2025 · Pharmacy Service
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Potential for harm · D July 29, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected August 6, 2025 · Quality of Life and Care
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Potential for harm · D July 29, 2025 · found via complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected August 6, 2025 · Quality of Life and Care
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Potential for harm · D September 12, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected October 11, 2024 · Resident Rights
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Potential for harm · D September 12, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected October 11, 2024 · Resident Rights
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Potential for harm · D September 12, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 12, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 12, 2024
Provide activities to meet all resident's needs.
Corrected October 11, 2024 · Quality of Life and Care
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Potential for harm · D September 12, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 11, 2024 · Quality of Life and Care
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Potential for harm · D September 12, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected October 11, 2024 · Quality of Life and Care
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Potential for harm · E September 12, 2024
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.
Corrected October 11, 2024 · Nursing and Physician Services
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Potential for harm · E September 12, 2024
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.
Corrected October 11, 2024 · Nursing and Physician Services
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Potential for harm · D September 12, 2024
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected October 11, 2024 · Quality of Life and Care
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Potential for harm · D September 12, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected October 11, 2024 · Pharmacy Service
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Potential for harm · D September 12, 2024
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 October 11, 2024 · Pharmacy Service
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Potential for harm · D September 12, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 12, 2024
Provide and implement an infection prevention and control program.
Corrected October 11, 2024 · Infection Control
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Potential for harm · D August 29, 2024 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected September 26, 2024 · Resident Rights
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Potential for harm · D August 29, 2024 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected September 26, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 29, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 26, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 29, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected September 26, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 2, 2024 | Fine | $26,033 |
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 225355 · certified since May 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.