Medway Country Manor Skilled Nursing & Rehabilitat
115 Holliston Street · Medway, MA · 02053 · 5082597883
123 certified beds For profit - Individual Chain: Shimon Lefkowitz
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $223,725 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
- 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
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
$223,725 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
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: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 3.29 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.35 | 0.55–0.75 |
| Weekend hours / resident-day | 3.05 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | 4 · $280,591 |
Inspection citations (67 in the current record)
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Actual harm · G March 19, 2026
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 24, 2026 · Quality of Life and Care
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Potential for harm · E March 19, 2026
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 April 24, 2026 · Resident Rights
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Potential for harm · F March 19, 2026
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 April 24, 2026 · Resident Rights
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Potential for harm · D March 19, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 24, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 19, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 24, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 19, 2026
Assist a resident in gaining access to vision and hearing services.
Corrected April 24, 2026 · Quality of Life and Care
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Potential for harm · D March 19, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected April 24, 2026 · Quality of Life and Care
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Potential for harm · D March 19, 2026
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 April 24, 2026 · Pharmacy Service
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Potential for harm · E March 19, 2026
Provide and implement an infection prevention and control program.
Corrected April 24, 2026 · Infection Control
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Potential for harm · D February 5, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected February 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 5, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · L January 29, 2025 · found via complaint
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 February 13, 2025 · Nursing and Physician Services
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Immediate jeopardy · L January 29, 2025 · found via complaint
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected February 13, 2025 · Administration
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Immediate jeopardy · L January 29, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected February 13, 2025 · Administration
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Immediate jeopardy · L January 29, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 13, 2025 · Infection Control
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Potential for harm · D November 25, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 25, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 25, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 7, 2025 · Quality of Life and Care
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Potential for harm · D November 25, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected January 7, 2025 · Quality of Life and Care
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Potential for harm · D November 25, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected January 7, 2025 · Quality of Life and Care
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Potential for harm · D November 25, 2024
Provide care or services that was trauma informed and/or culturally competent.
Corrected January 7, 2025 · Quality of Life and Care
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Potential for harm · E November 25, 2024
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected January 7, 2025 · Nursing and Physician Services
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Potential for harm · F November 25, 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 January 7, 2025 · Nursing and Physician Services
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Potential for harm · F November 25, 2024
Observe each nurse aide's job performance and give regular training.
Corrected January 7, 2025 · Nursing and Physician Services
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Potential for harm · D November 25, 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 January 7, 2025 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 19, 2026 | Fine | $89,440 |
| January 29, 2025 | Fine | $134,285 |
| September 5, 2023 | Fine | $6,293 |
| August 10, 2023 | Fine | $50,573 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225412 · 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.