Melrose Healthcare
40 Martin Street · Melrose, MA · 02176 · 7816657050
106 certified beds For profit - Limited Liability company Chain: Next Step Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 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
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
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: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.42 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.54 | 0.55–0.75 |
| Weekend hours / resident-day | 3.22 | ≈ weekday level |
| Nursing turnover / year | 30% | median 45% |
| Fines (3-yr window) | 1 · $49,324 |
Inspection citations (67 in the current record)
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Actual harm · G April 9, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 5, 2025 · Quality of Life and Care
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Potential for harm · E April 9, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 5, 2025 · Resident Rights
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Potential for harm · D April 9, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected May 5, 2025 · Resident Rights
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Potential for harm · D April 9, 2025
Honor 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.
Corrected May 5, 2025 · Resident Rights
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Potential for harm · E April 9, 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 May 5, 2025 · Resident Rights
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Potential for harm · D April 9, 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 May 5, 2025 · Resident Rights
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Potential for harm · E April 9, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 5, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 9, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 9, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 11, 2025 · Quality of Life and Care
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Potential for harm · D April 9, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 5, 2025 · Quality of Life and Care
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Potential for harm · D April 9, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 5, 2025 · Quality of Life and Care
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Potential for harm · D April 9, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected May 5, 2025 · Quality of Life and Care
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Potential for harm · D April 9, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 5, 2025 · Quality of Life and Care
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Potential for harm · D April 9, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 5, 2025 · Quality of Life and Care
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Potential for harm · D April 9, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected May 5, 2025 · Quality of Life and Care
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Potential for harm · E April 9, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 5, 2025 · Nursing and Physician Services
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Potential for harm · E April 9, 2025
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 May 5, 2025 · Nursing and Physician Services
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Potential for harm · E April 9, 2025
Observe each nurse aide's job performance and give regular training.
Corrected May 5, 2025 · Nursing and Physician Services
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Potential for harm · D April 9, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 5, 2025 · Pharmacy Service
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Potential for harm · E April 9, 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 May 11, 2025 · Pharmacy Service
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Potential for harm · D April 9, 2025
Provide or obtain dental services for each resident.
Corrected May 5, 2025 · Quality of Life and Care
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Potential for harm · E April 9, 2025
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected May 5, 2025 · Nutrition and Dietary
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Potential for harm · E April 9, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 11, 2025 · Nutrition and Dietary
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Potential for harm · D April 9, 2025
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected May 5, 2025 · Nutrition and Dietary
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Potential for harm · E April 9, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 11, 2025 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 9, 2025 | Fine | $49,324 |
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 225329 · certified since February 13, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.