Oak Knoll Rehabilitation and Healthcare Center
9 Arbetter Drive · Framingham, MA · 01701 · 5088773300
123 certified beds For profit - Corporation Chain: Atlas Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- 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
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$211,819 in federal fines in the last 24 months
1 fine — 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: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.88 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.44 | 0.55–0.75 |
| Weekend hours / resident-day | 3.44 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | 1 · $211,819 |
Inspection citations (27 in the current record)
-
Potential for harm · D February 13, 2026
Provide and implement an infection prevention and control program.
Corrected March 13, 2026 · Infection Control
-
Immediate jeopardy · J June 12, 2025 · 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 June 12, 2025 · Resident Assessment and Care Planning
-
Immediate jeopardy · J June 12, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 12, 2025 · Quality of Life and Care
-
Potential for harm · D October 30, 2024
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 December 14, 2024 · Resident Rights
-
Potential for harm · D October 30, 2024
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected December 14, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D October 30, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected December 14, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D October 30, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected December 14, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D October 30, 2024
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected December 14, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D October 30, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 14, 2024 · Quality of Life and Care
-
Potential for harm · D October 30, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 14, 2024 · Quality of Life and Care
-
Potential for harm · D October 30, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected December 14, 2024 · Quality of Life and Care
-
Potential for harm · D October 30, 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 December 14, 2024 · Pharmacy Service
-
Potential for harm · D October 30, 2024
Provide and implement an infection prevention and control program.
Corrected December 14, 2024 · Infection Control
-
Potential for harm · D August 28, 2023
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected October 16, 2023 · Resident Rights
-
Potential for harm · D August 28, 2023
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected October 16, 2023 · Resident Rights
-
Potential for harm · D August 28, 2023
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected October 16, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D August 28, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 16, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D August 28, 2023
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 16, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D August 28, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 16, 2023 · Quality of Life and Care
-
Potential for harm · D August 28, 2023
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 16, 2023 · Quality of Life and Care
-
Potential for harm · D August 28, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected October 16, 2023 · Quality of Life and Care
-
Potential for harm · D August 28, 2023
Ensure that residents are free from significant medication errors.
Corrected October 16, 2023 · Pharmacy Service
-
Potential for harm · D August 28, 2023
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
Corrected October 16, 2023 · Administration
-
Potential for harm · D August 28, 2023
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected October 16, 2023 · Nutrition and Dietary
-
Potential for harm · E August 28, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 16, 2023 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 12, 2025 | Fine | $211,819 |
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.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225682 · certified since November 20, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.