Regalcare at Wakefield

One Bathol Street · Wakefield, MA · 01880 · 7812457600

149 certified beds For profit - Limited Liability company Chain: Vantage Care

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (4 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.
  • Staffing hours comfortably above national benchmarks.

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Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

4 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.

2 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$63,843 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 9
Serious harm & abuse 20% 0
Staffing 20% 90
Federal penalties 15% 63
Trend 10% 18
Context 5% 10

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: 3 of 5

Total nurse hours / resident-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / year29%median 45%
Fines (3-yr window)1 · $63,843

Inspection citations (48 in the current record)

  • Immediate jeopardy · J February 4, 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 13, 2025 · Resident Rights

  • Immediate jeopardy · J February 4, 2025

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected March 13, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J February 4, 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 March 13, 2025 · Nursing and Physician Services

  • Immediate jeopardy · J February 4, 2025

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected March 13, 2025 · Quality of Life and Care

  • Potential for harm · D February 4, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected March 13, 2025 · Resident Rights

  • Potential for harm · D February 4, 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 March 13, 2025 · Resident Rights

  • Potential for harm · D February 4, 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 13, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 4, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected March 13, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 4, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected March 13, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 4, 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 March 13, 2025 · Quality of Life and Care

  • Potential for harm · D February 4, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected March 13, 2025 · Quality of Life and Care

  • Potential for harm · D February 4, 2025

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected March 13, 2025 · Quality of Life and Care

  • Potential for harm · D February 4, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected March 13, 2025 · Quality of Life and Care

  • Potential for harm · D February 4, 2025

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected March 13, 2025 · Quality of Life and Care

  • Potential for harm · D February 4, 2025

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected March 13, 2025 · Quality of Life and Care

  • Potential for harm · D February 4, 2025

    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 March 13, 2025 · Quality of Life and Care

  • Potential for harm · E February 4, 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 13, 2025 · Pharmacy Service

  • Potential for harm · E February 4, 2025

    Ensure that residents are free from significant medication errors.

    Corrected March 13, 2025 · Pharmacy Service

  • Potential for harm · D February 4, 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 March 13, 2025 · Pharmacy Service

  • Potential for harm · D February 4, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected March 13, 2025 · Resident Assessment and Care Planning

  • Potential for harm · F February 4, 2025

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected March 13, 2025 · Administration

  • Potential for harm · E February 4, 2025

    Provide and implement an infection prevention and control program.

    Corrected April 2, 2025 · Infection Control

  • Potential for harm · F February 4, 2025

    Implement a program that monitors antibiotic use.

    Corrected March 13, 2025 · Infection Control

  • Potential for harm · D February 4, 2025

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Corrected March 13, 2025 · Infection Control

  • Potential for harm · E February 4, 2025

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected March 13, 2025 · Environmental

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
February 4, 2025Fine$63,843

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225400 · 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.