Timothy Daniels House
84 Elm Street · Holliston, MA · 01746 · 5084294566
40 certified beds For profit - Corporation Chain: Rehabilitation Associates
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.33 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.86 | 0.55–0.75 |
| Weekend hours / resident-day | 3.96 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (35 in the current record)
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Potential for harm · D November 25, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 19, 2025 · Quality of Life and Care
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Potential for harm · D March 6, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected April 5, 2025 · Resident Rights
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Potential for harm · E March 6, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected April 5, 2025 · Resident Rights
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Potential for harm · E March 6, 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 April 5, 2025 · Resident Rights
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Potential for harm · E March 6, 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 April 5, 2025 · Resident Rights
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Potential for harm · E March 6, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected April 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 6, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 5, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 6, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 5, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 6, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 5, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 6, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 5, 2025 · Resident Assessment and Care Planning
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Potential for harm · F March 6, 2025
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 April 5, 2025 · Nursing and Physician Services
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Potential for harm · D March 6, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 5, 2025 · Pharmacy Service
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Potential for harm · E March 6, 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 April 5, 2025 · Pharmacy Service
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Potential for harm · D March 6, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 5, 2025 · Nutrition and Dietary
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Potential for harm · F March 6, 2025
Provide and implement an infection prevention and control program.
Corrected April 5, 2025 · Infection Control
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Potential for harm · E March 6, 2025
Implement a program that monitors antibiotic use.
Corrected April 5, 2025 · Infection Control
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No harm found · B March 6, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected March 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 16, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 16, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 28, 2024 · Quality of Life and Care
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Potential for harm · E February 16, 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 March 15, 2024 · Nursing and Physician Services
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Potential for harm · D February 16, 2024
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 22, 2024 · Pharmacy Service
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Potential for harm · F February 16, 2024
Provide and implement an infection prevention and control program.
Corrected March 28, 2024 · Infection Control
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Potential for harm · E February 16, 2024
Implement a program that monitors antibiotic use.
Corrected March 26, 2024 · Infection Control
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Potential for harm · E February 16, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 28, 2024 · Infection Control
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Potential for harm · E February 16, 2024
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 28, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 16, 2024 | Payment Denial | 18 days |
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225709 · certified since August 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.