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CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR

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CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR is a non profit - corporation facility in BEDFORD, MA with 179 certified beds and a 4-star overall CMS rating. The facility has 11 deficiency records on file. Total penalties: $25K.

100 OLD BILLERICA ROAD, BEDFORD, MA 01730

Phone: 7812758700

Overall Rating

4/5

Health Inspection

2/5

Staffing

5/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
225273
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
179
Residents
94
In Hospital
No
County
Middlesex
Last Inspection
Feb 7, 2025
Abuse citation on record

Staffing Data

RN Hours
1.05 (nat'l avg: 0.68)
LPN Hours
0.78
CNA Hours
3.31
Total Nursing Hours
5.13 (nat'l avg: 3.89)
PT Hours
0.15
Nursing Turnover
28.0%
RN Turnover
17.2%

What the CMS Record Reveals About CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR

CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR operates 179 certified beds in BEDFORD, MA with approximately 94 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (5★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 11 deficiency records from recent surveys, of which 5 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $25K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 5.13 total nursing hours per resident day (national average 3.89), with RN coverage at 1.05 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 28.0%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (11 most recent)

J — Isolated - Jeopardy Jun 10, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 9, 2025

J — Isolated - Jeopardy Jun 10, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 9, 2025

J — Isolated - Jeopardy Jun 10, 2025 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 9, 2025

E — Pattern - Minimal harm Feb 7, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Mar 12, 2025

D — Isolated - Minimal harm Feb 7, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 12, 2025

G — Isolated - Actual harm May 29, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 5, 2024

D — Isolated - Minimal harm May 29, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 5, 2024

G — Isolated - Actual harm May 29, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 5, 2024

D — Isolated - Minimal harm Sep 13, 2023 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 11, 2023

D — Isolated - Minimal harm Sep 13, 2023 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Oct 11, 2023

D — Isolated - Minimal harm Sep 13, 2023 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 11, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 15.2% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.6% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.4% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.3% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.8% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.2% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 89.3% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 12.7% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 16.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.9% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 88.6% No
Percentage of long-stay residents with pressure ulcers Long Stay 3.9% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 17.6% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 10.2% Yes

Penalty History 2 penalties totaling $25K

Date Type Amount
Jun 10, 2025 Fine $17K
May 29, 2024 Fine $9K

Frequently Asked Questions

What is the overall CMS rating for CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR?
CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (2★), staffing levels (5★), and quality measures (5★).
What are the staffing levels at CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR?
CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR reports 5.13 total nursing hours per resident day (national average: 3.89). RN hours are 1.05 per resident day (national average: 0.68). Nursing staff turnover is 28.0%.
How many beds does CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR have?
CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR has 179 certified beds with approximately 94 residents. The facility is located at 100 OLD BILLERICA ROAD, BEDFORD, MA 01730.
Does CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR have any deficiencies on record?
Yes, CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR has 11 deficiencies on record from recent inspections. Of these, 5 are classified as causing actual harm or jeopardy.
Has CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR received any fines or penalties?
Yes, CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR has received 2 penalties totaling $25K.
Who owns CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR?
CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR last inspected?
The most recent health inspection for CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR was on Feb 7, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR?
CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial