Carleton-Willard Village Retirement & Nursing Ctr
100 Old Billerica Road, Bedford, MA 01730
Carleton-Willard Village Retirement & Nursing Ctr, a 179-bed non profit - corporation nursing facility in Bedford, MA, holds a 4-star CMS overall rating - well above the 3.0-star national average, with nurse staffing above the national norm. 5 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 7812758700
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- 5.13
- Well above average · nurse hrs/day · nat'l 3.89
- 11
- Inspection findings · 5 serious
- $25K
- Federal penalties (2)
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
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
Staffing Data
How the 5.13 total nursing hours per resident-day are staffed:
- 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 (health inspection 2★ · staffing 5★ · quality 5★).
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. CMS enforcement records show 2 penalties totaling $25K levied against this facility. Per resident day, this facility reports 5.13 total nursing hours (national average 3.89) and 1.05 RN hours.
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. Reported nursing turnover at this facility is 28.0%, within a range generally associated with stable care teams.
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.
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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
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)
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
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
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
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
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
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
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 5, 2024
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
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
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Oct 11, 2023
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 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 experiencing one or more falls with major injury | Long Stay | 2.8% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.7% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.9% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.2% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 3.6% | No |
| 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 assessed and appropriately given the pneumococcal vaccine | Long Stay | 99.2% | No |
| 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 long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 17.6% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 89.3% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 88.6% | No |
Penalty History 2 penalties totaling $25K
| Date | Type | Amount |
|---|---|---|
| Jun 10, 2025 | Fine | $17K |
| May 29, 2024 | Fine | $9K |
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Understanding Nursing Home Data
Frequently Asked Questions
What is the overall CMS rating for Carleton-Willard Village Retirement & Nursing Ctr?
What are the staffing levels at Carleton-Willard Village Retirement & Nursing Ctr?
How many beds does Carleton-Willard Village Retirement & Nursing Ctr have?
Does Carleton-Willard Village Retirement & Nursing Ctr have any deficiencies on record?
Has Carleton-Willard Village Retirement & Nursing Ctr received any fines or penalties?
Who owns Carleton-Willard Village Retirement & Nursing Ctr?
When was Carleton-Willard Village Retirement & Nursing Ctr last inspected?
What quality measures are tracked for Carleton-Willard Village Retirement & Nursing Ctr?
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.
Read our methodology - how this data is sourced, computed, and verified.
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