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TIMOTHY DANIELS HOUSE

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TIMOTHY DANIELS HOUSE is a for profit - corporation facility in HOLLISTON, MA with 40 certified beds and a 3-star overall CMS rating. The facility has 35 deficiency records on file.

84 ELM STREET, HOLLISTON, MA 01746

Phone: 5084294566

Overall Rating

3/5

Health Inspection

2/5

Staffing

5/5

Quality Measures

3/5

Long-Stay Quality

2/5

Facility Information

Provider Number
225709
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
40
Residents
33
In Hospital
No
County
Middlesex
Last Inspection
Mar 6, 2025

Staffing Data

RN Hours
0.97 (nat'l avg: 0.68)
LPN Hours
0.46
CNA Hours
2.61
Total Nursing Hours
4.04 (nat'l avg: 3.89)
PT Hours
0.07
Nursing Turnover
37.5%
RN Turnover
28.6%

What the CMS Record Reveals About TIMOTHY DANIELS HOUSE

TIMOTHY DANIELS HOUSE operates 40 certified beds in HOLLISTON, MA with approximately 33 residents currently in care, and carries a CMS overall rating of 3 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 (3★). 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 35 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.04 total nursing hours per resident day (national average 3.89), with RN coverage at 0.97 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, TIMOTHY DANIELS HOUSE 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 37.5%, 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 (35 most recent)

D — Isolated - Minimal harm Nov 25, 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: Dec 19, 2025

E — Pattern - Minimal harm Mar 6, 2025 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Apr 5, 2025

F — Widespread - Minimal harm Mar 6, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 5, 2025

D — Isolated - Minimal harm Mar 6, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 5, 2025

E — Pattern - Minimal harm Mar 6, 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: Apr 5, 2025

D — Isolated - Minimal harm Mar 6, 2025 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Apr 5, 2025

F — Widespread - Minimal harm Mar 6, 2025 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 5, 2025

D — Isolated - Minimal harm Mar 6, 2025 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 5, 2025

D — Isolated - Minimal harm Mar 6, 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: Apr 5, 2025

D — Isolated - Minimal harm Mar 6, 2025 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 5, 2025

D — Isolated - Minimal harm Mar 6, 2025 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 5, 2025

B — Pattern - No harm Mar 6, 2025 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 25, 2025

E — Pattern - Minimal harm Mar 6, 2025 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 5, 2025

E — Pattern - Minimal harm Mar 6, 2025 Tag: 0585

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.

Category: Resident Rights Deficiencies

Corrected: Apr 5, 2025

E — Pattern - Minimal harm Mar 6, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Apr 5, 2025

E — Pattern - Minimal harm Mar 6, 2025 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: Apr 5, 2025

D — Isolated - Minimal harm Mar 6, 2025 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Apr 5, 2025

E — Pattern - Minimal harm Feb 16, 2024 Tag: 0887

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.

Category: Infection Control Deficiencies

Corrected: Mar 28, 2024

E — Pattern - Minimal harm Feb 16, 2024 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Mar 28, 2024

E — Pattern - Minimal harm Feb 16, 2024 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Mar 26, 2024

F — Widespread - Minimal harm Feb 16, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 28, 2024

D — Isolated - Minimal harm Feb 16, 2024 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 22, 2024

E — Pattern - Minimal harm Feb 16, 2024 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 15, 2024

D — Isolated - Minimal harm Feb 16, 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: Mar 28, 2024

E — Pattern - Minimal harm Feb 16, 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: Mar 26, 2024

B — Pattern - No harm Feb 16, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 26, 2024

E — Pattern - Minimal harm Aug 2, 2022 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Sep 16, 2022

F — Widespread - Minimal harm Aug 2, 2022 Tag: 0867

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

Category: Administration Deficiencies

Corrected: Sep 16, 2022

F — Widespread - Minimal harm Aug 2, 2022 Tag: 0838

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Category: Administration Deficiencies

Corrected: Sep 16, 2022

F — Widespread - Minimal harm Aug 2, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 16, 2022

E — Pattern - Minimal harm Aug 2, 2022 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Sep 16, 2022

D — Isolated - Minimal harm Aug 2, 2022 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 16, 2022

D — Isolated - Minimal harm Aug 2, 2022 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: Sep 16, 2022

D — Isolated - Minimal harm Aug 2, 2022 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 16, 2022

D — Isolated - Minimal harm Aug 2, 2022 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 16, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 19.2% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.5% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.7% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 3.7% No
Percentage of long-stay residents who were physically restrained Long Stay 0.9% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.7% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 88.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 49.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 16.4% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 18.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 92.9% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 76.9% No
Percentage of long-stay residents with pressure ulcers Long Stay 5.8% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 10.6% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 23.0% Yes

Penalty History

Date Type Amount
Feb 16, 2024 Payment Denial -

Frequently Asked Questions

What is the overall CMS rating for TIMOTHY DANIELS HOUSE?
TIMOTHY DANIELS HOUSE has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (2★), staffing levels (5★), and quality measures (3★).
What are the staffing levels at TIMOTHY DANIELS HOUSE?
TIMOTHY DANIELS HOUSE reports 4.04 total nursing hours per resident day (national average: 3.89). RN hours are 0.97 per resident day (national average: 0.68). Nursing staff turnover is 37.5%.
How many beds does TIMOTHY DANIELS HOUSE have?
TIMOTHY DANIELS HOUSE has 40 certified beds with approximately 33 residents. The facility is located at 84 ELM STREET, HOLLISTON, MA 01746.
Does TIMOTHY DANIELS HOUSE have any deficiencies on record?
Yes, TIMOTHY DANIELS HOUSE has 35 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has TIMOTHY DANIELS HOUSE received any fines or penalties?
No, TIMOTHY DANIELS HOUSE has no fines or penalties on record.
Who owns TIMOTHY DANIELS HOUSE?
TIMOTHY DANIELS HOUSE is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was TIMOTHY DANIELS HOUSE last inspected?
The most recent health inspection for TIMOTHY DANIELS HOUSE was on Mar 6, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for TIMOTHY DANIELS HOUSE?
TIMOTHY DANIELS HOUSE 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