CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR

BEDFORD, MA · 179 beds · Non profit - Corporation

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • This facility has a substantiated finding of abuse
  • 3 citation(s) at the highest severity level — immediate risk to residents
  • 2 citation(s) where residents suffered actual harm

Green Flags

  • 5-star staffing rating
  • Above-average RN staffing (1.15 hrs vs 0.64 state avg)

Quick Facts

★★★★☆
CMS Overall
★★☆☆☆
Health Inspection
5
0.5x state avg
Deficiencies
$25,497
Fines (3-yr)
★★★★★
Staffing

Violation Timeline

June 9, 2025

6 deficiencyies
F0600 Immediate Jeopardy Scope/Severity: J

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

F0656 Immediate Jeopardy Scope/Severity: J

Resident Assessment and Care Planning Deficiencies

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

F0689 Immediate Jeopardy Scope/Severity: J

Quality of Life and Care Deficiencies

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

F0600 Immediate Jeopardy Scope/Severity: J

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

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

F0656 Immediate Jeopardy Scope/Severity: J

Resident Assessment and Care Planning Deficiencies

Show details

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

F0689 Immediate Jeopardy Scope/Severity: J

Quality of Life and Care Deficiencies

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

February 6, 2025

4 deficiencyies
F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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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.

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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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.

May 28, 2024

6 deficiencyies
F0656 Actual Harm Scope/Severity: G

Resident Assessment and Care Planning Deficiencies

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

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0689 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

Show details

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

F0656 Actual Harm Scope/Severity: G

Resident Assessment and Care Planning Deficiencies

Show details

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

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

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

F0689 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

Show details

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

September 12, 2023

4 deficiencyies
F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0760 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure that residents are free from significant medication errors.

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

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

See full violation history →

Staffing

1.15
RN hrs/res/day
0.86
LPN hrs/res/day
3.64
CNA hrs/res/day
5.46
Weekend hrs/res/day
28%
Total nurse turnover
17%
RN turnover

A nurse checks on each resident roughly every 4.2 hours on average.

Fines & Penalties

  • Fine Jun 9, 2025
    $16,985
  • Fine May 28, 2024
    $8,512
Total $25,497

Ownership

Non profit - Corporation Independent (not part of a chain)
  • CARLETON-WILLARD HOMES INC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 12/23/1980

    100% Organization
  • MANCINI, LAUREN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 03/17/2025

    Individual
  • MATTHEWS, MICHAEL

    CORPORATE OFFICER

    Since since 05/10/2023

    Individual