THE OXFORD REHABILITATION & HEALTH CARE CENTER

HAVERHILL, MA · 120 beds · For profit - Limited Liability company

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • This facility has a substantiated finding of abuse
  • 1-star health inspection rating (lowest possible)
  • 2 citation(s) where residents suffered actual harm
  • $277,200 in fines over 3 years

Green Flags

No positive signals identified yet.

Quick Facts

★☆☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
15
1.6x state avg
Deficiencies
$277,200
Fines (3-yr)
★★☆☆☆
Staffing

Violation Timeline

February 26, 2025

15 deficiencyies
F0550 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F0584 Potential Harm Scope/Severity: F

Resident Rights Deficiencies

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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.

F0600 Actual Harm Scope/Severity: H

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.

F0607 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Develop and implement policies and procedures to prevent abuse, neglect, and theft.

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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.

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.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0759 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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Ensure medication error rates are not 5 percent or greater.

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.

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.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0908 Potential Harm Scope/Severity: F

Environmental Deficiencies

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Keep all essential equipment working safely.

March 28, 2024

5 deficiencyies
F0584 Potential Harm Scope/Severity: F

Resident Rights Deficiencies

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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.

F0585 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F0656 Potential Harm Scope/Severity: E

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.

F0693 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

See full violation history →

Staffing

0.63
RN hrs/res/day
0.42
LPN hrs/res/day
1.62
CNA hrs/res/day
2.28
Weekend hrs/res/day
28%
Total nurse turnover
25%
RN turnover

A nurse checks on each resident roughly every 9.0 hours on average.

Fines & Penalties

  • Fine Feb 26, 2025
    $128,925
  • Payment Denial Feb 26, 2025
    Payment Denial
  • Payment Denial Apr 10, 2024
    Payment Denial
  • Fine Mar 28, 2024
    $136,025
  • Payment Denial Mar 28, 2024
    Payment Denial
  • Fine May 10, 2023
    $12,250
Total $277,200

Ownership

For profit - Limited Liability company Chain: ATHENA HEALTHCARE SYSTEMS
  • ATHENA HEALTH CARE SYSTEMS MA III LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 06/01/2014

    100% Organization
  • CHAKALOS-SANTILLI, VALERIE

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 07/01/2015

    6% Individual
  • CURTIS, DIANE

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 06/01/2014

    NO PERCENTAGE PROVIDED Individual
  • MOSIER, MICHAEL

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 11/18/2016

    7% Individual
  • SANTILLI, LAWRENCE

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 10/04/2019

    62% Individual
  • SENRA, PRISCILLA

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 12/15/2020

    NO PERCENTAGE PROVIDED Individual
  • ATHENA HEALTH CARE ASSOCIATES, INC.

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 06/01/2014

    Organization
  • SANTILLI, LAWRENCE

    CORPORATE OFFICER

    Since since 10/04/2018

    Individual
  • MOSIER, MICHAEL

    W-2 MANAGING EMPLOYEE

    Since since 06/01/2014

    Individual

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