SNF
HOLDEN REHABILITATION & NURSING CENTER
CCN: 225002 · HOLDEN, MA 01520 · Worcester County
Overview
- Address
- 32 MAYO ROAD, HOLDEN, MA 01520
- Phone
- 5088294327
- Certified beds
- 123
- Avg daily residents
- 112 (91% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1967-01-01
- Setting
- Urban
4 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 4.60 | 5.61 | 3.16 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.97 | 0.98 | 0.67 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.29 | 1.25 | 0.89 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.34 | 3.39 | 1.61 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 2.26 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.05 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
4.22
hrs / resident / day
RN (weekend)
0.69
hrs / resident / day
Total nurse (adjusted, weekend)
2.90
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
43.2%
annual
RN turnover
34.4%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.99
higher acuity than avg
Case-Mix Index Ratio
1.44
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-02-13 | 5 | 5 | 0 | 16 | 1 | 16 |
| Cycle 2/3 (prior) | 2023-12-15 | 4 | 4 | 0 | 24 | 1 | 24 |
Total weighted health score
18.0
lower is better
Deficiencies (13)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
2 A/B/C No actual harm — minor
11 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2025-02-13 | 2025-03-13 |
| 0641 | Ensure each resident receives an accurate assessment. | B | 2025-02-13 | 2025-02-28 |
| 0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | 2025-02-13 | 2025-03-14 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-02-13 | 2025-03-14 |
| 0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2025-02-13 | 2025-03-13 |
| 0760 | Ensure that residents are free from significant medication errors. | E | 2023-12-15 | 2024-01-12 |
| 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. | E | 2023-12-15 | 2024-01-12 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-12-15 | 2024-01-12 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2023-12-15 | 2024-01-12 |
| 0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | 2022-05-16 | 2022-06-10 |
| 0732 | Post nurse staffing information every day. | B | 2022-05-16 | 2022-06-10 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2022-05-16 | 2022-06-10 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2022-05-16 | 2022-06-10 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 10.5% Medicaid 71.0% Other 18.5%
Operating performance
Operating Margin
-3.8%
Total Margin
2.0%
Occupancy Rate
94.1%
Cost per Resident Day
$52
Revenue & costs
Net Patient Revenue
$20.3M
Total Costs
$2.2M
Net Income
$420K
Balance sheet
Total Assets
$23.8M
Total Liabilities
$19.7M
Fund Balance
$4.2M
Current Ratio
1.64
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Owner / manager organizations (7)
| Organization | Role | Association |
|---|---|---|
| ORIOL HOLDING INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 01/01/2013 |
| EF AND ASSOCIATES LLC | OPERATIONAL/MANAGERIAL CONTROL | since 03/20/2024 |
| INTEGRAL HEALTH PARTNERS LLC | OPERATIONAL/MANAGERIAL CONTROL | since 12/17/2021 |
| ORIOL HEALTH CARE INC | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/1998 |
| PARAGON OUTPATIENT REHABILITATION SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | since 05/15/2024 |
| WHJ, INC. | OPERATIONAL/MANAGERIAL CONTROL | since 02/10/2007 |
| U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT | 5% OR GREATER MORTGAGE INTEREST | since 08/12/2001 |
Owner / manager individuals (20)
| Name | Role | Association |
|---|---|---|
| BOYCE, JOHN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/01/2019 |
| MAHONEY, CHRISTINE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/01/2013 |
| ORIOL, DAVID | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/01/2013 |
| ORIOL, ROBERT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 04/21/2022 |
| BAIN, KAREN | OPERATIONAL/MANAGERIAL CONTROL | since 03/20/2024 |
| BARAKIAN, SUSAN | OPERATIONAL/MANAGERIAL CONTROL | since 05/15/2024 |
| D'ANDREA, TARA | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2024 |
| ORIOL, NATHAN | OPERATIONAL/MANAGERIAL CONTROL | since 03/01/2021 |
| SAHIJWALA, NATASHA | OPERATIONAL/MANAGERIAL CONTROL | since 05/15/2024 |
| SNYDER, CYNTHIA | OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2021 |
| VENO, JOSEPH | OPERATIONAL/MANAGERIAL CONTROL | since 03/20/2024 |
| BAGHDADY, SAMI | CORPORATE DIRECTOR | since 10/10/2011 |
| BOYCE, JOHN | CORPORATE DIRECTOR | since 03/31/2020 |
| MAHONEY, CHRISTINE | CORPORATE DIRECTOR | since 10/10/2011 |
| ORIOL, DAVID | CORPORATE DIRECTOR | since 10/10/2011 |
| ORIOL, ROBERT | CORPORATE DIRECTOR | since 02/20/2004 |
| MAHONEY, CHRISTINE | CORPORATE OFFICER | since 06/29/2025 |
| MATSON, ELIZABETH | CORPORATE OFFICER | since 03/01/2021 |
| ORIOL, DAVID | CORPORATE OFFICER | since 10/10/2011 |
| ORIOL, ROBERT | CORPORATE OFFICER | since 02/20/2004 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $52 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 1.64 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 71.0% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 10.5% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $420,300 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $20,260,242 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 94.1% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -3.8% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $23,845,943 | metrics.total_assets |
| Cost Report | Total Costs ($) | $2,213,557 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $4,156,429 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $19,689,514 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 2.0% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.88619 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.60912 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.66606 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.16137 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.89970 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 112.0 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 1.24581 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 3.38584 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.98197 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 5.61362 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 4.94782 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | — | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | — | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | — | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | — | Chain Average Staffing Rating |
| Provider Information | Chain ID | — | Chain ID |
| Provider Information | Chain Name | — | Chain Name |
| Provider Information | City/Town | HOLDEN | City/Town |
| Provider Information | CMS Certification Number (CCN) | 225002 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Worcester | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1967-01-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 42.346 | Latitude |
| Provider Information | Legal Business Name | HOLDEN NURSING HOME, INC | Legal Business Name |
| Provider Information | Location | 32 MAYO ROAD,HOLDEN,MA,01520 | Location |
| Provider Information | Long-Stay QM Rating | 2 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -71.854 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 123 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | — | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.98866 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.44351 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 4 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 32 MAYO ROAD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | HOLDEN REHABILITATION & NURSING CENTER | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 170 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 3 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 16 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 5 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-02-13 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 16 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 5 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 4 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-12-15 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 24 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 0 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 24 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 4 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.69383 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 34.4 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 2.25690 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.28848 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.33959 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.04952 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.96842 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 4.59649 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 3 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | MA | State |
| Provider Information | Telephone Number | 5088294327 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 4.21604 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 43.2 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 18.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 01520 | ZIP Code |