SNF
SKILLED NURSING FACILITY AT NORTH HILL (THE)
CCN: 225281 · NEEDHAM, MA 02492 · Norfolk County
CCRC
Overview
- Address
- 865 CENTRAL AVENUE, NEEDHAM, MA 02492
- Phone
- 7814449910
- Certified beds
- 72
- Avg daily residents
- 65 (90% of beds filled)
- Ownership
- Non-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1985-01-10
- 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 | 6.33 | 3.56 | 6.87 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 1.47 | 0.62 | 1.60 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.74 | 0.79 | 0.81 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 4.12 | 2.15 | 4.47 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 2.21 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.07 | — | — | — |
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)
5.93
hrs / resident / day
RN (weekend)
1.14
hrs / resident / day
Total nurse (adjusted, weekend)
6.42
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
17.3%
annual
RN turnover
15.8%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.26
higher acuity than avg
Case-Mix Index Ratio
0.92
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) | 2025-07-18 | 3 | 3 | 0 | 16 | 1 | 16 |
| Cycle 2/3 (prior) | 2024-07-11 | 5 | 3 | 2 | 166 | 1 | 166 |
Total weighted health score
53.5
lower is better
Deficiencies (11)
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).
9 D/E/F Actual harm — potential for minor
2 J/K/L Immediate jeopardy
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | 2025-07-18 | 2025-08-21 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-07-18 | 2025-08-21 |
| 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. | D | 2025-07-18 | 2025-08-21 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2025-01-15 | 2025-01-29 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2025-01-15 | 2025-01-29 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-07-11 | 2024-08-05 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-07-11 | 2024-08-05 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2024-07-11 | 2024-08-05 |
| 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2023-05-18 | 2023-06-19 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-05-18 | 2023-06-19 |
| 0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2023-05-18 | 2023-06-19 |
Penalties (1)
Fines issued
1
last 3 years
Total fines
$16,153
| Date | Type | Fine amount |
|---|---|---|
| 2025-01-15 | Fine | $16,153 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2024)
Payer mix (share of resident days)
Medicare 20.8% Medicaid 3.6% Other 75.6%
Operating performance
Total Margin
10.4%
Occupancy Rate
89.9%
Cost per Resident Day
$49
Revenue & costs
Net Patient Revenue
$11.1M
Total Costs
$1.2M
Net Income
$6.4M
Balance sheet
Total Assets
$261.5M
Total Liabilities
$305.5M
Fund Balance
-$43.9M
Current Ratio
0.06
Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Owner / manager organizations (2)
| Organization | Role | Association |
|---|---|---|
| 4M BUILDING SOLUTIONS, LLC | OPERATIONAL/MANAGERIAL CONTROL | since 07/22/2019 |
| SADIA'S HEALTH AND WELLNESS CONSULTING, INC | OPERATIONAL/MANAGERIAL CONTROL | since 11/08/2021 |
Owner / manager individuals (23)
| Name | Role | Association |
|---|---|---|
| BENOIT, PAUL | OPERATIONAL/MANAGERIAL CONTROL | since 06/24/2001 |
| BERMUDEZ, EMILY | OPERATIONAL/MANAGERIAL CONTROL | since 03/06/2023 |
| DOWNEY, SUSAN | OPERATIONAL/MANAGERIAL CONTROL | since 03/28/2022 |
| FRIAS, JOSEPH | OPERATIONAL/MANAGERIAL CONTROL | since 07/15/2023 |
| GOFF, STEWART | OPERATIONAL/MANAGERIAL CONTROL | since 02/12/2025 |
| MERCHANT, ASIF | OPERATIONAL/MANAGERIAL CONTROL | since 06/01/2023 |
| BARTH, SUZANNE | CORPORATE DIRECTOR | since 04/01/2022 |
| CORSINI, RUSSELL | CORPORATE DIRECTOR | since 04/01/2016 |
| CREED, SARAH | CORPORATE DIRECTOR | since 04/01/2015 |
| DAVIS, RICHARD | CORPORATE DIRECTOR | since 04/01/2016 |
| DOWNEY, SUSAN | CORPORATE DIRECTOR | since 03/31/2024 |
| FISCHER, STEPHEN | CORPORATE DIRECTOR | since 04/01/2024 |
| GOFF, STEWART | CORPORATE DIRECTOR | since 02/12/2025 |
| GRIMES, KEVIN | CORPORATE DIRECTOR | since 04/01/2018 |
| HANDEL, ELIZABETH | CORPORATE DIRECTOR | since 04/01/2024 |
| HOFFMANN, NANCY | CORPORATE DIRECTOR | since 04/01/2017 |
| MAHONEY, WILLIAM | CORPORATE DIRECTOR | since 04/01/2024 |
| MELLACE, SUSAN | CORPORATE DIRECTOR | since 04/01/2015 |
| PINGITORE, PETER | CORPORATE DIRECTOR | since 04/01/2024 |
| REICH WEIL, AMY | CORPORATE DIRECTOR | since 04/01/2018 |
| VASCONCELLES, MARTINA ANNE OECHSLE | CORPORATE DIRECTOR | since 04/01/2016 |
| BERE, KARALYN | CORPORATE OFFICER | since 09/15/2024 |
| FRIAS, JOSEPH | CORPORATE OFFICER | since 07/15/2023 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- Yes
- 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 Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 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 2024, 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 112 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $49 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.06 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,024 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 3.6% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 20.8% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $6,424,873 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $11,067,013 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 89.9% | metrics.occupancy_rate |
| Cost Report | Total Assets ($) | $261,539,314 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,156,257 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-43,931,488 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $305,470,802 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 10.4% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.80592 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 4.46629 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 1.59518 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 6.86739 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 6.42456 | 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 | 65.1 | 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 | 0.79036 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.14803 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.62298 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.56138 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.13898 | 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 | NEEDHAM | City/Town |
| Provider Information | CMS Certification Number (CCN) | 225281 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | Y | Continuing Care Retirement Community |
| Provider Information | County/Parish | Norfolk | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1985-01-10 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 42.2909 | Latitude |
| Provider Information | Legal Business Name | NORTH HILL NEEDHAM, INC. | Legal Business Name |
| Provider Information | Location | 865 CENTRAL AVENUE,NEEDHAM,MA,02492 | Location |
| Provider Information | Long-Stay QM Rating | 1 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -71.25 | 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 | 72 | 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 | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.26164 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.91579 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 4 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Non 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 | 865 CENTRAL AVENUE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | SKILLED NURSING FACILITY AT NORTH HILL (THE) | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 130 | 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 | 3 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-07-18 | 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 | 3 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 3 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-07-11 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 166 | 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 | 2 | 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 | 166 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 5 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 1.14238 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 15.8 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 2.21481 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.74339 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 4.11977 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.06865 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 1.47142 | 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 | 6.33458 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 5 | 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 | 5 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | MA | State |
| Provider Information | Telephone Number | 7814449910 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 16153.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 5.92611 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 17.3 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 53.500 | 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 | 02492 | ZIP Code |