SNF

PLYMOUTH HARBORSIDE HEALTHCARE

CCN: 225284 · PLYMOUTH, MA 02360 · Plymouth County

⚠ SFF Candidate ⚠ Abuse citation flag

Overview

Address
19 OBERY STREET, PLYMOUTH, MA 02360
Phone
5087474790
Certified beds
101
Avg daily residents
85 (84% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1985-03-01
Setting
Urban
1 /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.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 1/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 2/5
Short-Stay Quality Measures ★★★★★ 1/5

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
 3.18 3.99 3.08 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.60 0.70 0.58 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.68 0.89 0.66 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 1.90 2.41 1.84 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.28 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.04 — — —

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)
2.78
hrs / resident / day
RN (weekend)
0.45
hrs / resident / day
Total nurse (adjusted, weekend)
2.69
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
55.8%
annual
RN turnover
65.0%
annual
Administrators departed
2
last 12 months

Resident acuity

Nursing Case-Mix Index
1.41
higher acuity than avg
Case-Mix Index Ratio
1.03
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) 2024-10-23 20 14 6 168 1 168
Cycle 2/3 (prior) 2023-08-30 25 21 4 301 2 452
Total weighted health score
239.0
lower is better

Deficiencies (65)

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
55 D/E/F Actual harm — potential for minor
6 G/H/I Actual harm
2 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2025-12-04 2025-12-26
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. G 2025-09-16 2025-10-06
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-09-16 2025-10-06
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-09-16 2025-10-06
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. G 2025-08-05 2025-08-22
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2025-08-05 2025-08-22
0645 PASARR screening for Mental disorders or Intellectual Disabilities B 2024-10-23 2024-11-25
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2024-10-23 2024-11-25
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-10-23 2024-11-15
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2024-10-23 2024-11-15
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. E 2024-10-23 2024-11-15
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 2024-10-23 2024-11-15
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-10-23 2024-11-15
0699 Provide care or services that was trauma informed and/or culturally competent. E 2024-10-23 2024-11-15
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. D 2024-10-23 2024-11-15
0759 Ensure medication error rates are not 5 percent or greater. E 2024-10-23 2024-11-15
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F 2024-10-23 2024-11-15
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-10-23 2024-11-15
0880 Provide and implement an infection prevention and control program. E 2024-10-23 2024-11-15
0881 Implement a program that monitors antibiotic use. E 2024-10-23 2024-11-15
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. G 2023-11-14 2023-12-06
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2023-11-14 2023-12-06
0678 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. J 2023-10-11 2023-10-21
0726 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. J 2023-10-11 2023-10-21
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2023-08-30 2023-10-02
0551 Give the resident's representative the ability to exercise the resident's rights. D 2023-08-30 2023-10-23
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2023-08-30 2023-10-02
0558 Reasonably accommodate the needs and preferences of each resident. D 2023-08-30 2023-10-02
0583 Keep residents' personal and medical records private and confidential. D 2023-08-30 2023-10-23
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. E 2023-08-30 2023-10-02
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. E 2023-08-30 2023-10-02
0641 Ensure each resident receives an accurate assessment. B 2023-08-30 2023-10-02
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2023-08-30 2023-10-02
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2023-08-30 2023-10-02
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2023-08-30 2023-10-23
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. E 2023-08-30 2023-10-02
0699 Provide care or services that was trauma informed and/or culturally competent. D 2023-08-30 2023-10-02
0712 Ensure that the resident and his/her doctor meet face-to-face at all required visits. E 2023-08-30 2023-10-02
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2023-08-30 2023-10-02
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. E 2023-08-30 2023-10-02
0760 Ensure that residents are free from significant medication errors. E 2023-08-30 2023-10-02
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 2023-08-30 2023-10-02
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E 2023-08-30 2023-10-02
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2023-08-30 2023-10-02
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. E 2023-08-30 2023-10-02
0563 Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. F 2021-03-18 2021-05-05
0572 Give residents a notice of rights, rules, services and charges. E 2021-03-18 2021-05-05
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2021-03-18 2021-05-05
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. F 2021-03-18 2021-06-16
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. E 2021-03-18 2021-05-05

Showing 50 most recent of 65. See the All Data CSV for the full list.

Penalties (6)

Fines issued
6
last 3 years
Total fines
$460,269
Date Type Fine amount
2023-11-14 Fine $11,638
2023-08-30 Fine $15,269
2023-08-30 Fine $15,347
2025-08-05 Fine $15,935
2026-02-13 Fine $97,500
2025-09-16 Fine $304,580

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 5.8% Medicaid 68.8% Other 25.4%

Operating performance

Operating Margin
-6.4%
Total Margin
-6.0%
Occupancy Rate
82.1%
Cost per Resident Day
$22

Revenue & costs

Net Patient Revenue
$9.8M
Total Costs
$678K
Net Income
-$588K

Balance sheet

Total Assets
$3.0M
Total Liabilities
$4.6M
Fund Balance
-$1.6M
Current Ratio
0.30

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: NEXT STEP HEALTHCARE

Chain ID
371
Facilities in chain
14
Legal business name
19 OBERY STREET OPERATOR LLC
Chain-average star ratings (for peer context)
Overall
1.9
Health
1.9
Staffing
2.1
QM
2.6

Owner / manager organizations (2)

Organization Role Association
NEXT STEP HEALTHCARE LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 09/01/2017
NEXT STEP HEALTHCARE LLC OPERATIONAL/MANAGERIAL CONTROL since 09/01/2017

Owner / manager individuals (6)

Name Role Association
DELL'ANNO, DAMIAN 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/01/2017
STEPHAN, WILLIAM 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/01/2017
NGUYEN, NINA OPERATIONAL/MANAGERIAL CONTROL since 04/14/2025
RATTAN, ROHIT OPERATIONAL/MANAGERIAL CONTROL since 11/08/2023
DELL'ANNO, DAMIAN CORPORATE OFFICER since 09/01/2017
STEPHAN, WILLIAM CORPORATE OFFICER since 09/01/2017

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
Special focus status
SFF Candidate
Abuse citation flag
Yes — last 2 cycles
Methodology & sources

Full methodology →

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.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $22 metrics.cost_per_resident_day
Cost Report Current Ratio 0.30 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 68.8% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 5.8% metrics.medicare_day_share
Cost Report Net Income ($) $-588,221 metrics.net_income
Cost Report Net Patient Revenue ($) $9,752,884 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 82.1% metrics.occupancy_rate
Cost Report Operating Margin (%) -6.4% metrics.operating_margin
Cost Report Total Assets ($) $3,008,351 metrics.total_assets
Cost Report Total Costs ($) $678,103 metrics.total_costs
Cost Report Total Fund Balances ($) $-1,572,970 metrics.fund_balance
Cost Report Total Liabilities ($) $4,581,321 metrics.total_liabilities
Cost Report Total Margin (%) -6.0% metrics.total_margin
Provider Information Abuse Icon Y Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.66133 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.83958 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.57821 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.07912 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.69464 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 85.2 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 0.88509 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.40548 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.69765 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.98821 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.51519 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 1.9 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 1.9 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 2.6 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.1 Chain Average Staffing Rating
Provider Information Chain ID 371 Chain ID
Provider Information Chain Name NEXT STEP HEALTHCARE Chain Name
Provider Information City/Town PLYMOUTH City/Town
Provider Information CMS Certification Number (CCN) 225284 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Plymouth County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1985-03-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 41.9443 Latitude
Provider Information Legal Business Name 19 OBERY STREET OPERATOR LLC Legal Business Name
Provider Information Location 19 OBERY STREET,PLYMOUTH,MA,02360 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 -70.649 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 2 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 101 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 14 Number of Facilities in Chain
Provider Information Number of Fines 6 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.41285 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.02555 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 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 19 OBERY STREET Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name PLYMOUTH HARBORSIDE HEALTHCARE Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 150 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 1 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 168 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 6 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 14 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-10-23 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 168 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 20 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 21 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-08-30 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 301 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 151 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 4 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 2 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 452 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 25 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.45110 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 65.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.28040 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.68313 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.90023 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.04434 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.59727 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 3.18063 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 1 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status SFF Candidate Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State MA State
Provider Information Telephone Number 5087474790 Telephone Number
Provider Information Total Amount of Fines in Dollars 460269.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.78348 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 6 Total Number of Penalties
Provider Information Total nursing staff turnover 55.8 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 239.000 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 02360 ZIP Code