SNF

SACHEM CENTER FOR HEALTH AND REHABILITATION

CCN: 225322 · EAST BRIDGEWATER, MA 02333 · Plymouth County

Overview

Address
66 CENTRAL STREET, EAST BRIDGEWATER, MA 02333
Phone
5083787227
Certified beds
111
Avg daily residents
77 (69% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1989-01-31
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.
★★★★★ 2/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 2/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 2/5
Short-Stay Quality Measures ★★★★★ 3/5

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
 3.28 4.42 2.87 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.54 0.77 0.47 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.80 0.98 0.70 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 1.95 2.66 1.70 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.34 — — —
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)
3.03
hrs / resident / day
RN (weekend)
0.47
hrs / resident / day
Total nurse (adjusted, weekend)
2.65
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
37.5%
annual
RN turnover
25.0%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.56
higher acuity than avg
Case-Mix Index Ratio
1.14
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) 2025-04-04 7 7 0 56 2 84
Cycle 2/3 (prior) 2024-02-06 28 28 0 188 2 282
Total weighted health score
133.5
lower is better

Deficiencies (43)

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).

4 A/B/C No actual harm — minor
35 D/E/F Actual harm — potential for minor
4 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2025-04-04 2025-04-04
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. E 2025-04-04 2025-04-04
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2025-04-04 2025-04-04
0808 Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. E 2025-04-04 2025-04-04
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E 2025-04-04 2025-04-04
0909 Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. D 2025-04-04 2025-04-04
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. B 2025-04-04 2025-04-04
0565 Honor the resident's right to organize and participate in resident/family groups in the facility. E 2024-02-06 2024-02-09
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2024-02-06 2024-03-07
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 2024-02-06 2024-02-09
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. G 2024-02-06 2024-02-09
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. D 2024-02-06 2024-02-09
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-02-06 2024-02-08
0610 Respond appropriately to all alleged violations. D 2024-02-06 2024-02-09
0641 Ensure each resident receives an accurate assessment. B 2024-02-06 2024-02-09
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2024-02-06 2024-02-09
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2024-02-06 2024-02-09
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-02-06 2024-03-07
0679 Provide activities to meet all resident's needs. D 2024-02-06 2024-02-09
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. E 2024-02-06 2024-02-21
0688 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. D 2024-02-06 2024-02-09
0692 Provide enough food/fluids to maintain a resident's health. D 2024-02-06 2024-02-09
0693 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. D 2024-02-06 2024-02-09
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-02-06 2024-03-07
0697 Provide safe, appropriate pain management for a resident who requires such services. G 2024-02-06 2024-02-09
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 2024-02-06 2024-03-07
0843 Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. C 2024-02-06 2024-02-09
0844 Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. C 2024-02-06 2024-02-09
0880 Provide and implement an infection prevention and control program. E 2024-02-06 2024-02-09
0940 Develop, implement, and/or maintain an effective training program for all new and existing staff members. E 2024-02-06 2024-02-09
0941 Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. E 2024-02-06 2024-02-09
0944 Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. E 2024-02-06 2024-02-09
0945 Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. E 2024-02-06 2024-02-09
0946 Provide training in compliance and ethics. F 2024-02-06 2024-02-09
0949 Provide behavior health training consistent with the requirements and as determined by a facility assessment. E 2024-02-06 2024-02-09
0604 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. D 2022-04-20 2022-05-25
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2022-04-20 2022-05-25
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. G 2022-04-20 2022-05-16
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. D 2022-04-20 2022-05-25
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 2022-04-20 2022-05-25
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2022-04-20 2022-05-25
0838 Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. F 2022-04-20 2022-05-25
0881 Implement a program that monitors antibiotic use. D 2022-04-20 2022-05-25

Penalties (3)

Fines issued
3
last 3 years
Total fines
$65,753
Date Type Fine amount
2024-02-06 Fine $8,330
2024-02-06 Fine $16,439
2025-04-04 Fine $40,984

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 11.7% Medicaid 50.1% Other 38.2%

Operating performance

Operating Margin
-0.3%
Total Margin
-0.0%
Occupancy Rate
70.2%
Cost per Resident Day
$40

Revenue & costs

Net Patient Revenue
$9.8M
Total Costs
$1.1M
Net Income
-$3K

Balance sheet

Total Assets
$7.1M
Total Liabilities
$2.0M
Fund Balance
$5.0M
Current Ratio
4.24

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

Ownership & Corporate Structure

Chain: AZURE HEALTHCARE

Chain ID
841
Facilities in chain
6
Legal business name
ADVINIACARE EAST BRIDGEWATER LLC
Chain-average star ratings (for peer context)
Overall
1.3
Health
1.3
Staffing
2.0
QM
2.3

Owner / manager individuals (1)

Name Role Association
LIEBERMAN, AZRIEL OPERATIONAL/MANAGERIAL CONTROL since 12/28/2023

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
Partial
Abuse citation flag
No
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 ($) $40 metrics.cost_per_resident_day
Cost Report Current Ratio 4.24 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 50.1% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 11.7% metrics.medicare_day_share
Cost Report Net Income ($) $-3,223 metrics.net_income
Cost Report Net Patient Revenue ($) $9,821,748 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 70.2% metrics.occupancy_rate
Cost Report Operating Margin (%) -0.3% metrics.operating_margin
Cost Report Total Assets ($) $7,052,411 metrics.total_assets
Cost Report Total Costs ($) $1,130,712 metrics.total_costs
Cost Report Total Fund Balances ($) $5,030,124 metrics.fund_balance
Cost Report Total Liabilities ($) $2,022,287 metrics.total_liabilities
Cost Report Total Margin (%) -0.0% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.69605 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.70311 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.47101 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 2.87016 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.64762 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 Partial Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 76.5 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 0.98023 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.66404 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.77263 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.41691 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.89304 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 1.3 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 1.3 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 2.3 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.0 Chain Average Staffing Rating
Provider Information Chain ID 841 Chain ID
Provider Information Chain Name AZURE HEALTHCARE Chain Name
Provider Information City/Town EAST BRIDGEWATER City/Town
Provider Information CMS Certification Number (CCN) 225322 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 1989-01-31 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 42.0315 Latitude
Provider Information Legal Business Name ADVINIACARE EAST BRIDGEWATER LLC Legal Business Name
Provider Information Location 66 CENTRAL STREET,EAST BRIDGEWATER,MA,02333 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 -70.958 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 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 111 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 6 Number of Facilities in Chain
Provider Information Number of Fines 3 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.56471 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.13578 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 - Limited Liability company 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 66 CENTRAL STREET Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name SACHEM CENTER FOR HEALTH AND REHABILITATION 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 2 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 56 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 28 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 2 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 7 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-04-04 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 84 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 7 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 28 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-02-06 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 188 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 94 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 2 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 282 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 28 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.47072 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 25.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.33511 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.79628 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.94836 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.06534 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.53883 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 3.28347 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 2 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State MA State
Provider Information Telephone Number 5083787227 Telephone Number
Provider Information Total Amount of Fines in Dollars 65753.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.02888 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 3 Total Number of Penalties
Provider Information Total nursing staff turnover 37.5 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 133.500 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 02333 ZIP Code