Overview

Address
400 GROTON ROAD, AYER, MA 01432
Phone
9787721704
Certified beds
123
Avg daily residents
109 (89% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1990-07-01
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.
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 3/5
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
3.58 4.17 3.32 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.74 0.73 0.69 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.71 0.92 0.66
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.13 2.51 1.97
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.45
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)
3.04
hrs / resident / day
RN (weekend)
0.58
hrs / resident / day
Total nurse (adjusted, weekend)
2.82
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
60.7%
annual
RN turnover
52.0%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.48
higher acuity than avg
Case-Mix Index Ratio
1.07
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) 2025-03-13 18 18 0 80 1 80
Cycle 2/3 (prior) 2024-03-05 48 22 26 356 1 356
Total weighted health score
149.0
lower is better

Deficiencies (81)

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).

5 A/B/C No actual harm — minor
69 D/E/F Actual harm — potential for minor
7 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2025-03-13 2025-03-25
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. D 2025-03-13 2025-03-25
0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. D 2025-03-13 2025-03-25
0695 Provide safe and appropriate respiratory care for a resident when needed. E 2025-03-13 2025-03-25
0699 Provide care or services that was trauma informed and/or culturally competent. D 2025-03-13 2025-03-25
0712 Ensure that the resident and his/her doctor meet face-to-face at all required visits. E 2025-03-13 2025-03-25
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 2025-03-13 2025-03-25
0730 Observe each nurse aide's job performance and give regular training. D 2025-03-13 2025-03-25
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. E 2025-03-13 2025-03-25
0760 Ensure that residents are free from significant medication errors. D 2025-03-13 2025-03-25
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. D 2025-03-13 2025-03-25
0805 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. D 2025-03-13 2025-03-25
0825 Provide or get specialized rehabilitative services as required for a resident. D 2025-03-13 2025-03-25
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-03-13 2025-03-25
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 2025-03-13 2025-03-25
0880 Provide and implement an infection prevention and control program. D 2025-03-13 2025-03-25
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2025-03-13 2025-03-25
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. D 2025-03-13 2025-03-25
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2025-01-02 2025-01-20
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-01-02 2025-01-20
0692 Provide enough food/fluids to maintain a resident's health. D 2025-01-02 2025-01-20
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-06-05 2024-06-17
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. E 2024-06-05 2024-06-21
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. E 2024-06-05 2024-06-17
0557 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. D 2024-03-05 2024-03-25
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. G 2024-03-05 2024-03-22
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. D 2024-03-05 2024-03-25
0625 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. B 2024-03-05 2024-03-25
0638 Assure that each resident’s assessment is updated at least once every 3 months. E 2024-03-05 2024-03-25
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. D 2024-03-05 2024-03-25
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. E 2024-03-05 2024-03-25
0660 Plan the resident's discharge to meet the resident's goals and needs. D 2024-03-05 2024-03-25
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-03-05 2024-03-25
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2024-03-05 2024-03-22
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2024-03-05 2024-03-25
0692 Provide enough food/fluids to maintain a resident's health. D 2024-03-05 2024-03-25
0699 Provide care or services that was trauma informed and/or culturally competent. D 2024-03-05 2024-03-25
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. E 2024-03-05 2024-03-25
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 2024-03-05 2024-03-25
0727 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F 2024-03-05 2024-03-25
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2024-03-05 2024-03-25
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2024-03-05 2024-03-25
0791 Provide or obtain dental services for each resident. D 2024-03-05 2024-03-25
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2024-03-05 2024-03-25
0868 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly E 2024-03-05 2024-03-25
0880 Provide and implement an infection prevention and control program. F 2024-03-05 2024-03-25
0557 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. F 2023-12-29 2024-02-23
0558 Reasonably accommodate the needs and preferences of each resident. E 2023-12-29 2024-02-23
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2023-12-29 2024-02-23
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2023-12-29 2024-02-23

Showing 50 most recent of 81. See the All Data CSV for the full list.

Penalties (3)

Fines issued
3
last 3 years
Total fines
$72,804
Date Type Fine amount
2023-09-27 Fine $9,770
2023-07-05 Fine $9,770
2024-03-05 Fine $53,264

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 7.7% Medicaid 82.0% Other 10.3%

Operating performance

Operating Margin
-12.7%
Total Margin
-11.8%
Occupancy Rate
90.9%
Cost per Resident Day
$30

Revenue & costs

Net Patient Revenue
$11.0M
Total Costs
$957K
Net Income
-$1.3M

Balance sheet

Total Assets
-$3.3M
Total Liabilities
-$2.0M
Fund Balance
-$1.3M
Current Ratio
0.45

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

Ownership & Corporate Structure

Chain: STERN CONSULTANTS

Chain ID
661
Facilities in chain
22
Legal business name
AYER VALLEY REHAB AND NURSING LLC
Chain-average star ratings (for peer context)
Overall
2.6
Health
2.5
Staffing
2.1
QM
3.7

Owner / manager organizations (9)

Organization Role Association
ETN FAMILY HOLDINGS LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 09/01/2023
TLCO HOLDINGS LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 09/01/2023
COM FAMILY TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/16/2023
E NEWHOUSE FAMILY TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/16/2023
T NEWHOUSE FAMILY TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/16/2023
TLM FAMILY TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/16/2023
ETN FAMILY HOLDINGS LLC OPERATIONAL/MANAGERIAL CONTROL since 10/16/2023
STERN THERAPY CONSULTANTS LLC OPERATIONAL/MANAGERIAL CONTROL since 10/16/2023
TLCO HOLDINGS LLC OPERATIONAL/MANAGERIAL CONTROL since 10/16/2023

Owner / manager individuals (13)

Name Role Association
ERBLICH, AVRAHAM 5% OR GREATER DIRECT OWNERSHIP INTEREST since 09/01/2023
FRIEDMAN, SHANA 5% OR GREATER DIRECT OWNERSHIP INTEREST since 10/16/2023
SHEPS, BORUCH 5% OR GREATER DIRECT OWNERSHIP INTEREST since 10/16/2023
STERN, BEZALEL 5% OR GREATER DIRECT OWNERSHIP INTEREST since 10/16/2023
BEATTY, BRITTANY OPERATIONAL/MANAGERIAL CONTROL since 10/16/2023
CAMBRIDGE, JOSHUA OPERATIONAL/MANAGERIAL CONTROL since 10/16/2023
ERBLICH, AVRAHAM OPERATIONAL/MANAGERIAL CONTROL since 10/16/2023
FRIEDMAN, BENJAMIN OPERATIONAL/MANAGERIAL CONTROL since 10/16/2023
MILLMAN, CHAIM OPERATIONAL/MANAGERIAL CONTROL since 10/16/2023
NEWHOUSE, ERIC OPERATIONAL/MANAGERIAL CONTROL since 10/16/2023
NILSSON, CLAES OPERATIONAL/MANAGERIAL CONTROL since 10/16/2023
PLEW, ANDREA OPERATIONAL/MANAGERIAL CONTROL since 10/16/2023
SHEPS, BORUCH OPERATIONAL/MANAGERIAL CONTROL since 10/16/2023

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
Yes
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 ($) $30 metrics.cost_per_resident_day
Cost Report Current Ratio 0.45 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 82.0% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 7.7% metrics.medicare_day_share
Cost Report Net Income ($) $-1,308,025 metrics.net_income
Cost Report Net Patient Revenue ($) $10,965,764 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 90.9% metrics.occupancy_rate
Cost Report Operating Margin (%) -12.7% metrics.operating_margin
Cost Report Total Assets ($) $-3,321,516 metrics.total_assets
Cost Report Total Costs ($) $957,395 metrics.total_costs
Cost Report Total Fund Balances ($) $-1,308,025 metrics.fund_balance
Cost Report Total Liabilities ($) $-2,013,491 metrics.total_liabilities
Cost Report Total Margin (%) -11.8% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.66024 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.97297 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.68649 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.31970 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.82096 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 109.4 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 0.92445 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.51244 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.72867 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.16555 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.67149 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.5 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.6 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.7 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.1 Chain Average Staffing Rating
Provider Information Chain ID 661 Chain ID
Provider Information Chain Name STERN CONSULTANTS Chain Name
Provider Information City/Town AYER City/Town
Provider Information CMS Certification Number (CCN) 225421 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Middlesex County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1990-07-01 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 42.5775 Latitude
Provider Information Legal Business Name AYER VALLEY REHAB AND NURSING LLC Legal Business Name
Provider Information Location 400 GROTON ROAD,AYER,MA,01432 Location
Provider Information Long-Stay QM Rating 3 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -71.572 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 22 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 1.47567 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.07115 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 400 GROTON ROAD Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name AYER VALLEY REHAB AND NURSING Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 090 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 80 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 18 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-03-13 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 80 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 18 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 22 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-03-05 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 356 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 26 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 356 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 48 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.58180 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 52.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.45298 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.71233 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.12863 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.04926 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.74065 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 3.58162 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 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 9787721704 Telephone Number
Provider Information Total Amount of Fines in Dollars 72804.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.04353 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 60.7 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 149.000 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 01432 ZIP Code