SNF

FALL RIVER HEALTHCARE

CCN: 225723 · FALL RIVER, MA 02720 · Bristol County

⚠ Abuse citation flag

Overview

Address
1748 HIGHLAND AVENUE, FALL RIVER, MA 02720
Phone
5087301070
Certified beds
176
Avg daily residents
156 (89% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1997-02-27
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.
★★★★★ 2/5
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
 3.20 4.03 3.06 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.54 0.71 0.52 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.80 0.90 0.76 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 1.86 2.43 1.78 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.34 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.01 — — —

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)
2.81
hrs / resident / day
RN (weekend)
0.36
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
54.3%
annual
RN turnover
72.0%
annual
Administrators departed
2
last 12 months

Resident acuity

Nursing Case-Mix Index
1.43
higher acuity than avg
Case-Mix Index Ratio
1.04
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) 2025-12-22 12 11 1 96 1 96
Cycle 2/3 (prior) 2025-07-28 14 6 8 124 1 124
Total weighted health score
103.0
lower is better

Deficiencies (51)

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
39 D/E/F Actual harm — potential for minor
10 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0565 Honor the resident's right to organize and participate in resident/family groups in the facility. E 2025-12-22 2026-01-26
0567 Honor the resident's right to manage his or her financial affairs. E 2025-12-22 2026-01-26
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2025-12-22 2026-01-26
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-12-22 2026-01-26
0692 Provide enough food/fluids to maintain a resident's health. E 2025-12-22 2026-01-26
0759 Ensure medication error rates are not 5 percent or greater. E 2025-12-22 2026-01-26
0803 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. E 2025-12-22 2026-01-26
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2025-12-22 2026-01-26
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E 2025-12-22 2026-01-26
0865 Have a plan that describes the process for conducting QAPI and QAA activities. E 2025-12-22 2026-01-26
0880 Provide and implement an infection prevention and control program. D 2025-12-22 2026-01-26
0551 Give the resident's representative the ability to exercise the resident's rights. D 2025-07-28 2025-08-15
0645 PASARR screening for Mental disorders or Intellectual Disabilities D 2025-07-28 2025-08-15
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-07-28 2025-08-15
0685 Assist a resident in gaining access to vision and hearing services. D 2025-07-28 2025-08-15
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-07-28 2025-08-15
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-07-28 2025-08-15
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. G 2025-03-31 2025-03-21
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. G 2025-02-27 2025-03-10
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. G 2025-02-27 2025-03-10
0558 Reasonably accommodate the needs and preferences of each resident. E 2025-02-05 2025-03-10
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 2025-02-05 2025-03-10
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. H 2025-02-05 2025-03-10
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. H 2025-02-05 2025-03-10
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-02-05 2025-03-10
0610 Respond appropriately to all alleged violations. H 2025-02-05 2025-03-10
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. C 2025-02-05 2025-03-10
0641 Ensure each resident receives an accurate assessment. B 2025-02-05 2025-03-10
0645 PASARR screening for Mental disorders or Intellectual Disabilities D 2025-02-05 2025-03-10
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2025-02-05 2025-03-10
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2025-02-05 2025-03-10
0658 Ensure services provided by the nursing facility meet professional standards of quality. E 2025-02-05 2025-03-10
0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. D 2025-02-05 2025-03-10
0687 Provide appropriate foot care. D 2025-02-05 2025-03-10
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2025-02-05 2025-03-10
0699 Provide care or services that was trauma informed and/or culturally competent. E 2025-02-05 2025-03-10
0712 Ensure that the resident and his/her doctor meet face-to-face at all required visits. E 2025-02-05 2025-03-10
0740 Ensure each resident must receive and the facility must provide necessary behavioral health care and services. H 2025-02-05 2025-03-10
0745 Provide medically-related social services to help each resident achieve the highest possible quality of life. H 2025-02-05 2025-03-10
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2025-02-05 2025-03-10
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. D 2025-02-05 2025-03-10
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. D 2025-02-05 2025-03-10
0847 Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. E 2025-02-05 2025-03-10
0868 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly E 2025-02-05 2025-03-10
0880 Provide and implement an infection prevention and control program. E 2025-02-05 2025-03-10
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2024-12-12 2024-12-13
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-05-14 2024-05-17
0568 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. D 2024-04-09 2024-05-03
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-04-09 2024-05-03
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. G 2024-02-27 2024-02-28

Showing 50 most recent of 51. See the All Data CSV for the full list.

Penalties (6)

Fines issued
6
last 3 years
Total fines
$557,805
Date Type Fine amount
2023-04-14 Fine $7,443
2025-03-31 Fine $14,905
2024-02-27 Fine $15,092
2024-05-14 Fine $157,160
2023-04-14 Fine $165,300
2025-02-05 Fine $197,905

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 4.9% Medicaid 45.5% Other 49.6%

Operating performance

Operating Margin
4.0%
Total Margin
4.4%
Occupancy Rate
79.1%
Cost per Resident Day
$31

Revenue & costs

Net Patient Revenue
$16.2M
Total Costs
$1.6M
Net Income
$714K

Balance sheet

Total Assets
$13.5M
Total Liabilities
$7.1M
Fund Balance
$6.4M
Current Ratio
0.39

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
1748 HIGHLAND AVENUE 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 MA MASTER SUBTENANT, LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 12/01/2017
NEXT STEP HEALTHCARE LLC OPERATIONAL/MANAGERIAL CONTROL since 12/01/2017

Owner / manager individuals (5)

Name Role Association
DELL'ANNO, DAMIAN 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 12/01/2017
STEPHAN, WILLIAM 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 12/01/2017
MARIOS, PAUL OPERATIONAL/MANAGERIAL CONTROL since 08/29/2024
DELL'ANNO, DAMIAN CORPORATE OFFICER since 12/01/2017
STEPHAN, WILLIAM CORPORATE OFFICER since 12/01/2017

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
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 ($) $31 metrics.cost_per_resident_day
Cost Report Current Ratio 0.39 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 45.5% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 4.9% metrics.medicare_day_share
Cost Report Net Income ($) $713,829 metrics.net_income
Cost Report Net Patient Revenue ($) $16,204,330 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 79.1% metrics.occupancy_rate
Cost Report Operating Margin (%) 4.0% metrics.operating_margin
Cost Report Total Assets ($) $13,512,182 metrics.total_assets
Cost Report Total Costs ($) $1,578,927 metrics.total_costs
Cost Report Total Fund Balances ($) $6,416,628 metrics.fund_balance
Cost Report Total Liabilities ($) $7,095,554 metrics.total_liabilities
Cost Report Total Margin (%) 4.4% metrics.total_margin
Provider Information Abuse Icon Y Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.76129 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.78392 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.51914 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.06435 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.68902 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 156.0 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 0.89536 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.43339 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.70574 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.03449 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.55597 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 FALL RIVER City/Town
Provider Information CMS Certification Number (CCN) 225723 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Bristol County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1997-02-27 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 41.7275 Latitude
Provider Information Legal Business Name 1748 HIGHLAND AVENUE OPERATOR LLC Legal Business Name
Provider Information Location 1748 HIGHLAND AVENUE,FALL RIVER,MA,02720 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 -71.135 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 176 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 1.42924 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.03745 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 1748 HIGHLAND AVENUE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name FALL RIVER HEALTHCARE Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 020 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 96 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 1 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 11 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-12-22 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 96 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 12 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 6 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2025-07-28 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 124 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 8 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 124 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 14 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.35723 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 72.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.33799 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.79551 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.86411 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.00686 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.54248 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 3.20210 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 1 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State MA State
Provider Information Telephone Number 5087301070 Telephone Number
Provider Information Total Amount of Fines in Dollars 557805.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.80990 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 54.3 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 103.000 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 02720 ZIP Code