Care One at Concord
57 Old Road To Nine Acre Corner, W Concord, MA 01742 · Middlesex County · 135 certified beds · avg 129 residents/day · certified since Feb 10, 1995
Part of chain: CAREONE (37 facilities, chain avg rating 3.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Nov 7, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 6, 2023 (Past Non-Compliance)
All citations in the current public record (6)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 8, 2026 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jan 8, 2026 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| May 5, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Jan 23, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jan 23, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Nov 7, 2023 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 1 | G ▲ |
| 2025 | 3 | 0 | D |
| 2026 | 2 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $7,901.
| Date | Type | Amount / length |
|---|---|---|
| Nov 7, 2023 | Fine | $7,901 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Massachusetts avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.63 | 3.89 | 3.95 | bottom 42% in Massachusetts; bottom 43% in the U.S. |
| Registered Nurse hours | 0.31 | 0.65 | 0.69 | bottom 6% in Massachusetts; bottom 11% in the U.S. |
| Weekend total nurse staffing | 3.35 | 3.51 | 3.50 | bottom 48% in Massachusetts; bottom 50% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.12 | 0.46 | 0.48 | bottom 1% in Massachusetts; bottom 2% in the U.S. |
| Total nursing staff turnover (%) | 30.1 | 38.2 | 45.8 | top 26% in Massachusetts; top 14% in the U.S. |
| RN turnover (%) | 52.6 | 42.6 | 42.9 | bottom 29% in Massachusetts; bottom 32% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.51, RN 0.30, weekend 3.24. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Care Realty, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 04/30/2002 |
| Des-I 2016 Grat | Organization | 5% or Greater Indirect Ownership Interest | — | 12/01/2021 |
| Straus, Daniel | Individual | 5% or Greater Indirect Ownership Interest | — | 07/01/2003 |
| Thci of Massachusetts, LLC | Organization | 5% or Greater Direct Ownership Interest | — | 07/01/2003 |
| Baruch, David | Individual | W-2 Managing Employee | NOT APPLICABLE | 12/01/2021 |
| Baruch, David | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2021 |
| Healthbridge Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2003 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Rivercrest Long Term Care | 0.5 mi | W Concord, MA | ★★★★★ | 5/5 | |
| The Commons Skilled Nursing & Rehabilitation | 2.7 mi | Lincoln, MA | ★★★★★ | 4/5 | |
| Life Care Center of Acton | 4.1 mi | Acton, MA | ★★★★☆ | 4/5 | |
| Campion Health & Wellness, INC | 5.8 mi | Weston, MA | ★★★★★ | 5/5 | |
| Carleton-Willard Village Retirement & Nursing Ctr | 6.6 mi | Bedford, MA | ★★★★★ | 3/5 | |
| Vantage at Sudbury LLC | 6.6 mi | Sudbury, MA | ★★☆☆☆ | 2/5 | |
| Sudbury Pines Extended Care | 7.5 mi | Sudbury, MA | ★★☆☆☆ | 2/5 | |
| Brookhaven at Lexington | 7.6 mi | Lexington, MA | ★★★★★ | 5/5 | |
| Meadow Green Nursing and Rehabilitation Center | 7.8 mi | Waltham, MA | ★☆☆☆☆ | 2/5 | |
| Westford Nursing and Rehabilitation Center | 7.8 mi | Westford, MA | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 225663.