Chestnut Woods Rehabilitation and Healthcare Ctr

Name: Chestnut Woods Rehabilitation and Healthcare Ctr
Address: 73 CHESTNUT STREET, Saugus, MA, 01906, US
Telephone: 7813074744

73 Chestnut Street, Saugus, MA 01906 · Essex County · 88 certified beds · avg 79 residents/day · certified since Mar 8, 1990

Part of chain: MARQUIS HEALTH SERVICES (87 facilities, chain avg rating 3.0★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.93

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · 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.

All citations in the current public record (33)

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
Sep 10, 2025	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Sep 10, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Sep 10, 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.
Sep 10, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Sep 10, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Sep 10, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Sep 10, 2025	D · Potential for 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.
Sep 10, 2025	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Sep 10, 2025	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Sep 10, 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.
Sep 12, 2024	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.
Sep 12, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Sep 12, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Sep 12, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Sep 12, 2024	D · Potential for harm, one-off	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Sep 12, 2024	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Sep 12, 2024	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Sep 12, 2024	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.
Sep 12, 2024	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.
Sep 12, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Sep 12, 2024	B · Minimal risk, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Mar 12, 2024	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Mar 12, 2024	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Mar 12, 2024	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. · from a complaint
Sep 28, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Sep 28, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Sep 28, 2023	D · Potential for harm, one-off	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Sep 28, 2023	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Sep 28, 2023	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Sep 28, 2023	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.
Sep 28, 2023	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents.
Sep 28, 2023	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Sep 28, 2023	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.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (11 → 10).

Year	Citations	Worst severity that year
2023	9	D
2024	14	D
2025	10	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)

No fines or payment denials in the published 3-year window.

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)	2.93	3.89	3.95	bottom 6% in Massachusetts; bottom 12% in the U.S.
Registered Nurse hours	0.49	0.65	0.69	bottom 28% in Massachusetts; bottom 36% in the U.S.
Weekend total nurse staffing	2.56	3.51	3.50	bottom 4% in Massachusetts; bottom 11% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.32	0.46	0.48	bottom 32% in Massachusetts; bottom 37% in the U.S.
Total nursing staff turnover (%)	40.3	38.2	45.8	bottom 41% in Massachusetts; top 37% in the U.S.
RN turnover (%)	61.5	42.6	42.9	bottom 18% in Massachusetts; bottom 20% 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 3.45, RN 0.57, weekend 3.02. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
NFR 2020 Irrv Tr	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/31/2021
Quinto Holdings LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	06/01/2024
Rsbrmk Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/31/2021
SK 2013 Delta Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/31/2021
Sora Kohn Fam Tr Uad 120120	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/31/2021
Tryko Holdings, LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/01/2014
Uak 2020 Irrv Tr	Organization	Indirect Ownership Interest	NOT APPLICABLE	01/01/2022
Ukr Consulting LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	06/01/2014
Yr 2013 Delta Tr Ua 03252013	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/31/2021
Lexington Estates LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/01/2014
Likhi, Rishi	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2014
Likhi, Rishi	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2014
Manufacturers & Traders Trust Company	Organization	5% or Greater Security Interest	NOT APPLICABLE	06/01/2014
Marquis Limited LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2021
Marquis Limited LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/21/2025
NFR 2020 Irrv Tr	Organization	ADP of the SNF	NOT APPLICABLE	12/31/2021
Posen, Mindee	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2022
Posen, Mindee	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2022
Quinto Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/01/2014
Reliant Pro Rehab LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/13/2017

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"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
Saugus Center	0.5 mi	Saugus, MA	★☆☆☆☆	1/5	SFF
Life Care Center of the North Shore	3.1 mi	Lynn, MA	★★★★★	4/5
Lighthouse Rehabilitation and Healthcare Center	3.3 mi	Revere, MA	★★☆☆☆	2/5
Abbott Skilled Nursing & Rehabilitation Center	3.5 mi	Lynn, MA	★★★★☆	4/5
Rehabilitation & Nursing Center at Everett (the)	3.7 mi	Everett, MA	★★★☆☆	4/5
Elmhurst Healthcare (the)	3.7 mi	Melrose, MA	★★★★★	5/5
Jeffrey & Susan Brudnick Center for Living	4.2 mi	Peabody, MA	★★★★★	4/5
Jesmond Skilled Nursing & Rehabilitation Center	4.2 mi	Nahant, MA	★★★☆☆	3/5
Greenwood Nursing & Rehabilitation Center	4.3 mi	Wakefield, MA	★★★★★	4/5
Melrose Healthcare	4.3 mi	Melrose, MA	★☆☆☆☆	1/5	SFF
The Massachusetts Veterans Home at Chelsea	4.3 mi	Chelsea, MA	★★★★☆	4/5
Katzman Family Center for Living	4.4 mi	Chelsea, MA	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Saugus →

Facility data as of CMS processing date 2026-08-01. CCN 225370.

The Care File

Visit checklist — Chestnut Woods Rehabilitation and Healthcare Ctr

73 Chestnut Street, Saugus, MA 01906 · 7813074744

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 225370 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)