Eliot Center for Health and Rehabilitation
168 West Central Street, Natick, MA 01760 · Middlesex County · 114 certified beds · avg 100 residents/day · certified since Jul 1, 1990
Part of chain: AZURE HEALTHCARE (6 facilities, chain avg rating 1.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 (32)
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 |
|---|---|---|
| Jun 9, 2026 | 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. · from a complaint |
| Jun 9, 2026 | 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 |
| Apr 21, 2026 | 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. · from a complaint |
| Apr 14, 2026 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Apr 14, 2026 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Apr 14, 2026 | 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. |
| Apr 14, 2026 | 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. |
| Jan 21, 2025 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jan 21, 2025 | E · Potential for harm, repeated | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Jan 21, 2025 | E · Potential for harm, repeated | 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. |
| Jan 21, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jan 21, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Jan 21, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jan 21, 2025 | 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. |
| Jan 21, 2025 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Jan 21, 2025 | 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. |
| Jan 21, 2025 | 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. |
| Jan 21, 2025 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Jan 21, 2025 | 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. |
| Jan 21, 2025 | B · Minimal risk, repeated | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Nov 21, 2023 | F · Potential for harm, facility-wide | 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. |
| Nov 21, 2023 | E · Potential for harm, repeated | 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. |
| Nov 21, 2023 | E · Potential for harm, repeated | 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. |
| Nov 21, 2023 | E · Potential for harm, repeated | 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. |
| Nov 21, 2023 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Nov 21, 2023 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Nov 21, 2023 | D · Potential for harm, one-off | The facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition. |
| Nov 21, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Nov 21, 2023 | 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. |
| Nov 21, 2023 | 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. |
| Nov 21, 2023 | 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. |
| Nov 21, 2023 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (13 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 12 | 0 | F |
| 2025 | 13 | 0 | E |
| 2026 | 7 | 0 | D |
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) | 4.21 | 3.89 | 3.95 | top 24% in Massachusetts; top 32% in the U.S. |
| Registered Nurse hours | 0.41 | 0.65 | 0.69 | bottom 16% in Massachusetts; bottom 24% in the U.S. |
| Weekend total nurse staffing | 3.93 | 3.51 | 3.50 | top 21% in Massachusetts; top 25% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.34 | 0.46 | 0.48 | bottom 35% in Massachusetts; bottom 40% in the U.S. |
| Total nursing staff turnover (%) | 40.5 | 38.2 | 45.8 | bottom 41% in Massachusetts; top 38% in the U.S. |
| RN turnover (%) | 64.3 | 42.6 | 42.9 | bottom 15% in Massachusetts; bottom 16% 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 3.71, RN 0.36, weekend 3.46. Staffing rating: 3/5.
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: 2/5 · long-stay residents: 2/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Amnh LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 03/18/2024 |
| Oc Eliot Center | Organization | 5% or Greater Indirect Ownership Interest | — | 12/28/2023 |
| Amnh LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/18/2024 |
| Anand, Ajay | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/29/2023 |
| Anand, Ajay | Individual | ADP of the SNF | NOT APPLICABLE | 12/29/2023 |
| Azure Healthcare Management Ac LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/29/2023 |
| Baker Tilly Us LLP | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Bonilla, Carlos-Andres | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/24/2025 |
| Bonilla, Carlos-Andres | Individual | ADP of the SNF | NOT APPLICABLE | 03/24/2025 |
| Broyde, Chaim | Individual | ADP of the SNF | NOT APPLICABLE | 03/18/2024 |
| Centralized Business Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/29/2023 |
| Friedman, Samuel | Individual | ADP of the SNF | NOT APPLICABLE | 03/18/2024 |
| Lieberman, Azriel | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/29/2023 |
| Lieberman, Azriel | Individual | ADP of the SNF | NOT APPLICABLE | 03/18/2024 |
| Mandel, Abraham | Individual | ADP of the SNF | NOT APPLICABLE | 03/18/2024 |
| Med-Net Compliance LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/29/2023 |
| PC 168 W Central St LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/18/2024 |
| Schwarcz, Elliot | Individual | ADP of the SNF | NOT APPLICABLE | 03/18/2024 |
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 mental health services do you provide on-site, and who delivers them?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "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 |
|---|---|---|---|---|---|
| Beaumont Rehab & Skilled Nursing Ctr - Natick | 1.9 mi | Natick, MA | ★★★★☆ | 4/5 | |
| Mary Ann Morse Nursing & Rehabilitation | 2.2 mi | Natick, MA | ★★★★★ | 4/5 | |
| Casa de Ramana Rehabilitation Center | 2.6 mi | Framingham, MA | ★★★★☆ | 4/5 | |
| Royal Wayland Rehabilitation and Nursing Center | 2.6 mi | Wayland, MA | ★★★★★ | 5/5 | |
| Bethany Skilled Nursing Facility | 2.8 mi | Framingham, MA | ★★★★★ | 5/5 | |
| St Patrick's Manor | 3.0 mi | Framingham, MA | ★★★★☆ | 3/5 | |
| Carlyle House | 3.3 mi | Framingham, MA | ★☆☆☆☆ | 2/5 | |
| Riverbend of South Natick | 3.6 mi | S Natick, MA | ★★★★★ | 4/5 | |
| Adviniacare Newton Wellesley | 4.5 mi | Wellesley, MA | ★★★★☆ | 3/5 | |
| Oak Knoll Rehabilitation and Healthcare Center | 4.5 mi | Framingham, MA | ★★★☆☆ | 3/5 | |
| Vantage at Sudbury LLC | 5.6 mi | Sudbury, MA | ★★☆☆☆ | 2/5 | |
| Waterview Lodge LLC, Rehabilitation & Healthcare | 5.9 mi | Ashland, MA | ★★★☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 225516.