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Elmhurst Healthcare (the)
743 Main Street, Melrose, MA 02176 (opens Google Maps) · Middlesex County · (781) 662-7500· 45 certified beds · avg 31 residents/day · certified since Dec 30, 1994 · Medicare only — not Medicaid certified
Certified for Medicare only. Medicare pays for short rehabilitation stays, not for long-term care — and this facility cannot bill Medicaid, which is what most families rely on for a long stay. Ask what a long-term stay here would cost and how it would be paid for. Who pays for nursing home care →
Part of chain: NEXT STEP HEALTHCARE (14 facilities, chain avg rating 1.7★)
5/5
Health inspection rating (on-site)
inspected Jun 11, 2025
0
Serious findings on record
$0
Fines, last 3 years
4.57
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 20 inspection findings. Open the full record below to read every finding.
The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. F-0561
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. F-0690
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. F-0842
View all 20 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 10, 2024 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · F-0561 |
| Jul 10, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0690 |
| Jul 10, 2024 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Jul 10, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| May 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| May 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552 |
| May 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558 |
| May 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655 |
| May 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| May 10, 2023 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| May 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0677 |
| May 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| May 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0686 |
| May 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| May 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| May 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| May 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0812 |
| May 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| May 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| May 10, 2023 | B · Potential for minimal harm, pattern | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
Inspection trend by year
All citationsSerious citations (G–L)
2023
All citations: 16
Serious citations (G–L): 0
2024
All citations: 4
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 16 | 0 | D |
| 2024 | 4 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityMassachusetts averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.57
Massachusetts average: 3.89
U.S. average: 3.95
Registered Nurse hours
This facility: 1.21
Massachusetts average: 0.65
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.36
Massachusetts average: 3.51
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Massachusetts avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.57 | 3.89 | 3.95 | top 14% in Massachusetts; top 21% in the U.S. |
| Registered Nurse hours | 1.21 | 0.65 | 0.69 | top 5% in Massachusetts; top 9% in the U.S. |
| Weekend total nurse staffing | 4.36 | 3.51 | 3.50 | top 11% in Massachusetts; top 14% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.11 | 0.46 | 0.48 | top 3% in Massachusetts; top 4% in the U.S. |
| Total nursing staff turnover (%) | 38.1 | 38.2 | 45.8 | bottom 48% in Massachusetts; top 31% in the U.S. |
| RN turnover (%) | 22.2 | 42.6 | 42.9 | top 12% in Massachusetts; top 17% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 4.32, RN 1.14, weekend 4.12.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.32 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: —/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Elmhurst Healthcare (the). CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Dell'anno, Damian | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2017 |
| Likhi, Rishi | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/16/2024 |
| Likhi, Rishi | Individual | ADP of the SNF | NOT APPLICABLE | 03/16/2024 |
| Next Step Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2017 |
| Next Step Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2017 |
| Stephan, William | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2017 |
| Weiss, Alexis | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/23/2020 |
| Weiss, Alexis | Individual | ADP of the SNF | NOT APPLICABLE | 11/23/2020 |
All 8 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Next Step Healthcare — 14 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Fall River Healthcare — Fall River, MA · overall 1/5
- Fitchburg Healthcare — Fitchburg, MA · overall 1/5
- Garden Place Healthcare — Attleboro, MA · overall 2/5
- Hermitage Healthcare (the) — Worcester, MA · overall 2/5
- Lee Healthcare — Lee, MA · overall 1/5
- Melrose Healthcare — Melrose, MA · overall 1/5SFF
- Norwood Healthcare — Norwood, MA · overall 1/5SFF
- Oakhill Healthcare — Middleboro, MA · overall 2/5
Listed by state, then facility name — not a ranking. Showing 8 of the 13 others, continuing from this facility's own place in that list.
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 choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How do you explain health changes and treatment options to residents and their families?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 38% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 128 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Melrose Healthcare | 0.6 mi | Melrose, MA | ★☆☆☆☆ | 1/5 | SFF |
| Greenwood Nursing & Rehabilitation Center | 1.4 mi | Wakefield, MA | ★★★★★ | 4/5 | |
| Life Care Center of Stoneham | 1.5 mi | Stoneham, MA | ★★★★☆ | 3/5 | |
| Regalcare at Glen Ridge | 2.3 mi | Medford, MA | ★☆☆☆☆ | 1/5 | |
| Dexter House Healthcare | 2.7 mi | Malden, MA | ★★★☆☆ | 3/5 | |
| Regalcare at Wakefield | 3.0 mi | Wakefield, MA | ★☆☆☆☆ | 1/5 | |
| Regalcare at Courtyard-Medford | 3.2 mi | Medford, MA | ★☆☆☆☆ | 1/5 | abuseSFF |
| Rehabilitation & Nursing Center at Everett (the) | 3.3 mi | Everett, MA | ★★★☆☆ | 4/5 | |
| Bear Hill Healthcare and Rehabilitation Center | 3.5 mi | Stoneham, MA | ★★★★★ | 4/5 | |
| Saugus Center | 3.5 mi | Saugus, MA | ★☆☆☆☆ | 1/5 | SFF |
| Chestnut Woods Rehabilitation and Healthcare Ctr | 3.7 mi | Saugus, MA | ★★★★☆ | 3/5 | |
| Medford Rehabilitation and Nursing Center | 3.8 mi | Medford, MA | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Middlesex, MA — 72 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Fairhaven Healthcare Center — Lowell, MA · overall 2/5
- Lasell House — Newton, MA · overall 5/5
- Life Care Center of Acton — Acton, MA · overall 4/5
- Life Care Center of Merrimack Valley — Billerica, MA · overall 2/5
- Life Care Center of Nashoba Valley — Littleton, MA · overall 4/5
- Maristhill Nursing & Rehabilitation Center — Waltham, MA · overall 3/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 225659.