Elmhurst Healthcare (the)

Name: Elmhurst Healthcare (the)
Address: 743 MAIN STREET, Melrose, MA, 02176, US
Telephone: 7816627500

743 Main Street, Melrose, MA 02176 · Middlesex County · 45 certified beds · avg 31 residents/day · certified since Dec 30, 1994

Part of chain: NEXT STEP HEALTHCARE (14 facilities, chain avg rating 1.7★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.57

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

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 (20)

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
Jul 10, 2024	D · Potential for harm, one-off	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.
Jul 10, 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.
Jul 10, 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.
Jul 10, 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.
May 10, 2023	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.
May 10, 2023	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
May 10, 2023	D · Potential for harm, one-off	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.
May 10, 2023	D · Potential for harm, one-off	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.
May 10, 2023	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.
May 10, 2023	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.
May 10, 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.
May 10, 2023	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.
May 10, 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.
May 10, 2023	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
May 10, 2023	D · Potential for harm, one-off	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.
May 10, 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.
May 10, 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.
May 10, 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.
May 10, 2023	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
May 10, 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

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)

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)	4.57	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, 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. Staffing rating: 5/5.

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: 4/5 · long-stay residents: —/5 · short-stay residents: 4/5

Who owns this facility

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

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?"
"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
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 →

All facilities in Melrose →

Facility data as of CMS processing date 2026-08-01. CCN 225659.

The Care File

Visit checklist — Elmhurst Healthcare (the)

743 Main Street, Melrose, MA 02176 · 7816627500

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

Questions for the administrator:

☐ "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?"
☐ "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 225659 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)