Life Care Center of Nashoba Valley

Name: Life Care Center of Nashoba Valley
Address: 191 FOSTER STREET, Littleton, MA, 01460, US
Telephone: 9784863512

191 Foster Street, Littleton, MA 01460 · Middlesex County · 120 certified beds · avg 109 residents/day · certified since Jan 2, 1993

Part of chain: LIFE CARE CENTERS OF AMERICA (194 facilities, chain avg rating 3.4★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.22

Nurse hours/resident/day (adjusted)

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.

All citations in the current public record (15)

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
Aug 14, 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.
Aug 14, 2025	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.
Aug 14, 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.
Aug 14, 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.
Aug 1, 2024	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.
Aug 1, 2024	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Aug 1, 2024	D · Potential for harm, one-off	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out.
Aug 1, 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.
Aug 1, 2024	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.
Aug 1, 2024	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.
Aug 1, 2024	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.
Jun 7, 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.
Jun 7, 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.
Jun 7, 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.
Jun 7, 2023	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (7 → 4).

Year	Citations	Worst severity that year
2023	4	D
2024	7	D
2025	4	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)	4.22	3.89	3.95	top 24% in Massachusetts; top 32% in the U.S.
Registered Nurse hours	0.88	0.65	0.69	top 13% in Massachusetts; top 22% in the U.S.
Weekend total nurse staffing	3.67	3.51	3.50	top 31% in Massachusetts; top 35% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.62	0.46	0.48	top 17% in Massachusetts; top 21% in the U.S.
Total nursing staff turnover (%)	38.5	38.2	45.8	bottom 47% in Massachusetts; top 32% in the U.S.
RN turnover (%)	52.2	42.6	42.9	bottom 30% 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 4.22, RN 0.88, weekend 3.67. Staffing rating: 4/5.

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: 3/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Preston, Forrest	Individual	Indirect Ownership Interest	NOT APPLICABLE	08/24/2015
Churchill, Timothy	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/03/2022
Churchill, Timothy	Individual	Operational/Managerial Control	NOT APPLICABLE	10/03/2022
Churchill, Timothy	Individual	ADP of the SNF	NOT APPLICABLE	02/27/2025
Cross, Cindy	Individual	Corporate Officer	NOT APPLICABLE	10/01/2016
Dunleavy, Kristen	Individual	Managing Control - Governing Body	NOT APPLICABLE	04/08/2024
Dunleavy, Kristen	Individual	Operational/Managerial Control	NOT APPLICABLE	04/08/2024
Fletcher, Todd	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2021
Henry, Terry	Individual	Corporate Officer	NOT APPLICABLE	10/01/2016
Kamens, Edward	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2010
Kamens, Edward	Individual	ADP of the SNF	NOT APPLICABLE	03/07/2025
Lay, Lisa	Individual	Operational/Managerial Control	NOT APPLICABLE	04/24/2017
Life Care Centers of America, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	08/24/2015
Life Care Centers of America, INC.	Organization	ADP of the SNF	NOT APPLICABLE	09/26/2012
Long, Zofia	Individual	Managing Control - Governing Body	NOT APPLICABLE	07/01/1999
Long, Zofia	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/1999
Preston, Aubrey	Individual	Operational/Managerial Control	NOT APPLICABLE	11/27/2024
Preston, Forrest	Individual	Operational/Managerial Control	NOT APPLICABLE	08/24/2015
Preston, Forrest	Individual	ADP of the SNF	NOT APPLICABLE	09/26/2012
Swanker, Richard	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2022

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 you show me an example care plan, and how are families included when it's created and updated?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What is your policy on physical restraints, and what alternatives do you try first?"
"Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"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
Westford Nursing and Rehabilitation Center	3.8 mi	Westford, MA	★★★★☆	4/5
Life Care Center of Acton	4.2 mi	Acton, MA	★★★★☆	4/5
Ayer Valley Rehab and Nursing	5.3 mi	Ayer, MA	★☆☆☆☆	1/5
Seven Hills Pediatric Center	7.3 mi	Groton, MA	★★★☆☆	3/5
Rivercrest Long Term Care	8.0 mi	W Concord, MA	★★★★★	5/5
Care One at Concord	8.0 mi	W Concord, MA	★★★★☆	4/5
Palm Springs Post Acute	9.2 mi	Chelmsford, MA	★★☆☆☆	2/5
Sunny Acres Skilled Nursing and Rehabilitation Ctr	10.0 mi	Chelmsford, MA	★★★★☆	4/5
D'youville Care for Advanced Therapy	10.4 mi	Lowell, MA	★★★★★	5/5
Northwood Rehabilitation & Healthcare Center	10.5 mi	Lowell, MA	★☆☆☆☆	1/5
D'youville Senior Care	10.5 mi	Lowell, MA	★☆☆☆☆	1/5
The Commons Skilled Nursing & Rehabilitation	10.6 mi	Lincoln, MA	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Littleton →

Facility data as of CMS processing date 2026-08-01. CCN 225569.

The Care File

Visit checklist — Life Care Center of Nashoba Valley

191 Foster Street, Littleton, MA 01460 · 9784863512

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

Questions for the administrator:

☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What is your policy on physical restraints, and what alternatives do you try first?"
☐ "Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "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 225569 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)