Mary Ann Morse Nursing & Rehabilitation
45 Union Street, Natick, MA 01760 · Middlesex County · 124 certified beds · avg 108 residents/day · certified since Jun 8, 1992
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jun 27, 2023 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jul 11, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (18)
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 |
|---|---|---|
| May 20, 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 |
| Sep 20, 2024 | 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. |
| Sep 20, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Sep 20, 2024 | 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 20, 2024 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. |
| Sep 20, 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 20, 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 20, 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 20, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Sep 20, 2024 | D · Potential for harm, one-off | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
| Sep 20, 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 6, 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. · from a complaint |
| Jun 27, 2023 | ▲ G · Actual 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. |
| Jun 27, 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. |
| Jun 27, 2023 | E · Potential for harm, repeated | 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. |
| Jun 27, 2023 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Jun 27, 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. |
| Jun 27, 2023 | D · Potential for harm, one-off | The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 1 | G ▲ |
| 2024 | 11 | 0 | D |
| 2026 | 1 | 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) | 4.23 | 3.89 | 3.95 | top 24% in Massachusetts; top 31% in the U.S. |
| Registered Nurse hours | 0.75 | 0.65 | 0.69 | top 23% in Massachusetts; top 31% in the U.S. |
| Weekend total nurse staffing | 3.96 | 3.51 | 3.50 | top 20% in Massachusetts; top 24% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.65 | 0.46 | 0.48 | top 15% in Massachusetts; top 19% in the U.S. |
| Total nursing staff turnover (%) | 31.1 | 38.2 | 45.8 | top 31% in Massachusetts; top 16% in the U.S. |
| RN turnover (%) | 42.9 | 42.6 | 42.9 | bottom 49% in Massachusetts; bottom 49% 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 4.13, RN 0.73, weekend 3.87. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Calcio, John | Individual | Corporate Director | NOT APPLICABLE | 04/18/2017 |
| Calcio, John | Individual | Corporate Officer | NOT APPLICABLE | 04/18/2017 |
| Celeste, Katie | Individual | W-2 Managing Employee | NOT APPLICABLE | 03/13/2023 |
| Celeste, Katie | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/13/2023 |
| Fegley, Mark | Individual | Corporate Director | NOT APPLICABLE | 09/01/2023 |
| Goodman, William | Individual | Corporate Director | NOT APPLICABLE | 04/18/2017 |
| Gottlieb, Michael | Individual | Corporate Director | NOT APPLICABLE | 04/18/2017 |
| Heffernan, Rebecca | Individual | Corporate Director | NOT APPLICABLE | 04/18/2017 |
| Heffernan, Rebecca | Individual | Corporate Officer | NOT APPLICABLE | 04/18/2017 |
| Kubiak, Lisa | Individual | W-2 Managing Employee | NOT APPLICABLE | 11/09/2007 |
| Kubiak, Lisa | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2018 |
| Kubiak, Lisa | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/09/2007 |
| Maguire, Robert | Individual | W-2 Managing Employee | NOT APPLICABLE | 04/11/2016 |
| McLean, Allan | Individual | Corporate Director | NOT APPLICABLE | 04/18/2017 |
| McLean, Allan | Individual | Corporate Officer | NOT APPLICABLE | 04/18/2017 |
| Nagelschmidt, John | Individual | Corporate Director | NOT APPLICABLE | 09/01/2023 |
| Upton, David | Individual | Corporate Director | NOT APPLICABLE | 04/18/2017 |
| Upton, David | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2023 |
| Walsh, Barbara | Individual | Corporate Director | NOT APPLICABLE | 04/18/2017 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you explain health changes and treatment options to residents and their families?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "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 |
|---|---|---|---|---|---|
| Riverbend of South Natick | 1.5 mi | S Natick, MA | ★★★★★ | 4/5 | |
| Beaumont Rehab & Skilled Nursing Ctr - Natick | 1.7 mi | Natick, MA | ★★★★☆ | 4/5 | |
| Eliot Center for Health and Rehabilitation | 2.2 mi | Natick, MA | ★★★☆☆ | 3/5 | |
| Adviniacare Newton Wellesley | 2.5 mi | Wellesley, MA | ★★★★☆ | 3/5 | |
| Royal Wayland Rehabilitation and Nursing Center | 2.8 mi | Wayland, MA | ★★★★★ | 5/5 | |
| Elizabeth Seton | 4.2 mi | Wellesley, MA | ★★★★☆ | 5/5 | |
| Skilled Nursing Facility at North Hill (the) | 4.4 mi | Needham, MA | ★★☆☆☆ | 3/5 | |
| Casa de Ramana Rehabilitation Center | 4.8 mi | Framingham, MA | ★★★★☆ | 4/5 | |
| Bethany Skilled Nursing Facility | 5.0 mi | Framingham, MA | ★★★★★ | 5/5 | |
| St Patrick's Manor | 5.0 mi | Framingham, MA | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 225555.