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No fines or payment denials in the published 3-year window.
45 Union Street, Natick, MA 01760 (opens Google Maps) · Middlesex County · (508) 433-4403· 124 certified beds · avg 108 residents/day · certified since Jun 8, 1992 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · 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.
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jul 11, 2023 (Deficient, Provider has date of correction)
Showing the latest 3 of 18 inspection findings. Open the full record below to read every finding.
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 F-0689
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
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. F-0578
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 |
|---|---|---|
| May 20, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0689 |
| Sep 20, 2024 | 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 |
| Sep 20, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| Sep 20, 2024 | 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 |
| Sep 20, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0744 |
| Sep 20, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0760 |
| Sep 20, 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 |
| Sep 20, 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 |
| Sep 20, 2024 | 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 |
| Sep 20, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0887 |
| Sep 20, 2024 | 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 |
| Mar 6, 2024 | D · Potential for more than minimal harm, isolated | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint · F-0604 |
| Jun 27, 2023 | ▲ G · Actual 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 |
| Jun 27, 2023 | F · Potential for more than minimal harm, widespread | 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 |
| Jun 27, 2023 | E · Potential for more than minimal harm, pattern | 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 |
| Jun 27, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0623 |
| Jun 27, 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 |
| Jun 27, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0691 |
All bars start at zero. Exact values and supporting details remain below.
| 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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
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) | 4.23 | 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 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 4.13, RN 0.73, weekend 3.87.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.13 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Mary Ann Morse Nursing & Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.
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.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 →
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 |
All 19 owning or managing parties CMS has on file are shown — none excluded.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| 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 | |
| Briarwood Rehabilitation & Healthcare Center | 5.1 mi | Needham, MA | ★★★★☆ | 4/5 | |
| Carlyle House | 5.5 mi | Framingham, MA | ★☆☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
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.
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 225555.
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