River Terrace Rehabilitation and Healthcare Ctr
1675 North Main Street, Lancaster, MA 01523 · Worcester County · 82 certified beds · avg 77 residents/day · certified since Mar 16, 1972
Part of chain: MARQUIS HEALTH SERVICES (87 facilities, chain avg rating 3.0★)
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · May 5, 2025 · F-0760 · triggered by a complaint
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.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
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: Mar 3, 2025 (Past Non-Compliance)
All citations in the current public record (2)
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 5, 2025 | ▲ G · Actual 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. · from a complaint |
| Dec 26, 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. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 1 | 0 | B |
| 2025 | 1 | 1 | G ▲ |
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)
1 fine totaling $8,964.
| Date | Type | Amount / length |
|---|---|---|
| May 5, 2025 | Fine | $8,964 |
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) | 2.79 | 3.89 | 3.95 | bottom 3% in Massachusetts; bottom 8% in the U.S. |
| Registered Nurse hours | 0.51 | 0.65 | 0.69 | bottom 34% in Massachusetts; bottom 39% in the U.S. |
| Weekend total nurse staffing | 2.48 | 3.51 | 3.50 | bottom 2% in Massachusetts; bottom 9% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.33 | 0.46 | 0.48 | bottom 33% in Massachusetts; bottom 37% in the U.S. |
| Total nursing staff turnover (%) | 33.3 | 38.2 | 45.8 | top 37% in Massachusetts; top 20% in the U.S. |
| RN turnover (%) | 30.0 | 42.6 | 42.9 | top 26% in Massachusetts; top 29% 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 3.37, RN 0.62, weekend 3.00. Staffing rating: 2/5.
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: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Kohn Fam Tr GST Exempt Uad 3-25-13 | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2014 |
| NFR 2020 Irrv Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2014 |
| Quinto Guardian LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 06/01/2014 |
| Rsbrmk Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2014 |
| SK 2013 Investment Tr Ua 03252013 | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2014 |
| Tryko Guardian Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2014 |
| Uak 2020 Irrv Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2014 |
| Ukr Consulting LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 12/31/2021 |
| Yr 2013 Investment Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2014 |
| Cibc Bank USA | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 06/01/2014 |
| Cibc Bank USA | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 06/01/2014 |
| Crowley, Jeffrey | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/30/2024 |
| Crowley, Jeffrey | Individual | ADP of the SNF | NOT APPLICABLE | 09/30/2024 |
| Girmay, Samson | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2021 |
| Girmay, Samson | Individual | Corporate Director | NOT APPLICABLE | 02/01/2021 |
| Girmay, Samson | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2021 |
| Girmay, Samson | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2021 |
| Hakim, Faiyaz | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/05/2016 |
| Hakim, Faiyaz | Individual | ADP of the SNF | NOT APPLICABLE | 11/05/2016 |
| Harman, Dina | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2021 |
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 systems do you use to prevent medication errors, and what happens when one occurs?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "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 |
|---|---|---|---|---|---|
| Life Care Center of Leominster | 4.4 mi | Leominster, MA | ★★★★☆ | 3/5 | |
| Leominster Rehabilitation and Nursing Center | 4.6 mi | Leominster, MA | ★☆☆☆☆ | 2/5 | |
| Sterling Village | 6.9 mi | Sterling, MA | ★★★★☆ | 4/5 | |
| Fitchburg Rehabilitation and Nursing Center | 7.1 mi | Fitchburg, MA | ★☆☆☆☆ | 1/5 | |
| Oakdale Rehabilitation & Skilled Nursing Center | 7.7 mi | West Boylston, MA | ★★★★☆ | 4/5 | |
| Fitchburg Healthcare | 8.5 mi | Fitchburg, MA | ★☆☆☆☆ | 1/5 | |
| Highlands, the | 8.8 mi | Fitchburg, MA | ★★★☆☆ | 3/5 | |
| Ayer Valley Rehab and Nursing | 9.6 mi | Ayer, MA | ★☆☆☆☆ | 1/5 | |
| Seven Hills Pediatric Center | 11.0 mi | Groton, MA | ★★★☆☆ | 3/5 | |
| Life Care Center of Nashoba Valley | 11.5 mi | Littleton, MA | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 225210.