Skilled Nursing Facility at North Hill (the)
865 Central Avenue, Needham, MA 02492 · Norfolk County · 72 certified beds · avg 62 residents/day · certified since Jan 10, 1985
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5
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)
▲ Immediate jeopardy, one-off · Jan 15, 2025 · F-0684 · triggered by a complaint
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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jan 29, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jan 15, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jan 29, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (11)
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 18, 2025 | E · Potential for harm, repeated | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| Jul 18, 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. |
| Jul 18, 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. |
| Jan 15, 2025 | ▲ J · Immediate jeopardy, 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. · from a complaint |
| Jan 15, 2025 | ▲ J · Immediate jeopardy, 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 |
| Jul 11, 2024 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Jul 11, 2024 | 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. |
| Jul 11, 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 18, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| May 18, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| May 18, 2023 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | D |
| 2024 | 3 | 0 | E |
| 2025 | 5 | 2 | J ▲ |
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 $16,153.
| Date | Type | Amount / length |
|---|---|---|
| Jan 15, 2025 | Fine | $16,153 |
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) | 0.00 | 3.89 | 3.95 | — |
| Registered Nurse hours | 0.00 | 0.65 | 0.69 | — |
| Weekend total nurse staffing | 0.00 | 3.51 | 3.50 | — |
| Weekend RN hours (not acuity-adjusted) | 0.00 | 0.46 | 0.48 | — |
| Total nursing staff turnover (%) | 24.3 | 38.2 | 45.8 | top 11% in Massachusetts; top 6% in the U.S. |
| RN turnover (%) | 26.9 | 42.6 | 42.9 | top 20% in Massachusetts; top 24% 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 0.00, RN 0.00, weekend 0.00. Staffing rating: 1/5.
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
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 4m Building Solutions, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/22/2019 |
| 4m Building Solutions, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/14/2025 |
| A.v. Powell & Associates, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/15/1999 |
| Aqueduct Technologies, INC | Organization | ADP of the SNF | NOT APPLICABLE | 03/14/2025 |
| Babson College | Organization | ADP of the SNF | NOT APPLICABLE | 11/14/1978 |
| Baker Tilly Us LLP | Organization | ADP of the SNF | NOT APPLICABLE | 12/16/2024 |
| Barth, Suzanne | Individual | Corporate Director | NOT APPLICABLE | 04/01/2022 |
| Barth, Suzanne | Individual | Trustee of the SNF | NOT APPLICABLE | 04/01/2022 |
| Benoit, Paul | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/24/2001 |
| Benoit, Paul | Individual | ADP of the SNF | NOT APPLICABLE | 06/24/2001 |
| Bere, Karalyn | Individual | Corporate Officer | NOT APPLICABLE | 09/15/2024 |
| Bere, Karalyn | Individual | ADP of the SNF | NOT APPLICABLE | 09/10/2024 |
| Bermudez, Emily | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/06/2023 |
| Bermudez, Emily | Individual | ADP of the SNF | NOT APPLICABLE | 03/06/2023 |
| Clay & Associates, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| Corsini, Russell | Individual | Corporate Director | NOT APPLICABLE | 04/01/2016 |
| Corsini, Russell | Individual | Trustee of the SNF | NOT APPLICABLE | 04/01/2016 |
| Costa, Natalie | Individual | ADP of the SNF | NOT APPLICABLE | 09/15/1997 |
| Creed, Sarah | Individual | Corporate Director | NOT APPLICABLE | 04/01/2015 |
| Creed, Sarah | Individual | Trustee of the SNF | NOT APPLICABLE | 04/01/2015 |
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?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "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 |
|---|---|---|---|---|---|
| Briarwood Rehabilitation & Healthcare Center | 1.3 mi | Needham, MA | ★★★★☆ | 4/5 | |
| Elizabeth Seton | 1.4 mi | Wellesley, MA | ★★★★☆ | 5/5 | |
| Stone Rehabilitation and Senior Living | 2.1 mi | Newton Upper Falls, MA | ★★★☆☆ | 3/5 | |
| Adviniacare Newton Wellesley | 2.6 mi | Wellesley, MA | ★★★★☆ | 3/5 | |
| Care One at Newton | 2.7 mi | Newton, MA | ★★☆☆☆ | 1/5 | |
| Newbridge on the Charles Skilled Nursing Facility | 3.1 mi | Dedham, MA | ★★★★★ | 5/5 | |
| Riverbend of South Natick | 3.3 mi | S Natick, MA | ★★★★★ | 4/5 | |
| Lasell House | 3.4 mi | Newton, MA | ★★★★★ | 5/5 | |
| Care Village at Parkway | 4.1 mi | Boston, MA | ★★☆☆☆ | 2/5 | |
| West Newton Healthcare | 4.4 mi | West Newton, MA | ★☆☆☆☆ | 1/5 | |
| Mary Ann Morse Nursing & Rehabilitation | 4.4 mi | Natick, MA | ★★★★★ | 4/5 | |
| German Center for Extended Care | 4.7 mi | Boston, MA | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 225281.