Stone Rehabilitation and Senior Living

Name: Stone Rehabilitation and Senior Living
Address: 277 ELLIOT STREET, Newton Upper Falls, MA, 02464, US
Telephone: 6175620023

277 Elliot Street, Newton Upper Falls, MA 02464 · Middlesex County · 82 certified beds · avg 76 residents/day · certified since Dec 15, 1995

3/5

Health inspection rating (on-site)

Serious findings on record

$16,195

Fines, last 3 years

3.61

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

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 · Feb 6, 2024 · F-0656 · triggered by a complaint

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.

Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.

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: Feb 27, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Feb 6, 2024 · 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Feb 27, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (23)

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
Mar 11, 2026	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.
Mar 11, 2026	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.
Mar 11, 2026	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.
Mar 11, 2026	D · Potential for harm, one-off	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Mar 11, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Apr 9, 2025	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Apr 9, 2025	E · Potential for harm, repeated	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.
Apr 9, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Apr 9, 2025	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.
Apr 9, 2025	D · Potential for 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.
Apr 9, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Apr 9, 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.
Apr 9, 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.
Apr 9, 2025	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.
May 2, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
May 2, 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.
May 2, 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.
May 2, 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.
May 2, 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.
May 2, 2024	D · Potential for harm, one-off	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
May 2, 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.
Feb 6, 2024	▲ G · Actual 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. · from a complaint
Feb 6, 2024	▲ G · Actual 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

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (9 → 5).

Year	Citations	Serious (G–L)	Worst severity that year
2024	9	2	G ▲
2025	9	0	E
2026	5	0	E

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 $16,195.

Date	Type	Amount / length
Feb 6, 2024	Fine	$16,195

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)	3.61	3.89	3.95	bottom 39% in Massachusetts; bottom 42% in the U.S.
Registered Nurse hours	0.60	0.65	0.69	top 49% in Massachusetts; top 49% in the U.S.
Weekend total nurse staffing	3.24	3.51	3.50	bottom 40% in Massachusetts; bottom 44% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.44	0.46	0.48	top 40% in Massachusetts; top 41% in the U.S.
Total nursing staff turnover (%)	29.0	38.2	45.8	top 23% in Massachusetts; top 13% in the U.S.
RN turnover (%)	0.0	42.6	42.9	top 1% in Massachusetts; top 1% 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 3.89, RN 0.64, weekend 3.49. 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: 5/5 · short-stay residents: 4/5

Who owns this facility

Non profit - Other

Owner / manager	Type	Role	Stake	Since
Alexander, Michael	Individual	Corporate Director	NOT APPLICABLE	06/01/2018
Alexander, Michael	Individual	Corporate Officer	NOT APPLICABLE	06/01/2018
Alexander, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2018
Alley, Suzanne	Individual	Operational/Managerial Control	NOT APPLICABLE	07/13/2020
Alley, Suzanne	Individual	ADP of the SNF	NOT APPLICABLE	07/13/2020
Berman, Adam	Individual	Corporate Officer	NOT APPLICABLE	03/28/2023
Berman, Adam	Individual	Operational/Managerial Control	NOT APPLICABLE	03/28/2023
Blake, Edward	Individual	Operational/Managerial Control	NOT APPLICABLE	10/23/2023
Blake, Edward	Individual	ADP of the SNF	NOT APPLICABLE	10/23/2023
Carreiro, Silvio	Individual	Operational/Managerial Control	NOT APPLICABLE	04/06/2015
Carreiro, Silvio	Individual	ADP of the SNF	NOT APPLICABLE	04/06/2015
Charles, Naissa	Individual	Operational/Managerial Control	NOT APPLICABLE	01/15/2024
Charles, Naissa	Individual	ADP of the SNF	NOT APPLICABLE	01/15/2024
Chelsea Jewish Lifecare INC	Organization	Operational/Managerial Control	NOT APPLICABLE	03/28/2023
Chelsea Jewish Lifecare INC	Organization	ADP of the SNF	NOT APPLICABLE	07/11/2025
Crescenzo, Donna	Individual	Operational/Managerial Control	NOT APPLICABLE	03/28/2023
Crescenzo, Donna	Individual	ADP of the SNF	NOT APPLICABLE	03/28/2023
Dubreiul, Darci	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2025
Lipresti, Nicholas	Individual	Corporate Director	NOT APPLICABLE	04/24/2024
Lipresti, Nicholas	Individual	Corporate Officer	NOT APPLICABLE	06/18/2025

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?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"Who on your staff manages IV therapy, and what training and monitoring is in place?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"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
Care One at Newton	1.9 mi	Newton, MA	★★☆☆☆	1/5
Skilled Nursing Facility at North Hill (the)	2.1 mi	Needham, MA	★★☆☆☆	3/5
Elizabeth Seton	2.2 mi	Wellesley, MA	★★★★☆	5/5
Lasell House	2.4 mi	Newton, MA	★★★★★	5/5
West Newton Healthcare	2.6 mi	West Newton, MA	★☆☆☆☆	1/5
Briarwood Rehabilitation & Healthcare Center	2.7 mi	Needham, MA	★★★★☆	4/5
Care Village at Parkway	3.4 mi	Boston, MA	★★☆☆☆	2/5
Newbridge on the Charles Skilled Nursing Facility	3.4 mi	Dedham, MA	★★★★★	5/5
Presentation Rehab and Skilled Care Center	3.9 mi	Boston, MA	★★★★☆	3/5
Adviniacare Newton Wellesley	4.0 mi	Wellesley, MA	★★★★☆	3/5
German Center for Extended Care	4.0 mi	Boston, MA	★★★★★	4/5
Maristhill Nursing & Rehabilitation Center	4.3 mi	Waltham, MA	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Newton Upper Falls →

Facility data as of CMS processing date 2026-08-01. CCN 225683.

The Care File

Visit checklist — Stone Rehabilitation and Senior Living

277 Elliot Street, Newton Upper Falls, MA 02464 · 6175620023

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $16,195

Most serious findings on record:

▲ Feb 6, 2024 (F-0656, Actual 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.
▲ Feb 6, 2024 (F-0689, Actual 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.

Questions for the administrator:

☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "Who on your staff manages IV therapy, and what training and monitoring is in place?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "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 225683 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)