Oxford Rehabilitation & Health Care Center

CMS star ratings

Overall★★★★★ 1/5

State avg 3.0

Health inspections★★★★★ 1/5

State avg 3.0

Staffing★★★★★ 2/5

State avg 3.1

Quality measures★★★★★ 2/5

State avg 3.3

Long-stay quality★★★★★ 4/5

Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.13 (state 3.86 · U.S. 3.86)
Registered nurses (RN): 0.64 (state 0.65 · U.S. 0.69)
Licensed practical nurses: 0.61 (state 0.95 · U.S. 0.86)
Nurse aides: 1.88 (state 2.26 · U.S. 2.32)
Weekend total: 2.78 (state 3.48 · U.S. 3.42)
Nursing staff turnover: 36.0 (state 38.2 · U.S. 45.8)%
RN turnover: 31.6 (state 42.6 · U.S. 42.9)%
Administrators who left: 0 in the last year

Inspections

Last standard inspection: February 12, 2026
Health deficiencies (last cycle): 13.0 (state 7.2 · U.S. 9.3)
From complaints: 0
Citations on record (3 years): 41 health · 23 fire safety · includes actual harm

Date	Citation	Severity	Status
2026-02-12	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2026-03-15
2026-02-12	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-03-15
2026-02-12	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-15
2026-02-12	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-15
2026-02-12	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-15
2026-02-12	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-15
2026-02-12	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-15
2026-02-12	Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-15
2026-02-12	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-15
2026-02-12	Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-15
2026-02-12	Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-15
2026-02-12	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-15
2026-02-12	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	B No actual harm, potential for minimal harm	Corrected 2026-03-15
2025-02-27	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	H Actual harm	Corrected 2025-03-04
2025-02-27	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584 · Resident Rights Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-03-04
2025-02-27	Keep all essential equipment working safely. F0908 · Environmental Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-03-04
2025-02-27	Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-03-20
2025-02-27	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761 · Pharmacy Service Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-03-20
2025-02-27	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-03-20
2025-02-27	Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-03-04
2025-02-27	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-03-04
2025-02-27	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-03-20
2025-02-27	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-03-20
2025-02-27	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-03-20
2025-02-27	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-03-20
2025-02-27	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-03-04
2025-02-27	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-03-04
2025-02-27	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-03-20
2024-03-29	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584 · Resident Rights Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2024-07-19
2024-03-29	Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2024-07-19
2024-03-29	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2024-07-19
2024-03-29	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-05-02
2024-03-29	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. F0585 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-05-02
2024-03-29	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-05-02
2024-03-29	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-05-02
2024-03-29	Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-05-02
2024-03-29	Provide routine and 24-hour emergency dental care for each resident. F0790 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-05-02
2024-03-29	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-05-02
2024-03-29	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-05-02
2024-03-29	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-05-02
2024-03-29	Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-05-07

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

4 penalties in the last three years, including $265,351 in fines.

Date	Type	Amount
2025-02-27	Fine	$129,326
2024-04-11	Payment Denial	15 days payment denial
2024-03-29	Payment Denial	20 days payment denial
2024-03-29	Fine	$136,025

Ownership & management

Name	Role	Since
Athena Health Care Systems Ma III LLC (organization)	5%+ Direct Ownership Interest · 100%
Chakalos-Santilli, Valerie (individual)	5%+ Indirect Ownership Interest · 6%
Curtis, Diane (individual)	5%+ Indirect Ownership Interest
Mosier, Michael (individual)	5%+ Indirect Ownership Interest · 7%
Santilli, Lawrence (individual)	5%+ Indirect Ownership Interest · 62%
Senra, Priscilla (individual)	5%+ Indirect Ownership Interest
Santilli, Lawrence (individual)	Corporate Officer · NOT APPLICABLE
Athena Health Care Associates, INC. (organization)	Operational/managerial Control · NOT APPLICABLE
Mosier, Michael (individual)	W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Oxford Rehabilitation & Health Care Center?

Oxford Rehabilitation & Health Care Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Massachusetts.

How many beds does Oxford Rehabilitation & Health Care Center have?

It has 120 certified beds and cares for about 111 residents per day.

Has Oxford Rehabilitation & Health Care Center been fined?

Yes. CMS lists 4 penalties totaling $265,351 in the last three years.

Who owns Oxford Rehabilitation & Health Care Center?

It is part of Athena Healthcare Systems and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Oxford Rehabilitation & Health Care Center?

(978) 373-1131. The facility is located at 689 Main Street, Haverhill, MA 01830.

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Contact & location

Facility details