Melrose Healthcare

Nursing Home · Melrose, MA

CMS overall rating 1/5 SFF candidate For profit - Limited Liability company

CMS certification number225329
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.

Contact & location

40 Martin Street
Melrose, MA 02176
Middlesex County
Phone
(781) 665-7050
ZIP code
02176 – all care providers

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Facility details

Certified beds
106
Residents per day
94.4 (89% occupied)
Ownership
For profit - Limited Liability company
Legal name
40 Martin Street Operator LLC
Chain
Next Step Healthcare (14 facilities, avg 1.7★)
Medicare certified since
February 13, 1989
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.0
Health inspections★★★★★ 1/5
State avg 3.0
Staffing★★★★★ 3/5
State avg 3.1
Quality measures★★★★★ 2/5
State avg 3.3
Long-stay quality★★★★★ 3/5
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
3.49 (state 3.86 · U.S. 3.86)
Registered nurses (RN)
0.50 (state 0.65 · U.S. 0.69)
Licensed practical nurses
0.83 (state 0.95 · U.S. 0.86)
Nurse aides
2.16 (state 2.26 · U.S. 2.32)
Weekend total
3.30 (state 3.48 · U.S. 3.42)
Nursing staff turnover
32.9 (state 38.2 · U.S. 45.8)%
RN turnover
64.3 (state 42.6 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
April 9, 2025
Health deficiencies (last cycle)
27.0 (state 7.2 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
66 health · 14 fire safety · includes actual harm
DateCitationSeverityStatus
2025-04-09 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2025-05-05
2025-04-09 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-05
2025-04-09 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 2025-05-05
2025-04-09 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 2025-05-05
2025-04-09 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-11
2025-04-09 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-11
2025-04-09 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-05
2025-04-09 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F0726 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-05
2025-04-09 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-05
2025-04-09 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 2025-05-11
2025-04-09 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F0803 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-05
2025-04-09 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-11
2025-04-09 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
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-11
2025-04-09 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-05
2025-04-09 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F0578 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-05
2025-04-09 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 2025-05-05
2025-04-09 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 2025-05-05
2025-04-09 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 2025-05-05
2025-04-09 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-05
2025-04-09 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 2025-05-05
2025-04-09 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-05
2025-04-09 Provide care or services that was trauma informed and/or culturally competent.
F0699 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-05
2025-04-09 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-05
2025-04-09 Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-05
2025-04-09 Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
F0808 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-05
2025-04-09 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 2025-05-05
2025-04-09 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-05
2024-04-03 Ensure residents have reasonable access to and privacy in their use of communication methods.
F0576 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-04-03 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 2024-05-03
2024-04-03 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 2024-05-03
2024-04-03 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
E
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-04-03 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-04-03 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F0578 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-04-03 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
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-04-03 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-04-03 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 2024-05-03
2024-04-03 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 2024-05-03
2024-04-03 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-04-03 Assist a resident in gaining access to vision and hearing services.
F0685 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-04-03 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 2024-05-03
2024-04-03 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-04-03 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-04-03 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
F0758 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-04-03 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 2024-05-03
2023-02-07 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 2023-03-10
2023-02-07 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-03-10
2023-02-07 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-03-10
2023-02-07 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 2023-03-10
2023-02-07 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
F0700 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-03-10
2023-02-07 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 2023-03-31

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

1 penalty in the last three years, including $49,324 in fines.

DateTypeAmount
2025-04-09Fine$49,324

Ownership & management

NameRoleSince
Likhi, Rishi (individual)Administrator · NOT APPLICABLE
Mubiru, Henry (individual)Administrator · NOT APPLICABLE
Next Step Healthcare LLC (organization)Administrator · NOT APPLICABLE
Dell'anno, Damian (individual)Corporate Officer · NOT APPLICABLE
Stephan, William (individual)Corporate Officer · NOT APPLICABLE
Likhi, Rishi (individual)Operational/managerial Control · NOT APPLICABLE
Mubiru, Henry (individual)Operational/managerial Control · NOT APPLICABLE
Next Step Healthcare LLC (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Melrose Healthcare?

Melrose Healthcare 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 Melrose Healthcare have?

It has 106 certified beds and cares for about 94 residents per day.

Has Melrose Healthcare been fined?

Yes. CMS lists 1 penalty totaling $49,324 in the last three years.

Who owns Melrose Healthcare?

It is part of Next Step Healthcare 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 Melrose Healthcare?

(781) 665-7050. The facility is located at 40 Martin Street, Melrose, MA 02176.

Other nursing homes in Melrose

Compare all nursing homes in Melrose, MA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.