Maristhill Nursing & Rehabilitation Center

CMS star ratings

Overall★★★★★ 3/5

State avg 3.0

Health inspections★★★★★ 2/5

State avg 3.0

Staffing★★★★★ 5/5

State avg 3.1

Quality measures★★★★★ 2/5

State avg 3.3

Long-stay quality★★★★★ 2/5

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: 3.90 (state 3.86 · U.S. 3.86)
Registered nurses (RN): 1.20 (state 0.65 · U.S. 0.69)
Licensed practical nurses: 0.54 (state 0.95 · U.S. 0.86)
Nurse aides: 2.17 (state 2.26 · U.S. 2.32)
Weekend total: 3.57 (state 3.48 · U.S. 3.42)
Nursing staff turnover: 15.3 (state 38.2 · U.S. 45.8)%
RN turnover: 9.5 (state 42.6 · U.S. 42.9)%
Administrators who left: 0 in the last year

Inspections

Last standard inspection: November 25, 2025
Health deficiencies (last cycle): 12.0 (state 7.2 · U.S. 9.3)
From complaints: 0
Citations on record (3 years): 43 health · 29 fire safety · includes actual harm

Date	Citation	Severity	Status
2025-11-25	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-12-25
2025-11-25	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 2025-12-25
2025-11-25	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 2025-12-25
2025-11-25	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-12-25
2025-11-25	Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-12-25
2025-11-25	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 2025-12-25
2025-11-25	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-12-25
2025-11-25	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 2025-12-25
2025-11-25	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 2025-12-25
2025-11-25	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 2025-12-25
2025-11-25	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 2025-12-25
2025-11-25	Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-12-25
2025-02-24	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 · complaint inspection	G Actual harm	Corrected 2025-04-03
2024-10-10	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-11-24
2024-10-10	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 2024-11-24
2024-10-10	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 2024-11-24
2024-10-10	PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-11-24
2024-10-10	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 2024-11-24
2024-10-10	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 2024-11-24
2024-10-10	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 2024-11-24
2024-10-10	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 2024-11-24
2024-10-10	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 2024-11-24
2024-10-10	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 2024-11-24
2024-10-10	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 2024-11-24
2024-10-10	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 2024-11-24
2024-10-10	Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-11-24
2023-10-04	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 2023-11-18
2023-10-04	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 2023-11-18
2023-10-04	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 2023-11-18
2023-10-04	Assess the resident when there is a significant change in condition F0637 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-11-18
2023-10-04	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 2023-11-18
2023-10-04	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 2023-11-18
2023-10-04	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 2023-11-18
2023-10-04	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 2023-11-18
2023-10-04	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 2023-11-18
2023-10-04	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	D No actual harm, potential for more than minimal harm	Corrected 2023-11-18
2023-10-04	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	D No actual harm, potential for more than minimal harm	Corrected 2023-11-18
2023-10-04	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 2023-11-18
2023-10-04	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 2023-11-18
2023-10-04	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 2023-11-18
2023-10-04	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 2023-11-18
2023-10-04	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-11-18
2023-10-04	Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-11-18

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 $9,496 in fines.

Date	Type	Amount
2025-02-24	Fine	$9,496

Ownership & management

Name	Role	Since
Castillo, Nicole (individual)	Corporate Officer · NOT APPLICABLE
Castillo, Nicole (individual)	W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Maristhill Nursing & Rehabilitation Center?

Maristhill Nursing & Rehabilitation Center has a 3-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 Maristhill Nursing & Rehabilitation Center have?

It has 123 certified beds and cares for about 88 residents per day.

Has Maristhill Nursing & Rehabilitation Center been fined?

Yes. CMS lists 1 penalty totaling $9,496 in the last three years.

Who owns Maristhill Nursing & Rehabilitation Center?

It is part of Covenant Health and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Maristhill Nursing & Rehabilitation Center?

(781) 755-2020. The facility is located at 66 Newton Street, Waltham, MA 02453.

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Contact & location

Facility details