Blaire House of Tewksbury
Nursing Home · Tewksbury, MA
CMS certification number225548
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
10 Erlin TerraceTewksbury, MA 01876
Middlesex County
- Phone
- (978) 851-3121
- ZIP code
- 01876 – all care providers
Facility details
- Certified beds
- 131
- Residents per day
- 139.0 (106% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Erlin Manor Nursing Home INC
- Chain
- Elder Services (6 facilities, avg 2.2★)
- Medicare certified since
- May 1, 1992
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.24 (state 3.86 · U.S. 3.86)
- Registered nurses (RN)
- 0.49 (state 0.65 · U.S. 0.69)
- Licensed practical nurses
- 0.77 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.98 (state 2.26 · U.S. 2.32)
- Weekend total
- 3.15 (state 3.48 · U.S. 3.42)
- Nursing staff turnover
- 50.8 (state 38.2 · U.S. 45.8)%
- RN turnover
- 52.0 (state 42.6 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- December 17, 2025
- Health deficiencies (last cycle)
- 26.0 (state 7.2 · U.S. 9.3)
- From complaints
- 2
- Citations on record (3 years)
- 56 health · 24 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-04-30 | 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 · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-15 |
| 2026-04-30 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-06 |
| 2025-12-17 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2026-01-24 |
| 2025-12-17 | 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 |
G Actual harm |
Corrected 2026-01-24 |
| 2025-12-17 | 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 2026-01-24 |
| 2025-12-17 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-24 |
| 2025-12-17 | 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 2026-02-27 |
| 2025-12-17 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-24 |
| 2025-12-17 | 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 2026-01-24 |
| 2025-12-17 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-27 |
| 2025-12-17 | 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 2026-02-27 |
| 2025-12-17 | 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 2026-01-24 |
| 2025-12-17 | 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 2026-01-24 |
| 2025-12-17 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-24 |
| 2025-12-17 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-24 |
| 2025-12-17 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-24 |
| 2025-12-17 | 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 2026-01-24 |
| 2025-12-17 | 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 2026-01-24 |
| 2025-12-17 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-24 |
| 2025-12-17 | 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 2026-01-24 |
| 2025-12-17 | 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 2026-01-24 |
| 2025-12-17 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-24 |
| 2025-12-17 | 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 2026-01-24 |
| 2025-12-17 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-24 |
| 2025-12-17 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. F0810 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-24 |
| 2025-12-17 | 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 2026-01-24 |
| 2025-01-29 | 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 · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-14 |
| 2025-01-29 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-14 |
| 2024-10-23 | 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 2024-12-07 |
| 2024-10-23 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-07 |
| 2024-10-23 | Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-07 |
| 2024-10-23 | 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 2024-12-07 |
| 2024-10-23 | 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 2024-12-07 |
| 2024-10-23 | 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 2024-12-07 |
| 2024-10-23 | 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 2024-12-07 |
| 2024-10-23 | 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 2024-12-07 |
| 2024-10-23 | 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 2024-12-07 |
| 2024-10-23 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-07 |
| 2024-10-23 | 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 2024-12-07 |
| 2024-10-23 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-07 |
| 2024-10-23 | 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 2024-12-07 |
| 2024-10-23 | 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 2024-12-07 |
| 2024-10-23 | 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 2024-12-07 |
| 2024-10-23 | 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 2024-12-07 |
| 2023-10-17 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-11-17 |
| 2023-10-17 | 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 2023-11-17 |
| 2023-10-17 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-17 |
| 2023-10-17 | 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 2023-12-27 |
| 2023-10-17 | 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 2023-11-17 |
| 2023-10-17 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. F0810 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-27 |
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
2 penalties in the last three years, including $71,902 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-12-17 | Fine | $68,515 |
| 2024-01-22 | Fine | $3,387 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Romano, James (individual) | Corporate Director · NOT APPLICABLE | |
| Romano, Frank (individual) | Corporate Officer · NOT APPLICABLE | |
| Romano, Frank (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Blaire House of Tewksbury?
Blaire House of Tewksbury 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 Blaire House of Tewksbury have?
It has 131 certified beds and cares for about 139 residents per day.
Has Blaire House of Tewksbury been fined?
Yes. CMS lists 2 penalties totaling $71,902 in the last three years.
Who owns Blaire House of Tewksbury?
It is part of Elder Services and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Blaire House of Tewksbury?
(978) 851-3121. The facility is located at 10 Erlin Terrace, Tewksbury, MA 01876.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.