SALMON at Natick has an overall rating of 4 out of 5 stars, with a 4-star health inspection rating, 3-star staffing, and 2-star quality measures. It reported 3.71 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and had $0 in fines over the last 24 months.
Last inspection: September 16, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.709.
Staffing detail
Registered nurses
0.31
Licensed practical nurses
1.38
Nurse aides
2.02
Weekend nursing
3.41
Hours per resident per day.
Total staff turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
25%20.7%Improving
Residents with a fall causing major injury
4.4%0%Improving
Residents with pressure ulcers (bedsores)
3.4%6.5%Worsening
Residents with a urinary tract infection
4.5%0%Improving
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
25%9.4%Improving
Residents whose ability to walk got worse
—35.7%—
Long-stay residents on antianxiety or sleep medication
9.4%20.6%Worsening
Short-stay residents newly given an antipsychotic
—5.3%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
15.7%12.5%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—94.4%—
Short-stay residents given the pneumonia vaccine
79.3%89.2%Improving
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to post its nurse staffing information every day, so families could not easily see daily staffing levels. Cited November 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 732 — 42 CFR §483.35(i) — S/S: F
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited November 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $10,517 in total fines.
Federal fine
Jan 17, 2024
$10,517
Operator & ownership
Ownership
For profit - Corporation
Occupancy
47.7 residents on an average day (90% of 53 beds)
Medicare history
Certified for 29 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.