The nursing home failed to ensure residents received the behavioral health care and services they needed. Cited February 2023 — isolated incident, actual harm.
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F-Tag 740 — 42 CFR §483.40 — S/S: G
Nursing home report
CARE ONE AT PEABODY
PEABODY, MA · Medicare-certified · 150 beds
In good standing
For-profitChain member
5 of 5 overall
CARE ONE AT PEABODY in Peabody, MA has an overall 5-star rating, with strong health inspection and quality ratings but a lower 3-star staffing rating. Reported nurse staffing is 3.69 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.6877 hrs/resident/day
Quality measures
Last inspection: March 27, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6877.
Staffing detail
- Registered nurses
- 0.42
- Licensed practical nurses
- 1.17
- Nurse aides
- 2.10
- Weekend nursing
- 3.28
Hours per resident per day.
Total staff turnover: 23%
Registered nurse turnover: 21%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
25.5%Worsening
Residents with a fall causing major injury
4.4%Improving
Residents with pressure ulcers (bedsores)
4.4%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
7.1%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
7.5%Improving
Residents whose ability to walk got worse
5.3%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
19.1%Improving
Short-stay residents newly given an antipsychotic
0.2%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
22.4%Improving
Residents with depressive symptoms
1.7%Improving
Long-stay residents given the seasonal flu vaccine
94.9%Steady
Long-stay residents given the pneumonia vaccine
98%Improving
Short-stay residents given the seasonal flu vaccine
90.7%Steady
Short-stay residents given the pneumonia vaccine
98.1%Steady
What the inspectors found
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited April 2024 — widespread issue, potential for harm.
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F-Tag 725 — 42 CFR §483.35 — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited March 2025 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited April 2024 — limited pattern, potential for harm.
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F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited April 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — 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 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of CAREONE · 37 homes · 3.4 stars avg
- Occupancy
- 134.5 residents on an average day (90% of 150 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 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.