Care Village at West Roxbury has a 3 out of 5 overall star rating, with 3-star health inspections and 4-star staffing and quality measures. It reports 3.47 nursing hours per resident per day, below the federal benchmark of 4.1, with $0 in fines in the last 24 months and recent inspection citations related to care planning, resident rights, and trauma-informed/culturally competent care.
Last inspection: November 14, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4746.
Staffing detail
Registered nurses
0.97
Licensed practical nurses
0.60
Nurse aides
1.90
Weekend nursing
3.25
Hours per resident per day.
Total staff turnover: 20%
Registered nurse turnover: 17%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
15.6%Worsening
Residents with a fall causing major injury
1.3%Worsening
Residents with pressure ulcers (bedsores)
2.8%Improving
Residents with a urinary tract infection
2.3%Improving
Residents who lost too much weight
4.7%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
16.9%Improving
Residents whose ability to walk got worse
10%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
13.4%Worsening
Short-stay residents newly given an antipsychotic
3.1%Steady
Residents with a long-term catheter
2.2%Improving
Residents with new or worsening incontinence
5.9%Worsening
Residents with depressive symptoms
0.5%Steady
Long-stay residents given the seasonal flu vaccine
92.2%Steady
Long-stay residents given the pneumonia vaccine
78.9%Improving
Short-stay residents given the seasonal flu vaccine
78.9%Steady
Short-stay residents given the pneumonia vaccine
48%Worsening
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 November 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited November 2023 — limited pattern, potential for harm.
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F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to provide care or services that were trauma-informed and culturally competent. Cited November 2023 — limited pattern, potential for harm.
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F-Tag 699 — 42 CFR §483.25 — 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 November 2023 — limited pattern, potential for harm.
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F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2023 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — 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 9 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 10 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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Penalties & enforcement
On record with Medicare: 1 fine · $3,418 in total fines.
Federal fine
Feb 6, 2024
$3,418
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of BEAR MOUNTAIN HEALTHCARE · 8 homes · 2.6 stars avg
Occupancy
60.2 residents on an average day (79% of 76 beds)
Resident voice
Resident council
Medicare history
Certified for 35 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.