The nursing home failed to protect residents from abuse and neglect by others. Cited June 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR
BEDFORD, MA · Medicare-certified · 179 beds
Needs attention
Abuse citationNon-profit
4 of 5 overall
Overall: 4 out of 5 stars. The home scores very well for staffing and quality measures, with nurse staffing above the federal benchmark (5.12 vs 4.1 hours per resident per day), but its health inspection rating is lower at 2 stars and it has had $25,497 in fines in the last 24 months plus a recent abuse citation.
Facility ratings
Health inspections
Staffing
5.1153 hrs/resident/day
Quality measures
Last inspection: June 10, 2025Penalties, last 24 months: $25,497recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.1153.
Staffing detail
- Registered nurses
- 1.03
- Licensed practical nurses
- 0.78
- Nurse aides
- 3.30
- Weekend nursing
- 4.88
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 22%
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).
Long-stay residents on antipsychotic medication
10.8%13.2%Worsening
Residents with a fall causing major injury
1.1%3.3%Worsening
Residents with pressure ulcers (bedsores)
3.6%2.6%Improving
Residents with a urinary tract infection
1.2%3.5%Worsening
Residents who lost too much weight
5.4%1.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
18.5%26.2%Worsening
Residents whose ability to walk got worse
15.9%18.8%Worsening
Long-stay residents on antianxiety or sleep medication
17.3%18.3%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
17.4%21.3%Worsening
Residents with depressive symptoms
1.2%1.1%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.9%—
Long-stay residents given the pneumonia vaccine
98.9%97.8%Worsening
Short-stay residents given the seasonal flu vaccine
—88.6%—
Short-stay residents given the pneumonia vaccine
86.4%88.4%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 June 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to properly label and securely store medications and biologicals. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited May 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal fine of $16,985 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $8,512 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $25,497 in total fines.
- $16,985
Federal fine
Jun 10, 2025
- $8,512
Federal fine
May 29, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 94.1 residents on an average day (53% of 179 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 42 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.