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Nursing home report

Carleton-Willard Village Nursing & Rehab Center

Registered name: CARLETON-WILLARD VILLAGE RETIREMENT & NURSING CTR

BEDFORD, MA · Medicare-certified · 179 beds

Needs attention
Non-profit
Data as of July 1, 2026
5 of 5 overall

Carleton-Willard Village Nursing & Rehab Center in Bedford, MA has an overall 5-star rating, with 5-star staffing and quality but a 3-star health inspection score. Reported nurse staffing is 5.17 hours per resident per day versus the 4.1 federal benchmark, and the facility had $16,985 in fines in the last 24 months plus a recent federal penalty.

Facility ratings

Health inspections

Staffing

5.1709 hrs/resident/day

Quality measures

Last inspection: June 10, 2025Penalties, last 24 months: $16,985recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.1709.

Staffing detail

Registered nurses
0.97
Licensed practical nurses
0.87
Nurse aides
3.33
Weekend nursing
4.93

Hours per resident per day.

Total staff turnover: 32%
Registered nurse turnover: 26%

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%11.1%Worsening

Residents with a fall causing major injury

3.4%5.7%Worsening

Residents with pressure ulcers (bedsores)

1.9%0.8%Improving

Residents with a urinary tract infection

1.2%1.2%No change

Residents who lost too much weight

5.2%2.8%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

13.6%21%Worsening

Residents whose ability to walk got worse

10.7%13.9%Worsening

Long-stay residents on antianxiety or sleep medication

15.2%19.5%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

18.1%25.5%Worsening

Residents with depressive symptoms

0%1.2%Worsening

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

100%98.9%Worsening

Short-stay residents given the seasonal flu vaccine

88.6%

Short-stay residents given the pneumonia vaccine

87.5%87.7%No change

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 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

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

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. PENALTY

    A federal fine of $16,985 was recorded.

  3. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $8,512 was recorded.

  6. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $25,497 in total fines.

  • Federal fine

    Jun 10, 2025

    $16,985
  • Federal fine

    May 29, 2024

    $8,512

Operator & ownership

Ownership
Non profit - Corporation
Occupancy
92.3 residents on an average day (52% 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.