The nursing home failed to protect residents from abuse and neglect by others. Cited July 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
KEYSTONE CENTER
LEOMINSTER, MA · Medicare-certified · 106 beds
Needs attention
For-profitChain member
1 of 5 overall
Keystone Center in Leominster, MA has a 1 out of 5 overall rating, with a 1-star staffing rating and 3.45 nurse hours per resident per day versus the 4.1-hour federal benchmark. It has $26,033 in fines in the last 24 months, a recent federal penalty, and recent inspection citations involving abuse prevention, care planning, and accident hazards.
Facility ratings
Health inspections
Staffing
3.4528 hrs/resident/day
Quality measures
Last inspection: November 19, 2025Penalties, last 24 months: $26,033recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4528.
Staffing detail
- Registered nurses
- 0.43
- Licensed practical nurses
- 0.91
- Nurse aides
- 2.11
- Weekend nursing
- 3.14
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 67%
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
22.2%12.1%Improving
Residents with a fall causing major injury
4.8%3.3%Improving
Residents with pressure ulcers (bedsores)
3.5%4.2%Worsening
Residents with a urinary tract infection
1.7%1.7%No change
Residents who lost too much weight
1.8%7.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
20.4%26%Worsening
Residents whose ability to walk got worse
23.6%6.9%Improving
Long-stay residents on antianxiety or sleep medication
20.7%22.4%Worsening
Short-stay residents newly given an antipsychotic
0%3.8%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
19.7%16.9%Improving
Residents with depressive symptoms
56%58.8%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
—98.5%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—92.7%—
Short-stay residents given the pneumonia vaccine
93.7%95.2%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 May 2023 — 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 May 2023 — 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 regularly check beds, mattresses, and bed rails to make sure they were safely attached and safe to use. Cited June 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 909 — 42 CFR §483.90 — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited November 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — 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 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $26,033 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $33,476 in total fines.
- $26,033
Federal fine
Jul 2, 2024
- $7,443
Federal fine
May 23, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of EPHRAM LAHASKY · 23 homes · 1.9 stars avg
- Occupancy
- 68.7 residents on an average day (65% of 106 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.