The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
MELROSE HEALTHCARE
MELROSE, MA · Medicare-certified · 106 beds
Needs attention
For-profitChain member
1 of 5 overall
Melrose Healthcare in Melrose, MA has a 1 out of 5 overall rating, with 1-star health inspections, 2-star staffing, and 2-star quality measures. Reported nurse staffing is 3.42 hours per resident per day versus the 4.1-hour federal benchmark, and the facility had $49,324 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.4155 hrs/resident/day
Quality measures
Last inspection: April 9, 2025Penalties, last 24 months: $49,324recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4155.
Staffing detail
- Registered nurses
- 0.54
- Licensed practical nurses
- 0.78
- Nurse aides
- 2.10
- Weekend nursing
- 3.22
Hours per resident per day.
Total staff turnover: 30%
Registered nurse turnover: 58%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
31.5%Improving
Residents with a fall causing major injury
5.1%Worsening
Residents with pressure ulcers (bedsores)
1.8%Steady
Residents with a urinary tract infection
0.5%Steady
Residents who lost too much weight
3.6%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
3.2%Steady
Residents whose ability to walk got worse
8.5%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
13.1%Improving
Short-stay residents newly given an antipsychotic
2.5%Steady
Residents with a long-term catheter
1.7%Worsening
Residents with new or worsening incontinence
33.8%Worsening
Residents with depressive symptoms
19.6%Improving
Long-stay residents given the seasonal flu vaccine
99%Steady
Long-stay residents given the pneumonia vaccine
98.7%Improving
Short-stay residents given the seasonal flu vaccine
60.9%Steady
Short-stay residents given the pneumonia vaccine
65.1%Worsening
What the inspectors found
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited February 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: F
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
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 April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $49,324 was recorded.
- INSPECTION
Health inspection found 27 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 17 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $49,324 in total fines.
- $49,324
Federal fine
Apr 9, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of NEXT STEP HEALTHCARE · 14 homes · 2 stars avg
- Occupancy
- 94.8 residents on an average day (89% 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.