The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: D
Nursing home report
Neville Center at Fresh Pond
Registered name: NEVILLE CENTER AT FRESH POND FOR NURSING & REHAB
CAMBRIDGE, MA · Medicare-certified · 112 beds
In good standing
Non-profit
Data as of July 1, 2026
4 of 5 overall
Neville Center at Fresh Pond has an overall rating of 4 out of 5 stars, with 4-star marks for health inspections, staffing, and quality measures. Reported nurse staffing is 4.16 hours per resident per day, just above the federal benchmark of 4.1, and there were no fines in the last 24 months, though recent inspection citations included pressure ulcer care, food/fluids, and IV fluid administration.
Facility ratings
Health inspections
Staffing
4.1581 hrs/resident/day
Quality measures
Last inspection: May 28, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1581.
Staffing detail
- Registered nurses
- 0.88
- Licensed practical nurses
- 1.06
- Nurse aides
- 2.22
- Weekend nursing
- 3.54
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 44%
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
14.3%18.9%Worsening
Residents with a fall causing major injury
1.6%7.2%Worsening
Residents with pressure ulcers (bedsores)
5.9%4.7%Improving
Residents with a urinary tract infection
1.8%1.5%No change
Residents who lost too much weight
8.7%8.6%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.2%5.1%Improving
Residents whose ability to walk got worse
8.1%8.2%No change
Long-stay residents on antianxiety or sleep medication
14%13.1%Improving
Short-stay residents newly given an antipsychotic
0.5%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
16.9%14.9%Improving
Residents with depressive symptoms
3.7%8.8%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
—100%—
Long-stay residents given the pneumonia vaccine
98.4%98.6%No change
Short-stay residents given the seasonal flu vaccine
—93.3%—
Short-stay residents given the pneumonia vaccine
93%95.8%Improving
What the inspectors found
The home failed to provide enough food and fluids to keep residents healthy. Cited May 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: D
The home failed to ensure IV fluids were given safely and appropriately when needed. Cited May 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 694 — 42 CFR §483.25 — S/S: D
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited May 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: D
The home failed to properly label and securely store medications and biologicals. Cited May 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 99.5 residents on an average day (89% of 112 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 36 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.