Rivercrest Long Term Care in West Concord, MA has an overall 5-star rating, with 5 stars for health inspections and staffing and 4 stars for quality measures. It reports 4.55 nurse staffing hours per resident per day versus the 4.1 federal benchmark, has no fines in the last 24 months, and recent inspection citations included care planning, accident hazards/supervision, and medication storage/labeling.
Last inspection: August 28, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5468.
Staffing detail
Registered nurses
1.30
Licensed practical nurses
0.69
Nurse aides
2.56
Weekend nursing
4.28
Hours per resident per day.
Total staff turnover: 32%
Registered nurse turnover: 8%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
15%22.7%Worsening
Residents with a fall causing major injury
7.4%6.1%Improving
Residents with pressure ulcers (bedsores)
6.5%5.4%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
25%8.7%Improving
Residents whose ability to walk got worse
—20.6%—
Long-stay residents on antianxiety or sleep medication
32%23.1%Improving
Short-stay residents newly given an antipsychotic
3%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
0%7.3%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—96.6%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—96.2%—
Short-stay residents given the pneumonia vaccine
83.7%83.9%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 November 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: D
The home failed to properly label and securely store medications and biologicals. Cited September 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: D
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: D
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited September 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: D
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
Non profit - Corporation
Occupancy
37.8 residents on an average day (25% of 151 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 59 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.