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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMassachusettsAyer Valley Rehab and Nursing

Ayer Valley Rehab and Nursing

400 Groton Road, Ayer, MA 014329787721704
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
2/5
Quality
2/5
Beds
123
certified
3 fine(s) totaling $72,804

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 123 certified beds with an average of 109.4 residents per day (89% occupancy)

• Last health inspection found 18 deficiencies (inspected Mar 13, 2025)

• Has been fined a total of $72,804 across 3 fine(s)

• Total nursing staff: 3.58 hours per resident per day

• Staff turnover rate: 60.7% (high)

• Part of the Stern Consultants chain (22 facilities)

Ayer Valley Rehab and Nursing is a 1-star Medicare and Medicaid certified nursing home in Ayer, Massachusetts with 123 certified beds. It has been operating since 1990. The facility scored below average compared to Massachusetts facilities.

Beds
123
Avg Residents/Day
109.4
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jul 1, 1990
Sprinklers
Yes
Council
Resident
County
Middlesex
Last Inspection
Mar 13, 2025
Deficiencies (Cycle 1)
18
Weighted Score
152.0
Infection Citations
3

Deficiency Citations (84)

F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Mar 13, 2025Corrected: NoCycle: 1
F0585Potential for Harm

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey: Mar 13, 2025Corrected: NoCycle: 1
F0694Potential for Harm

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Survey: Mar 13, 2025Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Mar 13, 2025Corrected: NoCycle: 1
F0699Potential for Harm

Provide care or services that was trauma informed and/or culturally competent.

Survey: Mar 13, 2025Corrected: NoCycle: 1
F0712Potential for Harm

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Survey: Mar 13, 2025Corrected: NoCycle: 1
F0726Potential for Harm

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Survey: Mar 13, 2025Corrected: NoCycle: 1
F0730Potential for Harm

Observe each nurse aide's job performance and give regular training.

Survey: Mar 13, 2025Corrected: NoCycle: 1
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Mar 13, 2025Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Mar 13, 2025Corrected: NoCycle: 1
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Mar 13, 2025Corrected: NoCycle: 1
F0805Potential for Harm

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Survey: Mar 13, 2025Corrected: NoCycle: 1
F0825Potential for Harm

Provide or get specialized rehabilitative services as required for a resident.

Survey: Mar 13, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Mar 13, 2025Corrected: NoCycle: 1
F0843Minimal Harm

Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.

Survey: Mar 13, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 13, 2025Corrected: NoCycle: 1
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Mar 13, 2025Corrected: NoCycle: 1
F0887Potential for Harm

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Survey: Mar 13, 2025Corrected: NoCycle: 1
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Jan 2, 2025Corrected: NoCycle: 2
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Jan 2, 2025Corrected: NoCycle: 2
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Jan 2, 2025Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jun 5, 2024Corrected: NoCycle: 2
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Jun 5, 2024Corrected: NoCycle: 2
F0867Potential for Harm

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey: Jun 5, 2024Corrected: NoCycle: 2
F0557Potential for Harm

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Survey: Mar 5, 2024Corrected: NoCycle: 2
F0580Actual Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Mar 5, 2024Corrected: NoCycle: 2
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Mar 5, 2024Corrected: NoCycle: 2
F0625Minimal Harm

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Survey: Mar 5, 2024Corrected: NoCycle: 2
F0638Potential for Harm

Assure that each resident’s assessment is updated at least once every 3 months.

Survey: Mar 5, 2024Corrected: NoCycle: 2
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Mar 5, 2024Corrected: NoCycle: 2

+ 54 more deficiencies

Total Fines
$72,804
Number of Fines
3
Payment Denials
0
Total Penalties
3

Penalty History

FineSep 27, 2023
$9,770
FineJul 5, 2023
$9,770
FineMar 5, 2024
$53,264

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.13 hrs
National avg: 2.35 hrs
LPN0.71 hrs
National avg: 0.86 hrs
RN0.74 hrs
National avg: 0.68 hrs
Total Nursing3.58 hrs
National avg: 3.89 hrs
Weekend Total3.04 hrs
National avg: 0.00 hrs
Physical Therapist0.05 hrs
National avg: 0.07 hrs
Total Turnover
60.7%
RN Turnover
52.0%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (22)

NameRoleTypeOwnership %Since
ETN FAMILY HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization20%Sep 1, 2023
TLCO HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization20%Sep 1, 2023
ERBLICH, AVRAHAM5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual14%Sep 1, 2023
FRIEDMAN, SHANA5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual12%Oct 16, 2023
SHEPS, BORUCH5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual15%Oct 16, 2023
STERN, BEZALEL5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual9%Oct 16, 2023
COM FAMILY TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization10%Oct 16, 2023
E NEWHOUSE FAMILY TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization10%Oct 16, 2023
T NEWHOUSE FAMILY TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization10%Oct 16, 2023
TLM FAMILY TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization10%Oct 16, 2023
ETN FAMILY HOLDINGS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 16, 2023
STERN THERAPY CONSULTANTS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 16, 2023
TLCO HOLDINGS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 16, 2023
BEATTY, BRITTANYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 16, 2023
CAMBRIDGE, JOSHUAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 16, 2023
ERBLICH, AVRAHAMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 16, 2023
FRIEDMAN, BENJAMINOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 16, 2023
MILLMAN, CHAIMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 16, 2023
NEWHOUSE, ERICOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 16, 2023
NILSSON, CLAESOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 16, 2023
PLEW, ANDREAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 16, 2023
SHEPS, BORUCHOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 16, 2023

Frequently Asked Questions

What is the CMS rating for Ayer Valley Rehab and Nursing?▾
Ayer Valley Rehab and Nursing has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 2/5, and quality measures rating of 2/5. This facility is rated below average.
Has Ayer Valley Rehab and Nursing had any health inspection violations?▾
Ayer Valley Rehab and Nursing had 18 deficiency citations in its most recent health inspection (Mar 13, 2025). The facility has been fined a total of $72,804 across 3 fine(s). It also has 3 infection control citation(s).
What are the staffing levels at Ayer Valley Rehab and Nursing?▾
Ayer Valley Rehab and Nursing provides 3.58 total nursing staff hours per resident per day, including 0.74 RN hours, 0.71 LPN hours, and 2.13 nurse aide hours. The total staff turnover rate is 60.7%.
How many beds does Ayer Valley Rehab and Nursing have?▾
Ayer Valley Rehab and Nursing has 123 certified beds with an average of 109.4 residents per day, resulting in approximately 89% occupancy. The facility is For profit - Limited Liability company owned and is part of the Stern Consultants chain.

Part of Stern Consultants

This chain operates 22 facilities. View all →