Benjamin Healthcare Center
120 Fisher Avenue · Boston, MA · 02120 · 8607380231
205 certified beds Non profit - Other
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$95,036 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
98% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.50 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.76 | 0.55–0.75 |
| Weekend hours / resident-day | 3.28 | ≈ weekday level |
| Nursing turnover / year | 98% | median 45% |
| Fines (3-yr window) | 1 · $95,036 |
Inspection citations (32 in the current record)
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Potential for harm · F September 10, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected November 19, 2025 · Environmental
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Immediate jeopardy · K July 10, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected July 8, 2025 · Environmental
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Potential for harm · E April 30, 2025
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected June 14, 2025 · Resident Rights
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Potential for harm · D April 30, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected June 14, 2025 · Resident Rights
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Potential for harm · D April 30, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected June 14, 2025 · Resident Rights
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Potential for harm · D April 30, 2025
Ensure each resident receives an accurate assessment.
Corrected June 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 30, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 30, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 30, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 14, 2025 · Quality of Life and Care
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Potential for harm · D April 30, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 14, 2025 · Quality of Life and Care
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Potential for harm · D April 30, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 14, 2025 · Quality of Life and Care
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Potential for harm · D April 30, 2025
Provide appropriate foot care.
Corrected June 14, 2025 · Quality of Life and Care
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Potential for harm · E April 30, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected June 14, 2025 · Quality of Life and Care
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Potential for harm · D April 30, 2025
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected June 14, 2025 · Quality of Life and Care
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Potential for harm · D April 30, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 14, 2025 · Quality of Life and Care
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Potential for harm · D April 30, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected June 14, 2025 · Quality of Life and Care
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Potential for harm · D April 30, 2025
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected June 14, 2025 · Quality of Life and Care
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Potential for harm · D April 30, 2025
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected June 14, 2025 · Pharmacy Service
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Potential for harm · E April 30, 2025
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected June 14, 2025 · Nutrition and Dietary
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Potential for harm · F April 30, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 7, 2025 · Nutrition and Dietary
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Potential for harm · E April 30, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 30, 2025
Provide and implement an infection prevention and control program.
Corrected June 14, 2025 · Infection Control
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Potential for harm · E May 23, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 28, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 23, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 23, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected June 10, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 10, 2025 | Fine | $95,036 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225654 · certified since January 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.