Care Village at Mattapan
405 River Street · Mattapan, MA · 02126 · 5088136898
85 certified beds For profit - Corporation Chain: Bear Mountain Healthcare
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
RN staffing in the bottom 10% nationally
0.21 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.94 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.94 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.21 | 0.55–0.75 |
| Weekend hours / resident-day | 2.80 | ≈ weekday level |
| Nursing turnover / year | 23% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (67 in the current record)
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Potential for harm · D November 17, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 13, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 21, 2025 · Resident Rights
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Potential for harm · D February 13, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 21, 2025 · Resident Rights
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Potential for harm · D February 13, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected March 21, 2025 · Resident Rights
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Potential for harm · D February 13, 2025
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.
Corrected March 21, 2025 · Resident Rights
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Potential for harm · D February 13, 2025
Assess the resident when there is a significant change in condition
Corrected March 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 13, 2025
Ensure each resident receives an accurate assessment.
Corrected March 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 13, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 13, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 13, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 13, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 21, 2025 · Quality of Life and Care
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Potential for harm · D February 13, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 21, 2025 · Quality of Life and Care
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Potential for harm · D February 13, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected March 21, 2025 · Quality of Life and Care
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Potential for harm · D February 13, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 21, 2025 · Quality of Life and Care
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Potential for harm · D February 13, 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 March 21, 2025 · Quality of Life and Care
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Potential for harm · D February 13, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 21, 2025 · Quality of Life and Care
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Potential for harm · D February 13, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected March 21, 2025 · Quality of Life and Care
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Potential for harm · D February 13, 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 March 21, 2025 · Pharmacy Service
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Potential for harm · E February 13, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 21, 2025 · Nutrition and Dietary
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Potential for harm · E February 13, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 13, 2025
Provide and implement an infection prevention and control program.
Corrected March 21, 2025 · Infection Control
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Potential for harm · D March 8, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 15, 2024 · Resident Rights
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Potential for harm · D March 8, 2024
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.
Corrected April 15, 2024 · Resident Rights
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Potential for harm · D March 8, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 8, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225532 · certified since January 11, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.