Care Village at West Roxbury

5060 Washington Street · West Roxbury, MA · 02132 · 6173235440

76 certified beds For profit - Corporation Chain: Bear Mountain Healthcare

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.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 59
Serious harm & abuse 20% 100
Staffing 20% 78
Federal penalties 15% 81
Trend 10% 71
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.473.48 min · 4.1 strong
RN hours / resident-day0.970.55–0.75
Weekend hours / resident-day3.25≈ weekday level
Nursing turnover / year20%median 45%
Fines (3-yr window)1 · $3,418

Inspection citations (38 in the current record)

  • Potential for harm · D November 14, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected December 12, 2025 · Resident Rights

  • Potential for harm · D November 14, 2025

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected December 12, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 14, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected December 12, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E November 14, 2025

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

    Corrected December 12, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 14, 2025

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

    Corrected December 12, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 14, 2025

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

    Corrected December 12, 2025 · Quality of Life and Care

  • Potential for harm · D November 14, 2025

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected December 12, 2025 · Quality of Life and Care

  • Potential for harm · D November 14, 2025

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

    Corrected December 12, 2025 · Pharmacy Service

  • Potential for harm · D November 14, 2025

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected December 12, 2025 · Pharmacy Service

  • Potential for harm · D October 31, 2024

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected December 6, 2024 · Resident Rights

  • Potential for harm · D October 31, 2024

    Ensure each resident receives an accurate assessment.

    Corrected December 6, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 31, 2024

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

    Corrected December 6, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 31, 2024

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

    Corrected December 6, 2024 · Quality of Life and Care

  • Potential for harm · D October 31, 2024

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

    Corrected December 6, 2024 · Quality of Life and Care

  • Potential for harm · D October 31, 2024

    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 December 6, 2024 · Quality of Life and Care

  • Potential for harm · D October 31, 2024

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

    Corrected December 6, 2024 · Pharmacy Service

  • Potential for harm · D October 31, 2024

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected December 6, 2024 · Pharmacy Service

  • Potential for harm · D October 31, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected December 6, 2024 · Nutrition and Dietary

  • Potential for harm · D October 31, 2024

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

    Corrected December 6, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 27, 2024 · found via complaint

    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 September 6, 2024 · Resident Rights

  • Potential for harm · D June 10, 2024 · found via complaint

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected July 12, 2024 · Resident Rights

  • Potential for harm · D June 10, 2024 · found via complaint

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected July 27, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 10, 2024 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected July 27, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 21, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected June 5, 2024 · Resident Rights

  • Potential for harm · E November 7, 2023

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected December 16, 2023 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
February 6, 2024Fine$3,418

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225499 · certified since July 1, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.