Serenity Hill Nursing Center

655 Dedham St · Wrentham, MA · 02093 · 5083843400

44 certified beds For profit - Corporation

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Staffing levels are well below research benchmarks for safe care.
  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

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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 39
Serious harm & abuse 20% 100
Staffing 20% 20
Federal penalties 15% 100
Trend 10% 34
Context 5% 100

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

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)none

Inspection citations (35 in the current record)

  • Potential for harm · D April 29, 2025

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

    Corrected May 31, 2025 · Resident Rights

  • Potential for harm · E April 29, 2025

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected May 31, 2025 · Resident Rights

  • Potential for harm · E April 29, 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 June 3, 2025 · Resident Rights

  • Potential for harm · E April 29, 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 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E April 29, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected June 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E April 29, 2025

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

    Corrected May 31, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E April 29, 2025

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

    Corrected May 31, 2025 · Quality of Life and Care

  • Potential for harm · E April 29, 2025

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

    Corrected May 31, 2025 · Quality of Life and Care

  • Potential for harm · D April 29, 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 June 3, 2025 · Pharmacy Service

  • Potential for harm · D April 29, 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 3, 2025 · Pharmacy Service

  • Potential for harm · F April 29, 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 June 3, 2025 · Pharmacy Service

  • Potential for harm · D April 29, 2025

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

    Corrected June 3, 2025 · Nutrition and Dietary

  • Potential for harm · E April 29, 2025

    Provide and implement an infection prevention and control program.

    Corrected June 3, 2025 · Infection Control

  • Potential for harm · D April 29, 2025

    Implement a program that monitors antibiotic use.

    Corrected June 3, 2025 · Infection Control

  • Potential for harm · D April 29, 2025

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

    Corrected June 3, 2025 · Infection Control

  • Potential for harm · E April 29, 2025

    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.

    Corrected June 3, 2025 · Infection Control

  • Potential for harm · F April 29, 2025

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    Corrected June 3, 2025 · Environmental

  • Potential for harm · D May 14, 2024

    Give the resident's representative the ability to exercise the resident's rights.

    Corrected May 31, 2024 · Resident Rights

  • Potential for harm · D May 14, 2024

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

    Corrected May 31, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E May 14, 2024

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

    Corrected May 31, 2024 · Resident Assessment and Care Planning

  • Potential for harm · F May 14, 2024

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected May 31, 2024 · Nursing and Physician Services

  • Potential for harm · D May 14, 2024

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected May 31, 2024 · Pharmacy Service

  • Potential for harm · D May 14, 2024

    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 May 31, 2024 · Pharmacy Service

  • Potential for harm · D May 14, 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 May 31, 2024 · Pharmacy Service

  • Potential for harm · D May 14, 2024

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

    Corrected May 31, 2024 · Resident Assessment and Care Planning

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

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225752 · certified since October 1, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.