Timothy Daniels House
84 Elm Street · Holliston, MA · 01746 · 5084294566
40 certified beds For profit - Corporation Chain: Rehabilitation Associates
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.33 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.86 | 0.55–0.75 |
| Weekend hours / resident-day | 3.96 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (35 in the current record)
-
Potential for harm · D November 25, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 19, 2025 · Quality of Life and Care
-
Potential for harm · D March 6, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected April 5, 2025 · Resident Rights
-
Potential for harm · E March 6, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected April 5, 2025 · Resident Rights
-
Potential for harm · E March 6, 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 April 5, 2025 · Resident Rights
-
Potential for harm · E March 6, 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 April 5, 2025 · Resident Rights
-
Potential for harm · E March 6, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected April 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 6, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 5, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D March 6, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 5, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D March 6, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 5, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D March 6, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 5, 2025 · Resident Assessment and Care Planning
-
Potential for harm · F March 6, 2025
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 April 5, 2025 · Nursing and Physician Services
-
Potential for harm · D March 6, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 5, 2025 · Pharmacy Service
-
Potential for harm · E March 6, 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 April 5, 2025 · Pharmacy Service
-
Potential for harm · D March 6, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 5, 2025 · Nutrition and Dietary
-
Potential for harm · F March 6, 2025
Provide and implement an infection prevention and control program.
Corrected April 5, 2025 · Infection Control
-
Potential for harm · E March 6, 2025
Implement a program that monitors antibiotic use.
Corrected April 5, 2025 · Infection Control
-
No harm found · B March 6, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected March 25, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E February 16, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 26, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D February 16, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 28, 2024 · Quality of Life and Care
-
Potential for harm · E February 16, 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 March 15, 2024 · Nursing and Physician Services
-
Potential for harm · D February 16, 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 March 22, 2024 · Pharmacy Service
-
Potential for harm · F February 16, 2024
Provide and implement an infection prevention and control program.
Corrected March 28, 2024 · Infection Control
-
Potential for harm · E February 16, 2024
Implement a program that monitors antibiotic use.
Corrected March 26, 2024 · Infection Control
-
Potential for harm · E February 16, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 28, 2024 · Infection Control
-
Potential for harm · E February 16, 2024
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 March 28, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 16, 2024 | Payment Denial | 18 days |
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.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225709 · certified since August 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.