Nursing homeActive
Life Care Center of Nashoba Valley
191 Foster Street, Littleton, MA 014609784863512120 certified beds · 109 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
15
● 0● 15● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-08-14
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Massachusetts Department of Public Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-08-14 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2024-08-01 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2023-06-07 | Standard | 040 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Massachusetts Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-05Record 225569-20250814-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-05Record 225569-20250814-F657
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-05Record 225569-20250814-F756
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-05Record 225569-20250814-F761
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-16Record 225569-20240801-F550
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-16Record 225569-20240801-F604
F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-16Record 225569-20240801-F622
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-16Record 225569-20240801-F658
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-16Record 225569-20240801-F677
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-16Record 225569-20240801-F689
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-16Record 225569-20240801-F812
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-19Record 225569-20230607-F657
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-19Record 225569-20230607-F686
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-19Record 225569-20230607-F756
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-19Record 225569-20230607-F758
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.88
Facility
Massachusetts
National
Massachusetts 0.65 · National 0.69
Total nurse hours per resident day4.22
Facility
Massachusetts
National
Massachusetts 3.86 · National 3.86
Weekend total nurse hours3.67
Facility
Massachusetts
National
Massachusetts 3.48 · National 3.42
Total nursing staff turnover39%
Facility
Massachusetts
National
Massachusetts 38% · National 46%
Registered nurse turnover52%
Facility
Massachusetts
National
Massachusetts 43% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Massachusetts | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 6.0% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 6.9% | 3.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 21.2% | 21.4% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.1% | 1.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 12.2% | 16.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.9% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 24.6% | 19.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Churchill, Timothy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dunleavy, Kristen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fletcher, Todd Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kamens, Edward Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lay, Lisa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Life Care Centers Of America, Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Long, Zofia Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Preston, Aubrey Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Preston, Forrest Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Swanker, Richard Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ziegler, James Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Churchill, Timothy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Churchill, Timothy Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Cross, Cindy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Dunleavy, Kristen Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Henry, Terry Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Kamens, Edward Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Life Care Centers Of America, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Long, Zofia Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Preston, Forrest Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Preston, Forrest Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Thurmond, Joan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Life Care Centers Of America — 194 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Massachusetts.
No county cost figures on file for Middlesex.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Westford Nursing And Rehabilitation Center Westford | 3.8 mi | 2025-07-16 | 1170 |
| Life Care Center of Acton Acton | 4.2 mi | 2025-07-21 | 140 |
| Ayer Valley Rehab And Nursing Ayer | 5.2 mi | 2026-06-25 | 5553 |
| Seven Hills Pediatric Center Groton | 7.3 mi | 2026-05-27 | 041 |
| Rivercrest Long Term Care W Concord | 8.0 mi | 2025-08-28 | 050 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |