Total health inspections
4
Massachusetts average 4.5
Last Health inspection on Dec 2024
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Belmont Manor Nursing & Rehabilitation Center
Nursing Home
Belmont Manor Nursing & Rehabilitation Center
Nursing Home
Belmont Manor is an idyllic community located near recreation sites and convenient local amenities on Agassiz Avenue, Belmont, MA, that offers skilled nursing. The community features a wide range of care options, including podiatry, respite care, short-term rehabilitation, and therapy services, alongside Alzheimer’s special care unit, ensuring residents can find the care they need. As a Medicaid- and Medicare-certified community, the community strives to ease residents’ financial challenges.
Aside from their healthcare needs, the community also conducts fun recreational activities and engaging social events to keep residents active and happy. Accommodating residents’ dietary needs, dietitian-approved meals are served for a delightful dining experience. The community is great for those who need supplementary care to live comfortably in their golden years.
Stewart A. Karger has been the Administrator of Belmont Manor Nursing & Rehabilitation Center since 1985, continuing a family legacy. He leads department heads to ensure residents receive the highest quality care and maintains an open-door policy for resident and staff concerns. Stewart has been part of the community since 1979, dedicated to fulfilling the mission of Belmont Manor.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
135
This home is often near full
That suggests steady demand, but availability may be limited.
Occupancy rate
95.3%
Residents per day (avg)
124
Occupancy rate
95.3%
Residents per day (avg)
124
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
75% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
24% of new residents, often for short stays.
Typical stay
11 - 12 months
Medicaid
1% of new residents, often for long-term daily care.
Typical stay
14 - 15 years
Finances and operations
Proprietary home
Corporation
Home revenue
$21.7M
Profit
$348.0K
Proprietary home
Corporation
Home revenue
$21,730,592.00
Profit
$348,007.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$12.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$21.4M
Walk Score: 79 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Staffing
Key information about the people who lead and staff this community.
Leadership
Contact:
Mr. Stewart Karger, Vice President
Care Services
Accepts Medicaid
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
Short-Term Rehab
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Skilled Nursing, Rehabilitation, Social Services, Environmental Services, Dining, Special Care Unit, Activities
Religious Services
Yes
What does this home offer?
Accept Medicaid: Yes
Housing Options: Private / 2 Bed Rooms
Building Type: 3-story
Dining Services
Beauty Services
Housekeeping Services
Recreational Activities
Exercise Programs
Types of Care at Belmont Manor Nursing & Rehabilitation Center
Nursing Home
Memory Care
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Compare Nursing Homes around Middlesex County
The information below is reported by the Massachusetts Executive Office of Elder Affairs and Department of Public Health.
Lasell Village
+65%
+74%
-23%
SNF
Nursing Homes 24/7 care needed
MA 02466 (Auburndale)
38
No
-
52
VIANELLO, ALESSANDRO
63.3%
$5,659,889.00
$8,681,505.00
153.4%
22.10
6.8570
-
6
-
+65%+74%-23%1 Bed / 2 Bed
Life Care Center of Nashoba Valley
+137%
+6%
+4%
SNF
Nursing Homes 24/7 care needed
Littleton
120
Yes
-
5
LAROCHE, SHARI
85.4%
$25,622,472.00
$8,751,474.00
34.2%
111.30
4.1555
-
15
-
+137%+6%+4%Private / Semi-Private Rooms
Life Care Center of Acton
-28%
-5%
-9%
SNF
Nursing Homes 24/7 care needed
MA 01720
143
Yes
-
39
FOYE, CHRISTOPHER
74.2%
$21,493,033.00
$7,762,526.00
36.1%
118.50
3.7257
1
16
1
-28%-5%-9%Private / Semi-Private Rooms
Belmont Manor Nursing & Rehabilitation Center
+43%
+20%
+16%
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Belmont
135
No
A+
79
KARGER, STEWART
95.3%
$21,481,028.00
$12,647,022.00
58.9%
124.30
4.7234
2
28
1
+43%+20%+16%Private / 2 Bed Rooms
Life Care Center of Merrimack Valley
+13%
+8%
+5%
SNF
Nursing Homes 24/7 care needed
MA 01862 (North Billerica)
124
Yes
-
40
BABB, KAREN
85.8%
$22,478,631.00
$8,092,971.00
36%
102.90
4.2401
1
31
-
+13%+8%+5%Private / Semi-Private Rooms
Lasell Village
Type of care:
SNF
Community:
MA 02466 (Auburndale)
Bed Count:
38
Pets Allowed:
No
Operator:
VIANELLO, ALESSANDRO
CCN:
225755
Occupancy:
63.3%
Home Revenue:
$5,659,889.00
Payroll Costs:
$8,681,505.00
Payroll %:
153.4%
Avg Residents/Day:
22.10
Overall Rating:
Adj Nurse Hours:
6.8570
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
6
RN share vs State Avg:
+65%
+65%
Staffing vs State Avg:
+74%
+74%
Occupancy vs State Avg:
-23%
-23%
Bed Options:
1 Bed / 2 Bed
Life Care Center of Nashoba Valley
Type of care:
SNF
Community:
Littleton
Bed Count:
120
Pets Allowed:
Yes
Operator:
LAROCHE, SHARI
CCN:
225569
Occupancy:
85.4%
Home Revenue:
$25,622,472.00
Payroll Costs:
$8,751,474.00
Payroll %:
34.2%
Avg Residents/Day:
111.30
Overall Rating:
Adj Nurse Hours:
4.1555
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
15
RN share vs State Avg:
+137%
+137%
Staffing vs State Avg:
+6%
+6%
Occupancy vs State Avg:
+4%
+4%
Bed Options:
Private / Semi-Private Rooms
Life Care Center of Acton
Type of care:
SNF
Community:
MA 01720
Bed Count:
143
Pets Allowed:
Yes
Operator:
FOYE, CHRISTOPHER
CCN:
225191
Occupancy:
74.2%
Home Revenue:
$21,493,033.00
Payroll Costs:
$7,762,526.00
Payroll %:
36.1%
Avg Residents/Day:
118.50
Overall Rating:
Adj Nurse Hours:
3.7257
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
16
Severe Citations:
1
RN share vs State Avg:
-28%
-28%
Staffing vs State Avg:
-5%
-5%
Occupancy vs State Avg:
-9%
-9%
Bed Options:
Private / Semi-Private Rooms
Belmont Manor Nursing & Rehabilitation Center
Type of care:
MC
SNF
Community:
Belmont
Bed Count:
135
Pets Allowed:
No
Operator:
KARGER, STEWART
CCN:
225419
Occupancy:
95.3%
Home Revenue:
$21,481,028.00
Payroll Costs:
$12,647,022.00
Payroll %:
58.9%
Avg Residents/Day:
124.30
Overall Rating:
Adj Nurse Hours:
4.7234
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
28
Severe Citations:
1
RN share vs State Avg:
+43%
+43%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
+16%
+16%
Bed Options:
Private / 2 Bed Rooms
Life Care Center of Merrimack Valley
Type of care:
SNF
Community:
MA 01862 (North Billerica)
Bed Count:
124
Pets Allowed:
Yes
Operator:
BABB, KAREN
CCN:
225546
Occupancy:
85.8%
Home Revenue:
$22,478,631.00
Payroll Costs:
$8,092,971.00
Payroll %:
36%
Avg Residents/Day:
102.90
Overall Rating:
Adj Nurse Hours:
4.2401
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
31
RN share vs State Avg:
+13%
+13%
Staffing vs State Avg:
+8%
+8%
Occupancy vs State Avg:
+5%
+5%
Bed Options:
Private / Semi-Private Rooms
Places of interest near Belmont Manor Nursing & Rehabilitation Center
1.3 miles from city center
34 Agassiz Ave, Belmont, MA 02478
Calculate Travel Distance to Belmont Manor Nursing & Rehabilitation Center
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
173
Total Staff
145
Employees
28
Contractors
56,170
Total Hours (Quarter)
77
Avg Staff/Day
8
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 32 | 8.8 | Yes |
| Licensed Practical Nurse | 29 | 8.2 | Yes |
| Certified Nursing Assistant | 76 | 8.1 | No |
Staff by Category
Administration ⓘ
3 staff
7.6hs shift avg
Nursing Staff ⓘ
139 staff
8.2hs shift avg
Physicians & Practitioners ⓘ
8 staff
7.8hs shift avg
Therapy Services ⓘ
14 staff
6.3hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
6.5hs shift avg
Dietary Services ⓘ
6 staff
7.1hs shift avg
Other Services ⓘ
2 staff
7hs shift avg
Contractor Analysis
1.3%
of total hours from contractors
738 contractor hours this quarter
Registered Nurse: 20
Licensed Practical Nurse: 5
Qualified Social Worker: 1
Medical Director: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 76 | 0 | 76 | 33,659 | 91 | 100% | 8.1 |
| Licensed Practical Nurse | 24 | 5 | 29 | 7,097 | 91 | 100% | 8.2 |
| Registered Nurse | 12 | 20 | 32 | 4,832 | 91 | 100% | 8.8 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 2,579 | 83 | 91% | 7.9 |
| Other Dietary Services Staff | 6 | 0 | 6 | 2,091 | 91 | 100% | 7.1 |
| Physical Therapy Assistant | 5 | 0 | 5 | 1,046 | 79 | 87% | 5.9 |
| Respiratory Therapy Technician | 6 | 0 | 6 | 915 | 84 | 92% | 6.2 |
| RN Director of Nursing | 2 | 0 | 2 | 830 | 67 | 74% | 7.3 |
| Nurse Practitioner | 1 | 0 | 1 | 460 | 61 | 67% | 7.5 |
| Administrator | 1 | 0 | 1 | 443 | 59 | 65% | 7.5 |
| Dental Services Staff | 1 | 0 | 1 | 418 | 58 | 64% | 7.2 |
| Speech Language Pathologist | 1 | 0 | 1 | 402 | 49 | 54% | 8.2 |
| Physical Therapy Aide | 1 | 0 | 1 | 387 | 62 | 68% | 6.2 |
| Occupational Therapy Aide | 1 | 0 | 1 | 340 | 55 | 60% | 6.2 |
| Qualified Social Worker | 0 | 1 | 1 | 314 | 48 | 53% | 6.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 306 | 45 | 49% | 6.8 |
| Medical Director | 0 | 2 | 2 | 54 | 6 | 7% | 9 |
Health Inspection History
Inspections
Total health citations
28
Citations per inspection
7
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
27 of 28 citations resulted from standard inspections; and 1 of 28 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Massachusetts averageMassachusetts average: 0.3
Serious Health citations
1
1
33% better than Massachusetts averageMassachusetts average: 1.5
0 critical citations
1 serious citation
27 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Dec 05, 2024
Corrected
Abuse/Neglect moderate citation
Dec 05, 2024
Corrected
Infection Control moderate citation
Dec 05, 2024
Corrected
Quality of Care moderate citation
Dec 05, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Corporation
Resident Census by Payment Source
124
Total Residents
Medicare
12
(9.7%)
ⓘ
Medicaid
48
(38.7%)
ⓘ
Private Pay/Other
64
(51.6%)
ⓘ
Specialized Care Beds
36
Total Specialty Beds
26.7%
of Bed Capacity
36
Alzheimer's / Dementia Beds ⓘ
26.7%
Programs & Services
Residents' Group
ⓘ
Family Member Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Family Council
ⓘ
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.8
24% better than Massachusetts averageMassachusetts average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.3
29% better than Massachusetts averageMassachusetts average: 20.0
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
15.9%
Percent of long-stay residents whose need for help with daily activities has increased
15.9%
15% better than Massachusetts averageMassachusetts average: 18.7%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
13.3%
Percent of long-stay residents whose ability to move independently worsened
13.3%
31% better than Massachusetts averageMassachusetts average: 19.3%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
13.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
13.6%
38% better than Massachusetts averageMassachusetts average: 22.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.3%
Percent of long-stay residents experiencing one or more falls with major injury
2.3%
37% better than Massachusetts averageMassachusetts average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.1%
Percent of long-stay high risk residents with pressure ulcers
4.1%
13% better than Massachusetts averageMassachusetts average: 4.7%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
6.1%
Percent of long-stay residents with a urinary tract infection
6.1%
195% worse than Massachusetts averageMassachusetts average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.3%
Percent of long-stay residents who lose too much weight
3.3%
37% better than Massachusetts averageMassachusetts average: 5.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.2%
Percent of long-stay residents who have depressive symptoms
0.2%
98% better than Massachusetts averageMassachusetts average: 10.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
27.7%
Percent of long-stay residents who received an antipsychotic medication
27.7%
37% worse than Massachusetts averageMassachusetts average: 20.3%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.4%
10% worse than Massachusetts averageMassachusetts average: 91.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Massachusetts averageMassachusetts average: 94.8%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.96
Number of hospitalizations per 1,000 long-stay resident days.
2.96
59% worse than Massachusetts averageMassachusetts average: 1.86
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.12
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.12
27% better than Massachusetts averageMassachusetts average: 1.54
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.7%
8% worse than Massachusetts averageMassachusetts average: 76.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
26% better than Massachusetts averageMassachusetts average: 1.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
82.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
82.7%
6% better than Massachusetts averageMassachusetts average: 77.7%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.8%
12% better than Massachusetts averageMassachusetts average: 25.8%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
10.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.2%
14% better than Massachusetts averageMassachusetts average: 11.8%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.6%
Percentage of SNF residents who experience falls with major injury during their stay.
1.6%
112% worse than Massachusetts averageMassachusetts average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
26.2%
Percentage of residents at or above expected ability to care for themselves at discharge.
26.2%
51% worse than Massachusetts averageMassachusetts average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
55.9%
Rate of successful return to home or community from a skilled nursing facility.
55.9%
11% better than Massachusetts averageMassachusetts average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$19K
74% lower than Massachusetts averageMassachusetts average: $72K
Number of fines
2
17% more fines than Massachusetts averageMassachusetts average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Massachusetts averageMassachusetts average: 0.1
Fines amount comparison
Fines amount comparison
This facility
$19K
Massachusetts average
$72K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 20, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 20, 2023
$13K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 23, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 23, 2023
$5K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Belmont Manor Nursing & Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
95.3%
↓ 0.5pp vs 2022
Net Income
$348,007
↑ ~$492K vs 2022
Total Payroll
$14,683,663
↑ ~$165K vs 2022
Profit Margin
1.6%
↑ 2.3pp vs 2022
Loading trend charts...
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