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Nursing Home in Middlesex County

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Belmont Manor Nursing & Rehabilitation Center

Nursing Home in Middlesex County

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Belmont Manor Nursing & Rehabilitation Center

34 Agassiz Ave, Belmont, MA 02478 View map
Overview of Belmont Manor Nursing & Rehabilitation Center

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.

Managed by Stewart A. Karger

Administrator

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

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
3/5
Massachusetts average: 3.2/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
2/5
Massachusetts average: 3.0/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
5/5
Massachusetts average: 3.4/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
2/5
Massachusetts average: 3.3/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
4h 43m per day

This home provides 10% more nursing time per resident than the Massachusetts average.

Massachusetts average: 4h 18m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 135

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Massachusetts average
Occupancy rate 14.1%
Residents per day 19
Occupancy rate
14.1%
Residents per day
19

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

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

Privately-owned community
Operated by a business corporation.
Home revenue
$21.7M
Profit
$348.0K
Privately-owned community Operated by a business corporation.
Home revenue
$21,730,592.00
Profit
$348,007.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$12.6M
58.2% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.7M
Total costs $21.4M
Walk Score
Walk Score: 79 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
BBB Rating
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

About this community

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactMr. Stewart Karger, Vice President

Payment & Insurance

1 service
Accept Medicaid

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
Skilled Nursing

Additional Services

1 service
Rehabilitation

Amenities & Lifestyle

23 amenities
Skilled And Intermediate Levels Of Nursing Care
Short Term Rehabilitation
Licensed Social Worker
Physical Therapy
Occupational Therapy
Speech Therapy
Audiology
Podiatry
Ophthalmology
Comprehensive Dental Services
Respite Care
Alzheimer’s Special Care Unit
Medicaid-Certified
Medicare-Certified
Dieticians
Special Diets
Full Activity Program Including External Activities
Barber And Beautician Services
Full Laundry Services
Weekly Religious Services
Cable Tv
Telephone
Wi-Fi (First Floor)
Specific ProgramsSkilled Nursing, Rehabilitation, Social Services, Environmental Services, Dining, Special Care Unit, Activities
Religious ServicesYes

What does this home offer?

Accepts Medicaid icon
Accepts Medicaid icon

Accept Medicaid: Yes

Housing options icon
Housing options icon

Housing Options: Private / 2 Bed Rooms

Building type icon
Building type icon

Building Type: 3-story

Dining services icon
Dining services icon

Dining Services

Beauty services icon
Beauty services icon

Beauty Services

Housekeeping icon
Housekeeping icon

Housekeeping Services

Recreational activities icon
Recreational activities icon

Recreational Activities

Exercise program icon
Exercise program icon

Exercise Programs

Types of Care at Belmont Manor Nursing & Rehabilitation Center

Nursing Home Memory Care
Contact Belmont Manor Nursing & Rehabilitation Center

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.

Payment & Funding Options

Medicaid

Inspection History

In Massachusetts, the Executive Office of Elder Affairs (for assisted living facilities) and the Department of Public Health (for nursing homes) are the agencies authorized to inspect and report on facility safety.

4 visits/inspections

1 visits/inspections triggered by complaints

2 routine inspections

Results

4 with issues

0 without issues

Massachusetts average: 21 visits/inspections

Massachusetts average: 22 complaint visits

Massachusetts average: 4 inspections

Latest inspection

Date December 5, 2024
Routine

27 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Massachusetts average: 28 deficiencies

Health Inspection History

Inspections
Total health inspections 4

Massachusetts average 4.5


Last Health inspection on Dec 2024

Total health citations 28

Massachusetts average 32.7

Citations per inspection
7

Massachusetts average 7.24


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 More info 0
100% better than Massachusetts average

Massachusetts average: 0.3


Serious Health citations More info 1
33% better than Massachusetts average

Massachusetts average: 1.5

0 critical citations More info Massachusetts average: 0.3

1 serious citation More info Massachusetts average: 1.5

27 moderate citations More info Massachusetts average: 29.7

0 minor citations More info Massachusetts average: 1.3
Citations history (last 3 years)
Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Dec 05, 2024
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Dec 05, 2024
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Dec 05, 2024
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Dec 05, 2024
Corrected

Compare Nursing Homes around Middlesex County The information below is reported by the Massachusetts Executive Office of Elder Affairs and Department of Public Health.

5 facilities compared · CMS & MA Dept. of Health data · Updated Apr 2026

Filter by care type
Lasell Village
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Newton (Auburndale)
38
63.3%
-23%
6.86
+65%
+74%
0
6
3.0
0
22
-
52
Vianello, Alessandro
$5.7M
$8.7M
153.4%
225755
1 Bed / 2 Bed
Life Care Center of Nashoba Valley
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Littleton
120
85.4%
+4%
4.16
+137%
+6%
0
15
5.0
0
111
-
5
Laroche, Shari
$25.6M
$8.8M
34.2%
225569
Private / Semi-Private Rooms
Life Care Center of Acton
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Acton
143
74.2%
-9%
3.73
-28%
-5%
1
16
5.3
1
119
-
39
Foye, Christopher
$21.5M
$7.8M
36.1%
225191
Private / Semi-Private Rooms
Belmont Manor Nursing & Rehabilitation Center
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Belmont
135
95.3%
+16%
4.72
+43%
+20%
2
28
7.0
1
124
A+
79
Karger, Stewart
$21.5M
$12.6M
58.9%
225419
Private / 2 Bed Rooms
Life Care Center of Merrimack Valley
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Billerica (North Billerica)
124
85.8%
+5%
4.24
+13%
+8%
1
31
7.8
0
103
-
40
Babb, Karen
$22.5M
$8.1M
36%
225546
Private / Semi-Private Rooms

Places of interest near Belmont Manor Nursing & Rehabilitation Center

Address 1.3 miles from city center

Address 34 Agassiz Ave, Belmont, MA 02478

Calculate Travel Distance to Belmont Manor Nursing & Rehabilitation Center

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 173
Employees 145
Contractors 28
Staff to resident ratio 1.40:1
18% worse than Massachusetts average

Massachusetts average ratio: 1.70:1

Avg staff/day 77
Average shift 8 hours
0% compared with Massachusetts average

Massachusetts average: 7.9 hours

Total staff hours (quarter) 56,170
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 32
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 29
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 76
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

1.3%

738 contractor hours this quarter

Registered Nurse: 20 Licensed Practical Nurse: 5 Medical Director: 2 Qualified Social Worker: 1
Staff by category
Certified Nursing Assistant7607633,65991100%8.1
Licensed Practical Nurse245297,09791100%8.2
Registered Nurse1220324,83291100%8.8
Clinical Nurse Specialist7072,5798391%7.9
Other Dietary Services Staff6062,09191100%7.1
Physical Therapy Assistant5051,0467987%5.9
Respiratory Therapy Technician6069158492%6.2
RN Director of Nursing2028306774%7.3
Nurse Practitioner1014606167%7.5
Administrator1014435965%7.5
Dental Services Staff1014185864%7.2
Speech Language Pathologist1014024954%8.2
Physical Therapy Aide1013876268%6.2
Occupational Therapy Aide1013405560%6.2
Qualified Social Worker0113144853%6.5
Mental Health Service Worker1013064549%6.8
Medical Director0225467%9
76 Certified Nursing Assistant
% of Days 100%
29 Licensed Practical Nurse
% of Days 100%
32 Registered Nurse
% of Days 100%
7 Clinical Nurse Specialist
% of Days 91%
6 Other Dietary Services Staff
% of Days 100%
5 Physical Therapy Assistant
% of Days 87%
6 Respiratory Therapy Technician
% of Days 92%
2 RN Director of Nursing
% of Days 74%
1 Nurse Practitioner
% of Days 67%
1 Administrator
% of Days 65%
1 Dental Services Staff
% of Days 64%
1 Speech Language Pathologist
% of Days 54%
1 Physical Therapy Aide
% of Days 68%
1 Occupational Therapy Aide
% of Days 60%
1 Qualified Social Worker
% of Days 53%
1 Mental Health Service Worker
% of Days 49%
2 Medical Director
% of Days 7%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
124 residents
Residents by payment source
Medicare
12 residents (9.7%)
Medicaid
48 residents (38.7%)
Private pay or other
64 residents (51.6%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

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 Info 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 average

Massachusetts average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 14.3
29% better than Massachusetts average

Massachusetts average: 20.0

Long-stay resident measures
Below average Massachusetts avg: 3.5 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 15.9%
15% better than Massachusetts average

Massachusetts average: 18.7%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 13.3%
31% better than Massachusetts average

Massachusetts average: 19.3%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 13.6%
38% better than Massachusetts average

Massachusetts average: 22.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.3%
37% better than Massachusetts average

Massachusetts average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.1%
13% better than Massachusetts average

Massachusetts average: 4.7%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 6.1%
195% worse than Massachusetts average

Massachusetts average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.3%
37% better than Massachusetts average

Massachusetts average: 5.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.2%
98% better than Massachusetts average

Massachusetts average: 10.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 27.7%
37% worse than Massachusetts average

Massachusetts average: 20.3%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 82.4%
10% worse than Massachusetts average

Massachusetts average: 91.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than Massachusetts average

Massachusetts average: 94.8%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.96
59% worse than Massachusetts average

Massachusetts average: 1.86

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.12
27% better than Massachusetts average

Massachusetts average: 1.54

Short-stay resident measures
Average Massachusetts avg: 3.4 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 70.7%
8% worse than Massachusetts average

Massachusetts average: 76.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.0%
26% better than Massachusetts average

Massachusetts average: 1.3%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 82.7%
6% better than Massachusetts average

Massachusetts average: 77.7%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 22.8%
12% better than Massachusetts average

Massachusetts average: 25.8%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 10.2%
14% better than Massachusetts average

Massachusetts average: 11.8%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.6%
112% worse than Massachusetts average

Massachusetts average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 26.2%
51% worse than Massachusetts average

Massachusetts average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 55.9%
11% better than Massachusetts average

Massachusetts average: 50.6%

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 average

Massachusetts average: $72K

Number of fines 2
17% more fines than Massachusetts average

Massachusetts average: 1.7

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Massachusetts average

Massachusetts 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jul 20, 2023
$13K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 23, 2023
$5K

Last updated: Jan 2026

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Financial Aid for Massachusetts Seniors

Get financial aid guidance

Home Care Program

MassHealth Home Care

Age 60+, Massachusetts resident, at risk of nursing home placement.

~$1,500/month (individual, varies by region).

$2,000 (individual, excludes home, car).

Coordinated through Aging Services Access Points (ASAPs); high demand in urban areas.

Frail Elder Waiver

Massachusetts Medicaid FE Waiver

Age 65+, Massachusetts resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Requires clinical eligibility determination.

Senior Care Options (SCO)

Massachusetts Senior Care Options

Age 65+, Massachusetts resident, eligible for MassHealth (Medicare optional), nursing home-level care need.

~$2,829/month (300% FBR, individual); QIT allowed.

$2,000 (individual), $3,000 (couple) (excludes home up to $713,000, car).

Not available in Dukes/Nantucket Counties; multiple SCO providers (e.g., CCA, Tufts).

Medicare Savings Program (MSP)

Massachusetts Medicare Savings Program (MassHealth Buy-In)

Age 65+ or disabled, Massachusetts resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

National Family Caregiver Support Program (NFCSP) Respite

Massachusetts NFCSP Respite Care

Caregivers of 60+ needing care or 55+ caregivers of others; Massachusetts resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

27 ASAPs; prioritizes low-income, rural caregivers.

Prescription Advantage

Massachusetts Prescription Advantage

Age 65+ or disabled, Massachusetts resident, enrolled in Medicare Part D (or ineligible for Medicare).

No strict limit; copays vary by income (~$24,980-$75,000/year individual).

Not assessed.

Supplements Medicare Part D; no enrollment fee for low-income.

Senior Community Service Employment Program (SCSEP)

Massachusetts SCSEP

Age 55+, unemployed, low-income, Massachusetts resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Massachusetts VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Massachusetts resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand statewide.