4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Experience the finest things in retirement living with Carleton-Willard Village, a non-profit community in Bedford, MA, dedicated to offering skilled nursing care, rehabilitation, and assisted living. Residents enjoy utmost comfort and safety in their well-appointed accommodations with easy access to cozy common areas and amenities like their hair salon, auditorium, and the Victoria Café. Dedicated to helping residents live their best lives without worries, the community provides them with comprehensive care services, including daily living assistance, therapy services, and more.
Those living with memory conditions will thrive in a safe and secure environment with access to a multi-level activity program designed to give them enriching experiences that nurture their overall well-being. Dining is a cozy and satisfying experience in the community with its flexible dining options and well-prepared meals that suit residents’ individual dietary needs and preferences.
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.
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.
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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 6th out of 93 homes in Massachusetts for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 2m per day | ▲ 59% State avg: 39m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 47m per day | ▼ 19% State avg: 58m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 18m per day | ▲ 46% State avg: 2h 16m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 53m per day | ▲ 41% State avg: 3h 27m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 8m per day | ▲ 112% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 57m per day | ▲ 102% State avg: 28m per day · National avg: 29m per day |
Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Massachusetts state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | MA Average | vs. MA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 11 | 14 | This facility has 21% fewer total citations than a typical Massachusetts nursing home (11 vs. MA avg 14).↓ 21% better |
|
Citations per year
Average citations per year since 2022.
| 2.8 | 3.5 | This facility has 20% fewer citations per year than a typical Massachusetts nursing home (2.8 vs. MA avg 3.5).↓ 20% better |
|
Citations per inspection
Average citations per inspection.
| 1.8 | 0.7 | This facility has 157% more citations per inspection than a typical Massachusetts nursing home (1.8 vs. MA avg 0.7).↑ 157% worse |
Inspections
| This Facility | MA Average | vs. MA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 6 | 21 | This facility has 71% fewer total inspections than a typical Massachusetts nursing home (6 vs. MA avg 21).↓ 71% better |
Massachusetts average 4.5
Last Health inspection on Jun 2025
Massachusetts average 32.7
Massachusetts average 7.24
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
2 of 11 citations resulted from standard inspections; and 9 of 11 resulted from complaint investigations.
900% worse than Massachusetts averageMassachusetts average: 0.3
33% worse than Massachusetts averageMassachusetts average: 1.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
27% more staff per resident than Massachusetts average
0% compared with Massachusetts average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
28 total: 21 full-time employees and 7 contractors.
28
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursAssists with medical care and medications.
23 total: 20 full-time employees and 3 contractors.
23
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursHelps with daily care and mobility.
90 total: 87 full-time employees and 3 contractors.
90
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
405 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 87 | 3 | 90 | 28,595 | 92 | 100% | 7.7 |
| Registered Nurse | 21 | 7 | 28 | 6,169 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 20 | 3 | 23 | 5,223 | 92 | 100% | 7.2 |
| Other Dietary Services Staff | 20 | 0 | 20 | 2,874 | 92 | 100% | 7.3 |
| Clinical Nurse Specialist | 9 | 0 | 9 | 2,285 | 92 | 100% | 8.7 |
| RN Director of Nursing | 3 | 0 | 3 | 1,532 | 90 | 98% | 8.2 |
| Respiratory Therapy Technician | 9 | 0 | 9 | 1,223 | 83 | 90% | 6.1 |
| Physical Therapy Assistant | 5 | 0 | 5 | 1,196 | 74 | 80% | 7 |
| Mental Health Service Worker | 3 | 0 | 3 | 877 | 64 | 70% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 810 | 63 | 68% | 7.9 |
| Dietitian | 2 | 0 | 2 | 651 | 62 | 67% | 6.8 |
| Speech Language Pathologist | 2 | 0 | 2 | 486 | 68 | 74% | 6.7 |
| Physical Therapy Aide | 1 | 0 | 1 | 479 | 61 | 66% | 7.8 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 385 | 50 | 54% | 7.7 |
| Feeding Assistant | 3 | 0 | 3 | 318 | 46 | 50% | 6.9 |
| Medical Director | 0 | 1 | 1 | 52 | 13 | 14% | 4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 25 | 6 | 7% | 4.2 |
Includes penalties issued in 2024-2025
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)
65% lower than Massachusetts averageMassachusetts average: $72K
17% more fines than Massachusetts averageMassachusetts average: 1.7
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 10, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 29, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.1
21% better than Massachusetts averageMassachusetts average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.3
24% better than Massachusetts averageMassachusetts average: 20.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
15.5%
17% better than Massachusetts averageMassachusetts average: 18.7%
Percent of long-stay residents whose ability to move independently worsened
14.5%
25% better than Massachusetts averageMassachusetts average: 19.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.8%
29% better than Massachusetts averageMassachusetts average: 22.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
20% better than Massachusetts averageMassachusetts average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
4.0%
14% better than Massachusetts averageMassachusetts average: 4.7%
Percent of long-stay residents with a urinary tract infection
1.5%
30% better than Massachusetts averageMassachusetts average: 2.1%
Percent of long-stay residents who lose too much weight
3.7%
29% better than Massachusetts averageMassachusetts average: 5.2%
Percent of long-stay residents who have depressive symptoms
0.3%
97% better than Massachusetts averageMassachusetts average: 10.7%
Percent of long-stay residents who received an antipsychotic medication
11.5%
43% better than Massachusetts averageMassachusetts average: 20.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.9%
8% better than Massachusetts averageMassachusetts average: 91.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
In line with Massachusetts averageMassachusetts average: 94.8%
Number of hospitalizations per 1,000 long-stay resident days.
1.04
44% better than Massachusetts averageMassachusetts average: 1.86
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.12
27% better than Massachusetts averageMassachusetts average: 1.54
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.5%
13% better than Massachusetts averageMassachusetts average: 76.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Massachusetts averageMassachusetts average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.6%
14% better than Massachusetts averageMassachusetts average: 77.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
15.3%
41% better than Massachusetts averageMassachusetts average: 25.8%
Percentage of short-stay residents who had an outpatient emergency department visit.
4.4%
63% better than Massachusetts averageMassachusetts average: 11.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Massachusetts averageMassachusetts average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
50.8%
5% worse than Massachusetts averageMassachusetts average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
40.8%
19% worse 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.
48% of new residents, usually for short-term rehab.
49% of new residents, often for short stays.
3% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
97Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Carleton-Willard Village from 2017–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #3 / 96Payroll — State benchmarkedThis home is ranked 3rd out of 96 homes in Massachusetts. Shows total annual staff payroll benchmarked to the Massachusetts average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #80 / 96Payroll % — State benchmarkedThis home is ranked 80th out of 96 homes in Massachusetts. Shows payroll as a percentage of revenue versus the Massachusetts average. Well-run Massachusetts facilities typically land around 54–65% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Housing Options: 1 Bed / 2 Bed Apartments
Building Type: Single-story
Beauty Services
Transportation Services
Housekeeping Services
Recreational Activities
Exercise Programs
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under private pay (49% of admissions), and a typical private pay stay runs around 1 - 2 years.
Coverage residents most often arrive under.
Coverage residents most often leave under.
Jeffrey R. Williams is an experienced executive with a distinguished career in financial services and education across Greater China. He was the inaugural Executive Director and General Manager of Harvard Center (Shanghai) Co., Ltd., Harvard University’s base of operations in China. Jeff has held senior roles at Citibank, American Express, and Standard Chartered Bank, and serves as an advisor and director for multiple organizations in Asia.
1.8 miles from city center
Estimated distance in miles from Bedford's city center to Carleton-Willard Village's address, calculated via Google Maps.
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Carleton-Willard Village is located in Bedford, Massachusetts.
Here are the financial assistance programs available to residents in Massachusetts.
Carleton-Willard Village has a walk score of 6. Car-dependent. Most errands require a car, with limited nearby walkable options.
Carleton-Willard Village's occupancy is 73.3%.
Yes — there are 3 photos of Carleton-Willard Village in the photo gallery on this page.
Carleton-Willard Village is located at 100 Old Billerica Road, Bedford, MA 01730.
(781) 275-8700 will put you in contact with the team at Carleton-Willard Village.
Yes — Carleton-Willard Village is a CMS-certified provider of Medicare and Medicaid.
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