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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.

Life Care Center of Nashoba Valley

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.

Life Care Center of Nashoba Valley

191 Foster St., Littleton, MA 01460 View map
Overview of Life Care Center of Nashoba Valley

Life Care Center of Nashoba Valley is an idyllic retreat nestled in the serene Foster Street, Littleton, MA, that offers nursing care and rehabilitation. Here, residents enjoy the highest quality of care and assistance around the clock, ensuring comfort and convenience. The community also features secured memory care units, ideal for residents with memory-related needs.

Ensuring residents’ well-being, the community conducts a jam-packed calendar of fun activities and engaging programs tailored to their leisure and wellness. Prioritizing residents’ health, diverse dining options are served based on their dietary needs and preferences. The community also hosts a Parkinson’s Support group, ensuring those with the same condition find solace in a supportive environment. Residents also enjoy the community’s beautifully maintained grounds, library, and serene courtyards, creating the perfect setting for a wondrous retirement.

(978) 486-3512

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.
5/5
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.
4/5
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.
4/5
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.
5/5
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 9m per day

This home provides 3% less nursing time per resident than the Massachusetts average.

Massachusetts average: 4h 18m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 44m per day 39m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 23m per day 2h 16m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 3h 44m per day 3h 27m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 6m per day 4m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 31m per day 28m per day 29m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 120

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Massachusetts average
Occupancy rate 85.4%
Residents per day (avg) 111
Occupancy rate
85.4%
Residents per day (avg)
111

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

49% of new residents, usually for short-term rehab.

Typical stay 23 days

Private pay

26% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

25% of new residents, often for long-term daily care.

Typical stay 6 months

Finances and operations

Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$25.7M
Operating loss
-$1.7M
Privately-owned community Operated by a partnership between two or more business owners.
Home revenue
$25,689,969.00
Operating loss
$-1,667,743.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$8.8M
34.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$18.6M
Total costs $27.4M
Years in operation
47 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 5 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Additional Licensing Details

CMS Certification Number225569
AwardsBest nursing home in 2021-2022 by U.S. News & World Report

Staffing

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

Leadership

ContactMs. Ellen Levinson, Executive Manager

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

2 services
Skilled Nursing
24-Hour Staffing

Additional Services

2 services
Rehabilitation
Alzheimer's And Dementia Care

Amenities & Lifestyle

25 amenities
24-Hour Security And Fire Safety Systems
Beauty Salon And Barber Shop
Bedside And Bathroom Call Lights
Certified Dietitian
Community Re-Entry Program
Complimentary Wireless Internet
Daily Activity Schedule
Family/Resident Councils
Fine Dining Program
Flat-Screen Tvs
Flexible Visiting Hours
Full-Time
Certified Activity Director
Homelike Setting
Housekeeping And Laundry Services
Landscaped Grounds And Courtyards
Library
Non-Smoking Facility
Pet Visitors Allowed
Private And Semiprivate Rooms
Private Bathrooms
Religious Services
Patient/Family Education Program
Telephone And Cable Television Hookups
Transportation Services
Specific ProgramsSkilled Nursing, Rehabilitation, Parkinson's Support
Religious ServicesYes

What does this home offer?

Accepts Medicaid icon
Accepts Medicaid icon

Accept Medicaid: Yes

Pets allowed icon
Pets allowed icon

Pets Allowed: Yes, Pets Allowed

Housing options icon
Housing options icon

Housing Options: Private / Semi-Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Dining services icon
Dining services icon

Dining Services

Beauty services icon
Beauty services icon

Beauty Services

Transportation services icon
Transportation services icon

Transportation 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 Life Care Center of Nashoba Valley

Nursing Home
Contact Life Care Center of Nashoba Valley

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.

3 visits/inspections

2 routine inspections

Results

3 with issues

0 without issues

Massachusetts average: 21 visits/inspections

Massachusetts average: 22 complaint visits

Massachusetts average: 4 inspections

Latest inspection

Date August 14, 2025
Routine

15 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 3

Massachusetts average 4.5


Last Health inspection on Aug 2025

Total health citations 15

Massachusetts average 32.7

Citations per inspection
5

Massachusetts average 7.24


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 15 citations resulted from standard inspections.

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 0
100% better than Massachusetts average

Massachusetts average: 1.5

0 critical citations More info Massachusetts average: 0.3

0 serious citations More info Massachusetts average: 1.5

15 moderate citations More info Massachusetts average: 29.7

0 minor citations More info Massachusetts average: 1.3
Citations history (last 3 years)
Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Aug 14, 2025
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Aug 14, 2025
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Aug 14, 2025
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Aug 14, 2025
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 Life Care Center of Nashoba Valley

Address 1.7 miles from city center

Address 191 Foster St., Littleton, MA 01460

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Staffing Data (Q2 2025)

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

Total staff 231
Employees 146
Contractors 85
Staff to resident ratio 2.06:1
21% better than Massachusetts average

Massachusetts average ratio: 1.70:1

Avg staff/day 71
Average shift 8.3 hours
5% better than Massachusetts average

Massachusetts average: 7.9 hours

Total staff hours (quarter) 53,418
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 71
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.3 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 43
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 58
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

6.7%

3,581 contractor hours this quarter

Registered Nurse: 58 Licensed Practical Nurse: 21 Occupational Therapy Assistant: 5 Medical Director: 1
Staff by category
Certified Nursing Assistant5805824,94891100%8.5
Licensed Practical Nurse2221438,27591100%8.4
Registered Nurse1358716,67091100%9.3
Other Dietary Services Staff8082,43691100%7
Clinical Nurse Specialist5051,4496470%8.7
Physical Therapy Aide6061,3058897%6.3
Physical Therapy Assistant6061,2778998%6.8
Speech Language Pathologist7071,0838796%6.4
Respiratory Therapy Technician3031,0687785%7.4
RN Director of Nursing5051,0666673%8.2
Dietitian3035725560%8.2
Nurse Practitioner2025606066%8
Administrator1015206571%8
Qualified Social Worker2024906369%7.4
Occupational Therapy Aide1014745156%9.3
Mental Health Service Worker1014565763%8
Dental Services Staff1014205662%7.5
Nurse Aide in Training1012533134%8.2
Occupational Therapy Assistant05553910%4.8
Medical Director0113233%10.5
Other Physician1011233%4
58 Certified Nursing Assistant
% of Days 100%
43 Licensed Practical Nurse
% of Days 100%
71 Registered Nurse
% of Days 100%
8 Other Dietary Services Staff
% of Days 100%
5 Clinical Nurse Specialist
% of Days 70%
6 Physical Therapy Aide
% of Days 97%
6 Physical Therapy Assistant
% of Days 98%
7 Speech Language Pathologist
% of Days 96%
3 Respiratory Therapy Technician
% of Days 85%
5 RN Director of Nursing
% of Days 73%
3 Dietitian
% of Days 60%
2 Nurse Practitioner
% of Days 66%
1 Administrator
% of Days 71%
2 Qualified Social Worker
% of Days 69%
1 Occupational Therapy Aide
% of Days 56%
1 Mental Health Service Worker
% of Days 63%
1 Dental Services Staff
% of Days 62%
1 Nurse Aide in Training
% of Days 34%
5 Occupational Therapy Assistant
% of Days 10%
1 Medical Director
% of Days 3%
1 Other Physician
% of Days 3%

Facility Characteristics

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

Total census
112 residents
Residents by payment source
Medicare
19 residents (17%)
Medicaid
56 residents (50%)
Private pay or other
37 residents (33%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, 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. 6.2
39% 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. 12.9
35% better than Massachusetts average

Massachusetts average: 20.0

Long-stay resident measures
Above 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 7.1%
62% better than Massachusetts average

Massachusetts average: 18.7%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 5.6%
71% 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 26.1%
18% worse 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 4.6%
27% worse than Massachusetts average

Massachusetts average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 7.4%
58% worse than Massachusetts average

Massachusetts average: 4.7%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.2%
44% better than Massachusetts average

Massachusetts average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.6%
27% worse than Massachusetts average

Massachusetts average: 5.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 9.1%
15% better than Massachusetts average

Massachusetts average: 10.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 24.3%
20% worse than Massachusetts average

Massachusetts average: 20.3%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 95.7%
In line with Massachusetts average

Massachusetts average: 91.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 92.4%
In line with Massachusetts average

Massachusetts average: 94.8%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.15
38% better 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. 1.75
14% worse than Massachusetts average

Massachusetts average: 1.54

Short-stay resident measures
Significantly above 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 94.2%
23% better than Massachusetts average

Massachusetts average: 76.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.2%
83% better than Massachusetts average

Massachusetts average: 1.3%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 89.3%
15% 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. 19.5%
24% better than Massachusetts average

Massachusetts average: 25.8%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 13.0%
10% worse 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. 1.7%
123% 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. 80.1%
49% better 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. 66.8%
32% better than Massachusetts average

Massachusetts average: 50.6%

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Financial Aid for Massachusetts Seniors

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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.