Life Care Center of Nashoba Valley
Nursing Home, Memory Care & Skilled Nursing · Littleton, MA
CMS overall rating Info 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.

Life Care Center of Nashoba Valley

Nursing Home, Memory Care & Skilled Nursing · Littleton, MA
CMS overall rating Info 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.
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Life Care Center of Nashoba Valley accepts Medicare, Medicaid, and private pay.

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.

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.
▲ 38.0% Above MA avg. ▲ 38.0% Above MA avg.MA average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 40.5% Above MA avg. ▲ 40.5% Above MA avg.MA average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 33.3% Above MA avg. ▲ 33.3% Above MA avg.MA average: 3.0Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 25.8% Above MA avg. ▲ 25.8% Above MA avg.MA average: 3.2Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Massachusetts averages

Rank #21 / 83Nurse hours — State benchmarkedThis home is ranked 21st out of 83 homes we track in Massachusetts for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Massachusetts average, with a ranking across 83 Massachusetts facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Massachusetts that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 21st out of 83 homes we track 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.

4h 13m

7% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
53m
+36% State avg: 39m per day · National avg: 41m per day
LPN / LVN Info 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.
1h 6m
+13% State avg: 58m per day · National avg: 52m per day
Nurse Aide Info 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.
2h 14m
Avg State avg: 2h 16m per day · National avg: 2h 21m per day
Weekend Total Nursing Info 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.
3h 40m
+6% State avg: 3h 27m per day · National avg: 3h 26m per day
Physical Therapist Info 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.
7m
+70% State avg: 4m per day · National avg: 4m per day
Weekend RN Info 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.
37m
+33% State avg: 28m per day · National avg: 29m per day

0 of 6 metrics below state avg

Capacity and availability

This home usually has limited availability

Higher occupancy than the Massachusetts average: 80.2%
Occupancy rate
90.8% Rank #27 / 79Occupancy rate — State benchmarkedThis home is ranked 27th out of 79 homes we track in Massachusetts for occupancy. Shows this facility's occupancy rate versus the Massachusetts average, with its Statewide rank out of 79. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Massachusetts that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Residents per day (avg)
109
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
75 days
Bed community size
120-bed community Rank #63 / 276Bed count — State benchmarkedThis home is ranked 63rd out of 276 homes we track in Massachusetts for bed count. Shows this facility's certified or reported bed count compared to other Massachusetts facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Massachusetts that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
47 years in operation Rank #1 / 181Years in operation — State benchmarkedThis home is ranked 1st out of 181 homes we track in Massachusetts for years in operation. Shows how long this facility has been in operation compared to other Massachusetts facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Massachusetts that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 5 / 100 Rank #482 / 490Walk Score — State benchmarkedThis home is ranked 482nd out of 490 homes we track in Massachusetts for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Massachusetts facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Massachusetts that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Awards

Best nursing home in 2021-2022 by U.S. News & World Report

License Details

CMS Certification Number225569

Type Of Units

Low Income Rooms Yes/No from payment or funding tags indicating low-income accessibility options in state disclosures—not a determination of personal eligibility.
No
Total beds
120 units

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Additional Services

1 service
Alzheimer's And Dementia Care

Amenities & Lifestyle

Salon
Emergency Call System
Wi-Fi
Activities
Dining
Housekeeping
Laundry
Courtyard
Library
Pet Friendly
Religious Services
Cable Tv
Transportation
Specific ProgramsParkinson's Support
Religious Services

Contact Life Care Center of Nashoba Valley

CMS Health Inspection History

Inspections Since 2023 · 3 years of data
Total health inspections 3

Massachusetts average 4.5


Last Health inspection on Aug 2025

Total health citations
15 Rank #19 / 85Health citations — State benchmarkedThis home is ranked 19th out of 85 homes we track in Massachusetts for health citations. Shows this facility's total health deficiency citations benchmarked to the Massachusetts State average, with a ranking across all 85 MA facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Massachusetts that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Massachusetts average 32.7

Citations per inspection
5 Rank #27 / 85Citations per inspection — State benchmarkedThis home is ranked 27th out of 85 homes we track in Massachusetts for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Massachusetts mean across 85 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Massachusetts that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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
0
100% better than Massachusetts average

Massachusetts average: 0.3


Serious health citations
0
100% better than Massachusetts average

Massachusetts average: 1.5

0 critical citations Massachusetts average: 0.3

0 serious citations Massachusetts average: 1.5

15 moderate citations Massachusetts average: 29.7

0 minor citations Massachusetts average: 1.3
Citations history (last 3 years)
Pharmacy moderate citation Aug 14, 2025
Corrected

Pharmacy moderate citation Aug 14, 2025
Corrected

Care Planning moderate citation Aug 14, 2025
Corrected

Care Planning moderate citation Aug 14, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 163
Employees 155
Contractors 8
Staff to resident ratio 1.46 : 1
12% fewer staff per resident than Massachusetts average
Massachusetts average ratio: 1.66 : 1 Massachusetts average ratio: 1.66 : 1See full Massachusetts ranking
Avg staff/day 73
Average shift 7.9 hours
0% compared with Massachusetts average
Massachusetts average: 7.9 hours Massachusetts average shift: 7.9 hoursSee full Massachusetts ranking
Total staff hours (quarter) 52,959

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 18 total: 16 full-time employees and 2 contractors. 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 26 LPN Staff are full-time employees. No contractors work on this role. 26
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 57 CNA Staff are full-time employees. No contractors work on this role. 57
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

0.2%

97 contractor hours this quarter

Occupational Therapy Assistant: 5 Registered Nurse: 2 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant5705723,71692100%8.2
Licensed Practical Nurse2602610,40092100%8.1
Registered Nurse162185,12092100%8
Other Dietary Services Staff8082,36192100%7.1
Clinical Nurse Specialist8082,2237784%7.8
Physical Therapy Assistant8081,2728896%7.1
Physical Therapy Aide5051,1008896%6
Respiratory Therapy Technician5051,0797784%7.1
Dietitian2021,0487582%8
RN Director of Nursing4041,0406672%7.7
Speech Language Pathologist7079257784%6.6
Administrator1015286672%8
Nurse Practitioner1014645863%8
Occupational Therapy Aide1014505155%8.8
Dental Services Staff1014435964%7.5
Qualified Social Worker3034336166%7.1
Mental Health Service Worker1012563235%8
Occupational Therapy Assistant055571011%4.4
Medical Director0113233%10.5
Other Physician1011233%4
57 Certified Nursing Assistant
% of Days 100%
26 Licensed Practical Nurse
% of Days 100%
18 Registered Nurse
% of Days 100%
8 Other Dietary Services Staff
% of Days 100%

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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
Average Massachusetts avg: 3.6 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: 3.2 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%

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

Facility Characteristics

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

Total residents 112
Medicare
19
17% of residents
Medicaid
56
50% of residents
Private pay or other
37
33% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info 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."
$14.4M
Net patient income Info 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."
-$1.7M
For-profit Operated by a single business entity.
Net patient revenue Info 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."
$14.4M Rank #42 / 82Net patient revenue — State benchmarkedThis home is ranked 42nd out of 82 homes we track in Massachusetts. Shows this facility's net patient revenue compared to the Massachusetts average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Massachusetts that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info 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."
-$1.7M
Other income Info 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.
$67.5K
Payroll costs Info 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 #32 / 82Payroll costs — State benchmarkedThis home is ranked 32nd out of 82 homes we track in Massachusetts. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Massachusetts average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Massachusetts that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$10.1M 70% of net patient revenue Info 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 #16 / 82Payroll % of net patient revenue — State benchmarkedThis home is ranked 16th out of 82 homes we track in Massachusetts. Shows payroll as a percentage of net patient revenue versus the Massachusetts average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Massachusetts that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info 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).
$6.1M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$16.2M

What does this home offer?

Pets allowed icon
Pets allowed icon

Pets Allowed

Housing options icon
Housing options icon

Housing Options: Private / Semi-Private Rooms

Building type icon
Building type icon

Building Type: Single-story

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

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.

New residents most often arrive under Medicare (49% of admissions), and a typical Medicare stay runs around 23 days.

Admissions
499 total

Coverage residents most often arrive under.

Medicare 49%
Private pay 26%
Medicaid 25%
Discharges
498 total

Coverage residents most often leave under.

Medicare 47%
Private pay 25%
Medicaid 28%

Places of interest near Life Care Center of Nashoba Valley

Address 1.7 miles from city center Info Estimated distance in miles from Littleton's city center to Life Care Center of Nashoba Valley's address, calculated via Google Maps.

Calculate Travel Distance to Life Care Center of Nashoba Valley

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Address

Compare Nursing Homes around Middlesex County

Info below is compiled from CMS reports & the MA Executive Office of Elder Affairs, senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Massachusetts average is: 66.2% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
The Leonard Florence Center
NH
ADC
HOS
MC
PC
RC
SNF
Chelsea (Admirals Hill)
100
Facility 100
MA AVG 94
Rank #94 / 276
95.7%
Facility 95.7%
MA AVG 80.2
Rank #5 / 79
+19%
4.51
Facility 4.51
MA AVG 3.93
Rank #13 / 83
0%+15%
$0
Facility $0
MA AVG $76.6k
Rank #1 / 86
13
Facility 13
MA AVG 32.7
Rank #16 / 85
4.3
Facility 4.3
MA AVG 7.2
Rank #20 / 85
-96-
88
Facility 88
MA AVG 53
Rank #63 / 490
Adam Ernst
$20.6MFiscal year ending 12/2023
Facility $20.6MFiscal year ending 12/2023
MA AVG $15.2M
Rank #14 / 82
$14.3MFiscal year ending 12/2023
Facility $14.3MFiscal year ending 12/2023
MA AVG $9.7M
Rank #13 / 82
69.6%Fiscal year ending 12/2023
Facility 69.6%Fiscal year ending 12/2023
MA AVG 66.2%
Rank #19 / 82
225775
Carleton-Willard Village
NH
AL
IL
MC
SNF
Bedford
179
Facility 179
MA AVG 94
Rank #12 / 276
--
5.68
Facility 5.68
MA AVG 3.93
Rank #5 / 83
+7%+45%
$25.5k
Facility $25.5k
MA AVG $76.6k
Rank #67 / 86
11
Facility 11
MA AVG 32.7
Rank #9 / 85
2.8
Facility 2.8
MA AVG 7.2
Rank #5 / 85
533A+
6
Facility 6
MA AVG 53
Rank #481 / 490
Carleton Willard Homes Inc
$39.8MFiscal year ending 12/2023
Facility $39.8MFiscal year ending 12/2023
MA AVG $15.2M
Rank #1 / 82
$21.3MFiscal year ending 12/2023
Facility $21.3MFiscal year ending 12/2023
MA AVG $9.7M
Rank #3 / 82
53.5%Fiscal year ending 12/2023
Facility 53.5%Fiscal year ending 12/2023
MA AVG 66.2%
Rank #59 / 82
225273
CareOne at Concord
NH
MC
RC
SNF
Corner Concord
135
Facility 135
MA AVG 94
Rank #42 / 276
95.8%
Facility 95.8%
MA AVG 80.2
Rank #4 / 79
+19%
3.63
Facility 3.63
MA AVG 3.93
Rank #53 / 83
-77%-8%
$7.9k
Facility $7.9k
MA AVG $76.6k
Rank #47 / 86
4
Facility 4
MA AVG 32.7
Rank #2 / 85
1.3
Facility 1.3
MA AVG 7.2
Rank #1 / 85
1129-
24
Facility 24
MA AVG 53
Rank #383 / 490
-
$17.4MFiscal year ending 12/2023
Facility $17.4MFiscal year ending 12/2023
MA AVG $15.2M
Rank #25 / 82
$10.4MFiscal year ending 12/2023
Facility $10.4MFiscal year ending 12/2023
MA AVG $9.7M
Rank #29 / 82
59.8%Fiscal year ending 12/2023
Facility 59.8%Fiscal year ending 12/2023
MA AVG 66.2%
Rank #49 / 82
225663
Life Care Center of Nashoba Valley
NH
MC
SNF
Littleton
120
Facility 120
MA AVG 94
Rank #63 / 276
90.8%
Facility 90.8%
MA AVG 80.2
Rank #27 / 79
+13%
4.22
Facility 4.22
MA AVG 3.93
Rank #21 / 83
-14%+7%
$0
Facility $0
MA AVG $76.6k
Rank #1 / 86
15
Facility 15
MA AVG 32.7
Rank #19 / 85
5.0
Facility 5.0
MA AVG 7.2
Rank #27 / 85
-109-
5
Facility 5
MA AVG 53
Rank #482 / 490
Shari Laroche
$14.4MFiscal year ending 12/2023
Facility $14.4MFiscal year ending 12/2023
MA AVG $15.2M
Rank #42 / 82
$10.1MFiscal year ending 12/2023
Facility $10.1MFiscal year ending 12/2023
MA AVG $9.7M
Rank #32 / 82
70%Fiscal year ending 12/2023
Facility 70%Fiscal year ending 12/2023
MA AVG 66.2%
Rank #16 / 82
225569
Life Care Center of Acton
NH
SNF
Acton (East Acton)
155
Facility 155
MA AVG 94
Rank #26 / 276
77.9%
Facility 77.9%
MA AVG 80.2
Rank #53 / 79
-3%
4.20
Facility 4.20
MA AVG 3.93
Rank #21 / 83
-51%+7%
$0
Facility $0
MA AVG $76.6k
Rank #1 / 86
16
Facility 16
MA AVG 32.7
Rank #21 / 85
5.3
Facility 5.3
MA AVG 7.2
Rank #30 / 85
1121-
39
Facility 39
MA AVG 53
Rank #316 / 490
Christopher Foye
$13.2MFiscal year ending 12/2023
Facility $13.2MFiscal year ending 12/2023
MA AVG $15.2M
Rank #47 / 82
$9.1MFiscal year ending 12/2023
Facility $9.1MFiscal year ending 12/2023
MA AVG $9.7M
Rank #42 / 82
68.6%Fiscal year ending 12/2023
Facility 68.6%Fiscal year ending 12/2023
MA AVG 66.2%
Rank #22 / 82
225191

Financial Assistance for
Nursing Home in Massachusetts

Life Care Center of Nashoba Valley is located in Littleton, Massachusetts.
Here are the financial assistance programs available to residents in Massachusetts.

Get Financial aid guidance

Home Care Program

MassHealth Home Care

Age 60+
General Massachusetts resident, at risk of nursing home placement.
Income Limits (2025) ~$1,500/month individual, varies by region
Asset Limits $2,000 individual, excludes home, car
MA

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

Benefits
In-home care (3-5 hours/day) Homemaker services Respite care (up to 14 days/year) Adult day care (~$75/day)

Frail Elder Waiver

Massachusetts Medicaid FE Waiver

Age 65+
General Massachusetts resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
MA

Requires clinical eligibility determination.

Benefits
Personal care (5-7 hours/day) Respite care (240 hours/year) Adult day care (~$75/day) Home health services

Senior Care Options (SCO)

Massachusetts Senior Care Options

Age 65+
General Massachusetts resident, eligible for MassHealth (Medicare optional), nursing home-level care need.
Income Limits (2025) ~$2,829/month (300% FBR, individual); QIT allowed.
Asset Limits $2,000 (individual), $3,000 (couple) (excludes home up to $713,000, car).
MA

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

Benefits
Personal care (5-7 hours/day) Medical care Respite (240 hours/year) Adult

Medicare Savings Program (MSP)

Massachusetts Medicare Savings Program (MassHealth Buy-In)

Age 65+ or disabled
General Massachusetts resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MA

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

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

National Family Caregiver Support Program (NFCSP) Respite

Massachusetts NFCSP Respite Care

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; Massachusetts resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
MA

27 ASAPs; prioritizes low-income, rural caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Caregiver training Supplies (~$500/year)

Prescription Advantage

Massachusetts Prescription Advantage

Age 65+ or disabled
General Massachusetts resident, enrolled in Medicare Part D (or ineligible for Medicare).
Income Limits (2025) No strict limit; copays vary by income ~$24,980-$75,000/year individual
Asset Limits Not assessed.
MA

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

Benefits
Covers prescription copays ($5-$40/drug) Fills coverage gaps Catastrophic cost protection ($4,000+ covered)

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

Massachusetts VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Massachusetts resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MA

High veteran demand statewide.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Frequently Asked Questions about Life Care Center of Nashoba Valley

Is Life Care Center of Nashoba Valley in a walkable area?

Life Care Center of Nashoba Valley has a walk score of 5. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at Life Care Center of Nashoba Valley?

Life Care Center of Nashoba Valley's occupancy is 85.4%.

How long has Life Care Center of Nashoba Valley been in business?

Life Care Center of Nashoba Valley has been operating for approximately 47 years, based on available licensing and registration records.

Are pets allowed at Life Care Center of Nashoba Valley?

Yes, Life Care Center of Nashoba Valley allows residents to bring their pets.

Does Life Care Center of Nashoba Valley operate as a for-profit or non-profit?

Life Care Center of Nashoba Valley is registered as a for-profit in MA.

Has Life Care Center of Nashoba Valley had any citations?

Life Care Center of Nashoba Valley has had 15 reported citations since 2023 according to records from Massachusetts Executive Office of Aging & Independence (AGE).

Are there photos of Life Care Center of Nashoba Valley?

Yes — there are 79 photos of Life Care Center of Nashoba Valley in the photo gallery on this page.

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