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.
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.
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 24th 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.
| 45m per day | ▲ 17% 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.
| 1h 7m per day | ▲ 15% 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.
| 2h 18m per day | ■ Avg 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.
| 3h 38m per day | ▲ 5% 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.
| 6m per day | ▲ 57% 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.
| 31m per day | ▲ 10% 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.
| 15 | 14 | This facility has 7% more total citations than a typical Massachusetts nursing home (15 vs. MA avg 14).↑ 7% worse |
|
Citations per year
Average citations per year since 2023.
| 5 | 4.7 | This facility has 6% more citations per year than a typical Massachusetts nursing home (5 vs. MA avg 4.7).↑ 6% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Massachusetts average 4.5
Last Health inspection on Aug 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.
All 15 citations resulted from standard inspections.
100% better than Massachusetts averageMassachusetts average: 0.3
100% better 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.
12% fewer 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.
18 total: 16 full-time employees and 2 contractors.
18
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursAssists with medical care and medications.
All 26 LPN Staff are full-time employees. No contractors work on this role.
26
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursHelps with daily care and mobility.
All 57 CNA Staff are full-time employees. No contractors work on this role.
57
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
97 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 57 | 0 | 57 | 23,716 | 92 | 100% | 8.2 |
| Licensed Practical Nurse | 26 | 0 | 26 | 10,400 | 92 | 100% | 8.1 |
| Registered Nurse | 16 | 2 | 18 | 5,120 | 92 | 100% | 8 |
| Other Dietary Services Staff | 8 | 0 | 8 | 2,361 | 92 | 100% | 7.1 |
| Clinical Nurse Specialist | 8 | 0 | 8 | 2,223 | 77 | 84% | 7.8 |
| Physical Therapy Assistant | 8 | 0 | 8 | 1,272 | 88 | 96% | 7.1 |
| Physical Therapy Aide | 5 | 0 | 5 | 1,100 | 88 | 96% | 6 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 1,079 | 77 | 84% | 7.1 |
| Dietitian | 2 | 0 | 2 | 1,048 | 75 | 82% | 8 |
| RN Director of Nursing | 4 | 0 | 4 | 1,040 | 66 | 72% | 7.7 |
| Speech Language Pathologist | 7 | 0 | 7 | 925 | 77 | 84% | 6.6 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 450 | 51 | 55% | 8.8 |
| Dental Services Staff | 1 | 0 | 1 | 443 | 59 | 64% | 7.5 |
| Qualified Social Worker | 3 | 0 | 3 | 433 | 61 | 66% | 7.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 256 | 32 | 35% | 8 |
| Occupational Therapy Assistant | 0 | 5 | 5 | 57 | 10 | 11% | 4.4 |
| Medical Director | 0 | 1 | 1 | 32 | 3 | 3% | 10.5 |
| Other Physician | 1 | 0 | 1 | 12 | 3 | 3% | 4 |
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.
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.
6.2
39% better than Massachusetts averageMassachusetts average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.9
35% 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
7.1%
62% better than Massachusetts averageMassachusetts average: 18.7%
Percent of long-stay residents whose ability to move independently worsened
5.6%
71% better than Massachusetts averageMassachusetts average: 19.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.1%
18% worse than Massachusetts averageMassachusetts average: 22.1%
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
27% worse than Massachusetts averageMassachusetts average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
7.4%
58% worse than Massachusetts averageMassachusetts average: 4.7%
Percent of long-stay residents with a urinary tract infection
1.2%
44% better than Massachusetts averageMassachusetts average: 2.1%
Percent of long-stay residents who lose too much weight
6.6%
27% worse than Massachusetts averageMassachusetts average: 5.2%
Percent of long-stay residents who have depressive symptoms
9.1%
15% better than Massachusetts averageMassachusetts average: 10.7%
Percent of long-stay residents who received an antipsychotic medication
24.3%
20% worse than Massachusetts averageMassachusetts average: 20.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.7%
In line with Massachusetts averageMassachusetts average: 91.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.4%
In line with Massachusetts averageMassachusetts average: 94.8%
Number of hospitalizations per 1,000 long-stay resident days.
1.15
38% better than Massachusetts averageMassachusetts average: 1.86
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.75
14% worse 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
94.2%
23% better than Massachusetts averageMassachusetts average: 76.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.2%
83% better than Massachusetts averageMassachusetts average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.3%
15% better than Massachusetts averageMassachusetts average: 77.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.5%
24% better than Massachusetts averageMassachusetts average: 25.8%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.0%
10% worse than Massachusetts averageMassachusetts average: 11.8%
Percentage of SNF residents who experience falls with major injury during their stay.
1.7%
123% worse than Massachusetts averageMassachusetts average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
80.1%
49% better than Massachusetts averageMassachusetts average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
66.8%
32% better than Massachusetts averageMassachusetts average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
49% of new residents, usually for short-term rehab.
26% of new residents, often for short stays.
25% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
112Residents meet regularly to discuss policies, care quality, 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 Life Care Center of Nashoba Valley from 2011–2023, 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 #40 / 96Payroll — State benchmarkedThis home is ranked 40th 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.Rankings are based only on facilities in Massachusetts that report data for that category. Facilities without available data are excluded from 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 #74 / 96Payroll % — State benchmarkedThis home is ranked 74th 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.Rankings are based only on facilities in Massachusetts that report data for that category. Facilities without available data are excluded from 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).
Pets Allowed
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Beauty Services
Transportation Services
Housekeeping Services
Recreational Activities
Exercise Programs
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.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.7 miles from city center
Estimated distance in miles from Littleton's city center to Life Care Center of Nashoba Valley's address, calculated via Google Maps.
Add your location
The information below is reported by the Massachusetts Executive Office of Elder Affairs and Department of Public Health.
| The Leonard Florence Center | NH ADC HC MC PC RC | Chelsea (Admirals Hill) | 100
Facility
100
MA AVG
94
Rank
#94 / 280 |
96.7%
Facility
96.7%
MA AVG
82%
Rank
#4 / 96 | +18% | 4.76
Facility
4.76
MA AVG
3.93
Rank
#10 / 93 | 0% | +21% | $0
Facility
$0
MA AVG
$76.6k
Rank
#1 / 94 | 13
Facility
13
MA AVG
32.7
Rank
#17 / 93 | 4.3
Facility
4.3
MA AVG
7.2
Rank
#23 / 93 | - | 98 | - |
88
Facility
88
MA AVG
53
Rank
#63 / 499 | Adam Ernst | $20.6M
Facility
$20.6M
MA AVG
$17.4M
Rank
#27 / 96 | $14.3M
Facility
$14.3M
MA AVG
$6.5M
Rank
#16 / 96 | 69.6%
Facility
69.6%
MA AVG
43.6%
Rank
#28 / 96 | 225775 | ||||
| Life Care Center of Nashoba Valley | NH MC | Littleton | 120
Facility
120
MA AVG
94
Rank
#63 / 280 |
85.4%
Facility
85.4%
MA AVG
82%
Rank
#47 / 96 | +4% | 4.16
Facility
4.16
MA AVG
3.93
Rank
#24 / 93 | -14% | +6% | $0
Facility
$0
MA AVG
$76.6k
Rank
#1 / 94 | 15
Facility
15
MA AVG
32.7
Rank
#21 / 93 | 5.0
Facility
5.0
MA AVG
7.2
Rank
#31 / 93 | - | 112 | - |
5
Facility
5
MA AVG
53
Rank
#486 / 499 | Shari Laroche | $14.4M
Facility
$14.4M
MA AVG
$17.4M
Rank
#28 / 96 | $10.1M
Facility
$10.1M
MA AVG
$6.5M
Rank
#40 / 96 | 70%
Facility
70%
MA AVG
43.6%
Rank
#74 / 96 | 225569 | ||||
| CareOne at Concord | NH MC RC | Concord (Old Road To Nine Acre Corner) | 135
Facility
135
MA AVG
94
Rank
#42 / 280 |
85.3%
Facility
85.3%
MA AVG
82%
Rank
#48 / 96 | +4% | 3.85
Facility
3.85
MA AVG
3.93
Rank
#43 / 93 | -77% | -2% | $7.9k
Facility
$7.9k
MA AVG
$76.6k
Rank
#50 / 94 | 4
Facility
4
MA AVG
32.7
Rank
#2 / 93 | 1.3
Facility
1.3
MA AVG
7.2
Rank
#1 / 93 | 1 | 128 | - |
24
Facility
24
MA AVG
53
Rank
#386 / 499 | - | $17.4M
Facility
$17.4M
MA AVG
$17.4M
Rank
#17 / 96 | $10.4M
Facility
$10.4M
MA AVG
$6.5M
Rank
#42 / 96 | 59.8%
Facility
59.8%
MA AVG
43.6%
Rank
#93 / 96 | 225663 | ||||
| Life Care Center of Acton | NH | Acton (East Acton) | 155
Facility
155
MA AVG
94
Rank
#26 / 280 |
74.2%
Facility
74.2%
MA AVG
82%
Rank
#69 / 96 | -9% | 3.73
Facility
3.73
MA AVG
3.93
Rank
#58 / 93 | -51% | -5% | $0
Facility
$0
MA AVG
$76.6k
Rank
#1 / 94 | 16
Facility
16
MA AVG
32.7
Rank
#24 / 93 | 5.3
Facility
5.3
MA AVG
7.2
Rank
#34 / 93 | 1 | 125 | - |
39
Facility
39
MA AVG
53
Rank
#319 / 499 | Christopher Foye | $13.2M
Facility
$13.2M
MA AVG
$17.4M
Rank
#43 / 96 | $9.1M
Facility
$9.1M
MA AVG
$6.5M
Rank
#48 / 96 | 68.6%
Facility
68.6%
MA AVG
43.6%
Rank
#60 / 96 | 225191 | ||||
| Belmont Manor Nursing & Rehabilitation Center | NH MC | Belmont (Waverley Square) | 156
Facility
156
MA AVG
94
Rank
#25 / 280 | - | - | 4.72
Facility
4.72
MA AVG
3.93
Rank
#11 / 93 | +8% | +20% | $18.5k
Facility
$18.5k
MA AVG
$76.6k
Rank
#71 / 94 | 28
Facility
28
MA AVG
32.7
Rank
#50 / 93 | 7.0
Facility
7.0
MA AVG
7.2
Rank
#58 / 93 | 1 | 19 | A+ |
79
Facility
79
MA AVG
53
Rank
#123 / 499 | Stewart Karger | $21.2M
Facility
$21.2M
MA AVG
$17.4M
Rank
#42 / 96 | $14.5M
Facility
$14.5M
MA AVG
$6.5M
Rank
#12 / 96 | 68.6%
Facility
68.6%
MA AVG
43.6%
Rank
#8 / 96 | 225419 |
Life Care Center of Nashoba Valley is located in Littleton, Massachusetts.
Here are the financial assistance programs available to residents in Massachusetts.
Life Care Center of Nashoba Valley has a walk score of 5. Car-dependent. Most errands require a car, with limited nearby walkable options.
Life Care Center of Nashoba Valley's occupancy is 85.4%.
Life Care Center of Nashoba Valley is registered as a for-profit in MA.
Yes — there are 80 photos of Life Care Center of Nashoba Valley in the photo gallery on this page.
Life Care Center of Nashoba Valley is located at 191 Foster St, Littleton, MA 01460.
(978) 486-3512 will put you in contact with the team at Life Care Center of Nashoba Valley.
Yes — Life Care Center of Nashoba Valley is a CMS-certified provider of Medicare and Medicaid.
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