Massachusetts average 4.5
Last Health inspection on Feb 2025
Housed at 321 Centre St in Dorchester’s heart, just half a mile from the neighborhood center, St. Joseph Rehabilitation and Nursing Center operates as a 123-bed skilled nursing facility under Landmark Health Solutions, LLC. The community holds Joint Commission accreditation and centers on short-term Medicare-covered rehabilitation for post-acute patients.
Between 2022 and early 2025, the facility documented 50 citations; averaging 10.8 annually, more than triple Massachusetts’ typical rate of 3.5 per year.
The February 2025 inspection cataloged 13 deficiencies across multiple care domains: staff failed to maintain resident dignity during meals, medication carts sat unlocked and unattended, prescribed physician orders went unimplemented, call bells malfunctioned, and infection control protocols broke down.
Two substantiated complaint investigations uncovered serious medication errors. In July 2024, overmedication with Eliquis required a resident to be hospitalized for blood transfusions. In February 2023, a resident went nine days without anticonvulsant medication, triggering seizures that led to emergency transfer.
The citation landscape includes six serious-level violations alongside 44 moderate deficiencies, with no critical citations recorded.
The facility incurred $138,000 in federal fines since 2024; nearly double the state average.
Staffing runs 3 hours 54 minutes of nursing care per resident daily, slightly below the 4-hour-18-minute state benchmark. The facility employs 145 staff: 26 nurses, 19 licensed practical nurses, and 60 aides.
Physical therapy stands as a distinct strength at 8 minutes per resident per day, twice the state average. Post-acute rehabilitation outcomes are strong. Short-stay residents returning successfully to home or community reached 65.8%, exceeding the state average by 30%. Self-care ability at discharge sits at 62.3%, 16% above state norms.
Current occupancy of 31.7% ranks 90th among 92 Massachusetts nursing homes and runs 61% below state average, a steep decline from 92.6% occupancy in 2022. The 2023 operating loss reached $2.0 million, with a negative profit margin of 9.4%. The facility sits in a highly walkable Dorchester location accessible by foot to nearby services and hospitals.
The inspection record reveals persistent operational vulnerabilities, and the facility faces acute financial and occupancy pressure, positioning it for residents who can tolerate uncertainty.
Key information about the people who lead and staff this community.
Massachusetts average 4.5
Last Health inspection on Feb 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.
44 of 50 citations resulted from standard inspections; and 6 of 50 resulted from complaint investigations.
Massachusetts average: 0.3
Massachusetts average: 1.5
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
234 contractor hours this quarter
| Certified Nursing Assistant | 60 | 0 | 60 | 22,811 | 92 | 100% | 8.1 |
| Registered Nurse | 26 | 0 | 26 | 8,079 | 92 | 100% | 9.3 |
| Licensed Practical Nurse | 19 | 0 | 19 | 6,933 | 92 | 100% | 9.3 |
| Physical Therapy Assistant | 5 | 0 | 5 | 2,288 | 82 | 89% | 7.7 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 1,455 | 70 | 76% | 7.9 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,348 | 92 | 100% | 6.6 |
| Qualified Social Worker | 2 | 0 | 2 | 934 | 71 | 77% | 8.1 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 912 | 64 | 70% | 8 |
| Mental Health Service Worker | 2 | 2 | 4 | 854 | 63 | 68% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Speech Language Pathologist | 2 | 0 | 2 | 498 | 64 | 70% | 7.5 |
| Administrator | 1 | 0 | 1 | 484 | 61 | 66% | 7.9 |
| Dietitian | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Physical Therapy Aide | 1 | 0 | 1 | 445 | 58 | 63% | 7.7 |
| Occupational Therapy Aide | 2 | 0 | 2 | 369 | 47 | 51% | 7.8 |
| Other Physician | 0 | 4 | 4 | 114 | 20 | 22% | 3.8 |
| Occupational Therapy Assistant | 0 | 3 | 3 | 53 | 44 | 48% | 1.1 |
| Medical Director | 0 | 1 | 1 | 39 | 12 | 13% | 3.3 |
| Qualified Activities Professional | 0 | 1 | 1 | 6 | 5 | 5% | 1.2 |
Includes penalties issued in 2024
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)
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.
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
79% of new residents, usually for short-term rehab.
20% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for St. Joseph Rehabilitation and Nursing Center from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (79% of admissions), and a typical Medicare stay runs around 30 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.5 miles from city center
Estimated distance in miles from Dorchester's city center to St. Joseph Rehabilitation and Nursing Center's address, calculated via Google Maps.
— 3.06 miles to nearest hospital (Beth Israel Deaconess Hospitalu2013Milton)
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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.
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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.
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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.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| The Boston Home Inc | NH RC SNF | Dorchester Center | 96
Facility
96
MA AVG
94
Rank
#108 / 276 |
97.0%
Facility
97.0%
MA AVG
80.2%
Rank
#2 / 79 | +21% | 5.33
Facility
5.33
MA AVG
3.93
Rank
#7 / 83 | -18% | +36% | $0
Facility
$0
MA AVG
$76.6k
Rank
#1 / 86 | 8
Facility
8
MA AVG
32.7
Rank
#7 / 85 | 8.0
Facility
8.0
MA AVG
7.2
Rank
#56 / 85 | - | 93 | - |
76
Facility
76
MA AVG
53
Rank
#145 / 490 | Christine Reilly | $15.6MFiscal year ending 12/2023
Facility
$15.6MFiscal year ending 12/2023
MA AVG
$15.2M
Rank
#35 / 82 | $14.5MFiscal year ending 12/2023
Facility
$14.5MFiscal year ending 12/2023
MA AVG
$9.7M
Rank
#11 / 82 | 92.6%Fiscal year ending 12/2023
Facility
92.6%Fiscal year ending 12/2023
MA AVG
66.2%
Rank
#4 / 82 | 225434 | ||||
| The Bostonian Skilled Nursing & Rehab | NH HOS RC SNF | Dorchester | 121
Facility
121
MA AVG
94
Rank
#62 / 276 |
90.6%
Facility
90.6%
MA AVG
80.2%
Rank
#28 / 79 | +13% | 3.96
Facility
3.96
MA AVG
3.93
Rank
#31 / 83 | -18% | +1% | $8.6k
Facility
$8.6k
MA AVG
$76.6k
Rank
#50 / 86 | 21
Facility
21
MA AVG
32.7
Rank
#28 / 85 | 5.3
Facility
5.3
MA AVG
7.2
Rank
#30 / 85 | 1 | 110 | - |
71
Facility
71
MA AVG
53
Rank
#164 / 490 | Bostonian Foundation Inc | $13.0MFiscal year ending 12/2023
Facility
$13.0MFiscal year ending 12/2023
MA AVG
$15.2M
Rank
#49 / 82 | $7.4MFiscal year ending 12/2023
Facility
$7.4MFiscal year ending 12/2023
MA AVG
$9.7M
Rank
#52 / 82 | 56.5%Fiscal year ending 12/2023
Facility
56.5%Fiscal year ending 12/2023
MA AVG
66.2%
Rank
#54 / 82 | 225436 | ||||
| Hebrew SeniorLife | NH AL HC HOS IL MC PC SNF | Boston (Roslindale) | 50
Facility
50
MA AVG
94
Rank
#232 / 276 |
60.2%
Facility
60.2%
MA AVG
80.2%
Rank
#72 / 79 | -25% | 4.76
Facility
4.76
MA AVG
3.93
Rank
#10 / 83 | +18% | +21% | $0
Facility
$0
MA AVG
$76.6k
Rank
#1 / 86 | 11
Facility
11
MA AVG
32.7
Rank
#9 / 85 | 3.7
Facility
3.7
MA AVG
7.2
Rank
#13 / 85 | - | 30 | - |
38
Facility
38
MA AVG
53
Rank
#321 / 490 | - | - | - | - | 225759 | ||||
| St. Joseph Rehabilitation and Nursing Center | NH HOS MC SNF | Dorchester | 123
Facility
123
MA AVG
94
Rank
#55 / 276 |
31.7%
Facility
31.7%
MA AVG
80.2%
Rank
#78 / 79 | -60% | 3.40
Facility
3.40
MA AVG
3.93
Rank
#66 / 83 | +40% | -13% | $82.6k
Facility
$82.6k
MA AVG
$76.6k
Rank
#76 / 86 | 50
Facility
50
MA AVG
32.7
Rank
#74 / 85 | 8.3
Facility
8.3
MA AVG
7.2
Rank
#57 / 85 | 6 | 39 | - |
83
Facility
83
MA AVG
53
Rank
#102 / 490 | Landmark Health Solutions, LLC | $15.5MFiscal year ending 12/2023
Facility
$15.5MFiscal year ending 12/2023
MA AVG
$15.2M
Rank
#36 / 82 | $9.9MFiscal year ending 12/2023
Facility
$9.9MFiscal year ending 12/2023
MA AVG
$9.7M
Rank
#33 / 82 | 63.6%Fiscal year ending 12/2023
Facility
63.6%Fiscal year ending 12/2023
MA AVG
66.2%
Rank
#33 / 82 | 225493 | ||||
| Sherrill House | NH HOS MC PC SNF | Boston (Jamaica Hills) | 196
Facility
196
MA AVG
94
Rank
#9 / 276 |
82.9%
Facility
82.9%
MA AVG
80.2%
Rank
#44 / 79 | +3% | 3.62
Facility
3.62
MA AVG
3.93
Rank
#53 / 83 | +88% | -8% | $0
Facility
$0
MA AVG
$76.6k
Rank
#1 / 86 | 27
Facility
27
MA AVG
32.7
Rank
#39 / 85 | 3.9
Facility
3.9
MA AVG
7.2
Rank
#15 / 85 | - | 163 | - |
78
Facility
78
MA AVG
53
Rank
#132 / 490 | Joao Santos | $24.8MFiscal year ending 12/2023
Facility
$24.8MFiscal year ending 12/2023
MA AVG
$15.2M
Rank
#6 / 82 | $20.1MFiscal year ending 12/2023
Facility
$20.1MFiscal year ending 12/2023
MA AVG
$9.7M
Rank
#4 / 82 | 81.1%Fiscal year ending 12/2023
Facility
81.1%Fiscal year ending 12/2023
MA AVG
66.2%
Rank
#9 / 82 | 225201 |
St. Joseph Rehabilitation and Nursing Center is located in Dorchester, Massachusetts.
Here are the financial assistance programs available to residents in Massachusetts.
St. Joseph Rehabilitation and Nursing Center has a walk score of 83. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
St. Joseph Rehabilitation and Nursing Center's occupancy is 91.1%.
St. Joseph Rehabilitation and Nursing Center has been operating for approximately 35 years, based on available licensing and registration records.
Yes — see the floorplan options available at St. Joseph Rehabilitation and Nursing Center on this page.
No, St. Joseph Rehabilitation and Nursing Center has a no-pet policy.
St. Joseph Rehabilitation and Nursing Center is registered as a for-profit in MA.
St. Joseph Rehabilitation and Nursing Center has had 43 reported citations since 2022 according to records from Massachusetts Executive Office of Aging & Independence (AGE).
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