Total staff
229
Employees
221
Contractors
8
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
The Highlands
Nursing Home · Leominster, MA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Highlands
Nursing Home · Leominster, MA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Highlands accepts Medicare, Medicaid, and private pay.
The Highlands is a nursing home in Fitchburg, MA, offering rehabilitation and skilled nursing. The community also ensures older adults are treated well in a supportive and home-like setting. With 24/7 nursing care, dietitian-approved meals, housekeeping, laundry, and transportation, residents experience a maintenance-free lifestyle. To meet residents’ unique needs and preferences, personalized care plans are also provided for their recovery.
Pet visits, light exercises, and various recreational opportunities foster interactions and encourage residents to live actively. Courtyards, a library, a beauty salon, and a barber shop are among the top-notch amenities dedicated to residents’ relaxation and wellness. Nestled near Mass Audubon’s Flat Rock Wildlife Sanctuary, Mount Wachusett Community College, and Crocker Conservation Area in Fitchburg, the community ensures accessibility and convenience. As one of the best options for senior living in Massachusetts, this nursing home continuously provides excellent services for older adults’ welfare.
Quality ratings
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 65th out of 89 homes in Massachusetts. 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.
This home is ranked 65th out of 89 homes in Massachusetts. 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.
3h 37m per day
Rank #65 / 89Nurse hours — State benchmarkedThis home is ranked 65th out of 89 homes in Massachusetts. Shows adjusted nurse hours per resident per day benchmarked to the Massachusetts average, with a ranking across 89 Massachusetts SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Massachusetts avg
-8%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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 23m per day |
Types of Care at The Highlands
Nursing Home
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
87.9%
Rank #37 / 92Occupancy rate — State benchmarkedThis home is ranked 37th out of 92 homes in Massachusetts. Shows this facility's occupancy rate versus the Massachusetts average, with its Statewide rank out of 92. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
71 days
Occupancy rate
87.9%
Rank #37 / 92Occupancy rate — State benchmarkedThis home is ranked 37th out of 92 homes in Massachusetts. Shows this facility's occupancy rate versus the Massachusetts average, with its Statewide rank out of 92. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
71 days
Walk Score: 27 / 100 Rank #369 / 499Walk Score — State benchmarkedThis home is ranked 369th out of 499 homes in Massachusetts. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Massachusetts SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.44:1
13% worse than Massachusetts average
Avg staff/day
95
Average shift
7.7 hours
0% compared with Massachusetts average
Total staff hours (quarter)
67,416
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
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
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
41
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
102
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0.2%
120 contractor hours this quarter
Occupational Therapy Assistant: 7
Medical Director: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 102 | 0 | 102 | 33,208 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 41 | 0 | 41 | 14,230 | 92 | 100% | 8.5 |
| Registered Nurse | 17 | 0 | 17 | 4,121 | 92 | 100% | 8.7 |
| Other Dietary Services Staff | 19 | 0 | 19 | 3,394 | 92 | 100% | 6.4 |
| Physical Therapy Assistant | 8 | 0 | 8 | 2,089 | 92 | 100% | 6.5 |
| Speech Language Pathologist | 4 | 0 | 4 | 1,602 | 82 | 89% | 7.2 |
| RN Director of Nursing | 4 | 0 | 4 | 1,453 | 77 | 84% | 8.1 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 1,293 | 72 | 78% | 7.4 |
| Respiratory Therapy Technician | 6 | 0 | 6 | 1,050 | 91 | 99% | 7 |
| Dietitian | 2 | 0 | 2 | 960 | 64 | 70% | 8 |
| Mental Health Service Worker | 2 | 0 | 2 | 946 | 64 | 70% | 7.9 |
| Physical Therapy Aide | 2 | 0 | 2 | 589 | 74 | 80% | 7.4 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 405 | 50 | 54% | 8.1 |
| Respiratory Therapist | 1 | 0 | 1 | 313 | 41 | 45% | 7.6 |
| Qualified Activities Professional | 1 | 0 | 1 | 173 | 55 | 60% | 3.1 |
| Occupational Therapy Assistant | 0 | 7 | 7 | 80 | 9 | 10% | 6.6 |
| Medical Director | 0 | 1 | 1 | 41 | 3 | 3% | 13.5 |
102 Certified Nursing Assistant
% of Days
100%
41 Licensed Practical Nurse
% of Days
100%
17 Registered Nurse
% of Days
100%
19 Other Dietary Services Staff
% of Days
100%
8 Physical Therapy Assistant
% of Days
100%
4 Speech Language Pathologist
% of Days
89%
4 RN Director of Nursing
% of Days
84%
7 Clinical Nurse Specialist
% of Days
78%
6 Respiratory Therapy Technician
% of Days
99%
2 Dietitian
% of Days
70%
2 Mental Health Service Worker
% of Days
70%
2 Physical Therapy Aide
% of Days
80%
1 Administrator
% of Days
72%
1 Nurse Practitioner
% of Days
65%
1 Occupational Therapy Aide
% of Days
63%
2 Qualified Social Worker
% of Days
54%
1 Respiratory Therapist
% of Days
45%
1 Qualified Activities Professional
% of Days
60%
7 Occupational Therapy Assistant
% of Days
10%
1 Medical Director
% of Days
3%
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.1
31% better than Massachusetts averageMassachusetts average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.0
20% better than Massachusetts averageMassachusetts average: 20.0
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
7.2%
Percent of long-stay residents whose need for help with daily activities has increased
7.2%
61% better than Massachusetts averageMassachusetts average: 18.7%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
11.9%
Percent of long-stay residents whose ability to move independently worsened
11.9%
38% better than Massachusetts averageMassachusetts average: 19.3%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.8%
30% worse than Massachusetts averageMassachusetts average: 22.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
67% better than Massachusetts averageMassachusetts average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.1%
Percent of long-stay high risk residents with pressure ulcers
5.1%
9% worse than Massachusetts averageMassachusetts average: 4.7%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Massachusetts averageMassachusetts average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
10.0%
Percent of long-stay residents who lose too much weight
10.0%
94% worse than Massachusetts averageMassachusetts average: 5.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
4.8%
Percent of long-stay residents who have depressive symptoms
4.8%
55% better than Massachusetts averageMassachusetts average: 10.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
12.8%
Percent of long-stay residents who received an antipsychotic medication
12.8%
37% better than Massachusetts averageMassachusetts average: 20.3%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
64.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
64.3%
30% worse than Massachusetts averageMassachusetts average: 91.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.0%
In line with Massachusetts averageMassachusetts average: 94.8%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
23.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
23.5%
69% worse than Massachusetts averageMassachusetts average: 76.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
64% better than Massachusetts averageMassachusetts average: 1.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
50.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
50.4%
35% worse than Massachusetts averageMassachusetts average: 77.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
37% of new residents, usually for short-term rehab.
Typical stay
25 days
Private pay
36% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
27% of new residents, often for long-term daily care.
Typical stay
5 - 6 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
159
Medicare
21
13.2% of residents
Medicaid
97
61% of residents
Private pay or other
41
25.8% 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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for The Highlands based on CMS SNF Cost Reports.
Occupancy Rate
87.9%
↑ 6.4pp vs 2022
Net Income
$168.6K
↓ ~$568.2K vs 2022
Total Payroll
$14.1M
↑ ~$2.0M vs 2022
Profit Margin
0.6%
↓ 2.2pp vs 2022
Finances and operations
Privately-owned community
Home revenue
$29.8M
Profit
$168.6K
Privately-owned community
Home revenue
$29.8M Rank #16 / 92Revenue — State benchmarkedThis home is ranked 16th out of 92 homes in Massachusetts. Shows this facility's annual revenue compared to the Massachusetts SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$168.6K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #20 / 92Payroll — State benchmarkedThis home is ranked 20th out of 92 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$14.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #20 / 92Payroll — State benchmarkedThis home is ranked 20th out of 92 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$15.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$29.6M
What does this home offer?
Housing Options: Private/Semi-Private Rooms
Building Type: Mid-rise
On-site Medical Care and Health Services
Rehabilitative Support
Beauty Services
Dining Services
Housekeeping Services
Social and Recreational Activities
Transportation Services
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near The Highlands
1.3 miles from city center
Estimated distance in miles from Fitchburg's city center to The Highlands's address, calculated via Google Maps.
Calculate Travel Distance to The Highlands
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Financial Assistance for
Nursing Home in Massachusetts
The Highlands is located in Fitchburg, Massachusetts.
Here are the financial assistance programs available to residents in Massachusetts.
Compare Nursing Home around Leominster
The information below is reported by the Massachusetts Executive Office of Elder Affairs and Department of Public Health.
Filter by care type
| The Highlands |
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). | Fitchburg | 168 | 87.9% | +7% | 3.62 | -42% | -8% | $0 | 12 | 3.0 | - | 157 | 27 | Carlos Bonilla | $29.8M | $14.1M | 47.4% | 225315 | ||||
| Life Care Center of Leominster |
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).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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. | Leominster | 120 | 86.8% | +6% | 3.82 | -51% | -3% | $63.1k | 21 | 5.3 | 2 | 117 | 31 | William Reidt | $22.6M | $11.5M | 51.1% | 225038 | ||||
| Leominster Rehabilitation and Nursing Center |
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).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Leominster | 124 | 84.2% | +3% | 3.36 | -33% | -14% | $0 | 35 | 8.8 | - | 111 | 35 | Gardner Nursing Home Holding Company LLC | $15.8M | $8.9M | 56.6% | 225196 |
Frequently Asked Questions about The Highlands
Is The Highlands in a walkable area?
The Highlands has a walk score of 27. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
What is the occupancy rate at The Highlands?
The Highlands's occupancy is 87.9%.
What is the best email address for The Highlands?
The team at The Highlands can be reached at [email protected].
What is the address of The Highlands?
The Highlands is located at 335 Nichols St, Fitchburg, MA 01420.
What is the phone number of The Highlands?
(978) 343-4411 will put you in contact with the team at The Highlands.
Is The Highlands Medicare or Medicaid certified?
Yes — The Highlands is a CMS-certified provider of Medicare and Medicaid.
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