Total health inspections
3
Massachusetts average 4.5
Last Health inspection on Jun 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
The Leonard Florence Center
Care Home in Middlesex County
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 Leonard Florence Center
Care Home in Middlesex County
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.
Enjoy a combination of comfort and quality care with The Leonard Florence Center, a compassionate community in Chelsea, MA, offering excellent short-term rehabilitation and long-term care. They cater to an intimate number of residents to guarantee focused and personalized care. In addition to daily living assistance and nursing care, residents here have access to regular in-house physician and nurse visits for added comfort and care. Therapy services and treatment plans are tailor-made to match residents’ unique needs and requirements to ensure they effectively improve their conditions.
Residents also enjoy the comfort of having cozy and spacious accommodations with private baths for their convenience. To ensure residents maintain healthy diets and proper nutrition, they consistently serve them delicious and well-balanced meals tailored to their dietary needs and preferences. Amenities like a salon, library, cafe, spa, and outdoor patios are also available to enhance residents’ comforts and living conditions. At The Leonard Florence Center, residents are well-equipped to thrive against their conditions in a warm and nurturing environment.
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 9th out of 64 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 9th out of 64 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.
4h 46m per day
Rank #9 / 64Nurse hours — state benchmarkedThis home is ranked 9th out of 64 homes in Massachusetts.Shows adjusted nurse hours per resident per day benchmarked to the Massachusetts average, with a ranking across 64 Massachusetts SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs Massachusetts avg
+21%
Standout metric
Physical Therapist is +150% above state avg
| Staff type | Hours / day | 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.
| 1h 26m per day | ▲ 121% 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.
| 57m per day | ■ Avg 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.
| 5h 14m per day | ▲ 131% State avg: 2h 16m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
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.
| 7h 17m per day | ▲ 111% 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.
| 10m per day | ▲ 150% State avg: 4m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 1h 7m per day | ▲ 139% State avg: 28m per day · National avg: 29m per day |
Capacity and availability
This home is often near full
Occupancy higher than 95% suggests steady demand, but availability may be limited.
Occupancy rate
96.7%
Rank #2 / 65Occupancy rate — state benchmarkedThis home is ranked 2nd out of 65 homes in Massachusetts.Shows this facility's occupancy rate versus the Massachusetts average, with its statewide rank out of 65. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
98 days
Occupancy rate
96.7%
Rank #2 / 65Occupancy rate — state benchmarkedThis home is ranked 2nd out of 65 homes in Massachusetts.Shows this facility's occupancy rate versus the Massachusetts average, with its statewide rank out of 65. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
98 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
93% of new residents, usually for short-term rehab.
Typical stay
19 days
Private pay
6% of new residents, often for short stays.
Typical stay
10 months
Medicaid
1% of new residents, often for long-term daily care.
Typical stay
17 - 18 years
Finances and operations
Voluntary non-profit community
Home revenue
$26.1M
Surplus of revenue
$2.1M
Voluntary non-profit community
Home revenue
$26.1M Rank #24 / 66Revenue — state benchmarkedThis home is ranked 24th out of 66 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 %.
Surplus of revenue
$2.1M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #8 / 66Payroll — state benchmarkedThis home is ranked 8th out of 66 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.
$12.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #8 / 66Payroll — state benchmarkedThis home is ranked 8th out of 66 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$11.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$23.7M
Walk Score: 88 / 100 Rank #6 / 60Walk Score — state benchmarkedThis home is ranked 6th out of 60 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.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
What does this home offer?
Accept Medicaid: Yes
Housing Options: Private Rooms
Building Type: Mid-rise
Dining Services
Beauty Services
Recreational Activities
Exercise Programs
Types of Care at The Leonard Florence Center
Care Home
Health Inspection History
Inspections
Total health citations
13
Rank #13 / 63Health citations — state benchmarkedThis home is ranked 13th out of 63 homes in Massachusetts.Shows this facility's total health deficiency citations benchmarked to the Massachusetts state average, with a ranking across all 63 MA SNFs. Lower citation counts earn a better rank.
Massachusetts average 32.7
Citations per inspection
4.33
Massachusetts average 7.24
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 13 citations resulted from standard inspections; and 1 of 13 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
100% better than Massachusetts averageMassachusetts average: 0.3
Serious Health citations
0
0
100% better than Massachusetts averageMassachusetts average: 1.5
0 critical citations
0 serious citations
13 moderate citations
0 minor citations
Citations history (last 3 years)
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jun 25, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jun 25, 2025
Corrected
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Sep 14, 2023
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Sep 14, 2023
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Sep 14, 2023
Issues related to medication management, including how drugs are stored, administered, and monitored.
Sep 14, 2023
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Sep 14, 2023
Issues related to medication management, including how drugs are stored, administered, and monitored.
Sep 14, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Care Homes around Middlesex County The information below is reported by the Massachusetts Executive Office of Elder Affairs and Department of Public Health.
Filter by care type
| CareOne at Concord |
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).
CH Care Homes
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. | Concord (Old Road To Nine Acre Corner) | 135 | No | 24 | Private Rooms | - | - | No | - |
| The Leonard Florence 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).
CH Care Homes | Chelsea (Admirals Hill) | 100 | No | 88 | Private Rooms | - | - | No | - |
| Sudbury Pines Extended Care |
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).
CH Care Homes
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. | Sudbury | 92 | No | 43 | Private Rooms | - | - | No | - |
| Cohen Florence Levine Estates |
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.
CH Care Homes
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.
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. | Chelsea (Admirals Hill) | 69 | No | 88 | Private Rooms | 29 | - | Yes | No |
| Carleton-Willard Village |
CH Care Homes
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. | Bedford | - | No | 6 | Private Rooms | - | A+ | No | - |
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Places of interest near The Leonard Florence Center
1.3 miles from city center
Estimated distance in miles from Chelsea's city center to The Leonard Florence Center's address, calculated via Google Maps.
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Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
98
Medicare
20
20.4% of residents
Medicaid
60
61.2% of residents
Private pay or other
18
18.4% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
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.
10.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.5
In line with Massachusetts averageMassachusetts average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.4
28% better than Massachusetts averageMassachusetts average: 20.0
Long-stay resident measures
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
Percent of long-stay residents whose need for help with daily activities has increased
12.8%
Percent of long-stay residents whose need for help with daily activities has increased
12.8%
31% better than Massachusetts averageMassachusetts average: 18.7%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
23.8%
Percent of long-stay residents whose ability to move independently worsened
23.8%
23% worse 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
6.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
6.5%
70% better than Massachusetts averageMassachusetts average: 22.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
In line with Massachusetts averageMassachusetts average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
10.0%
Percent of long-stay high risk residents with pressure ulcers
10.0%
115% worse than Massachusetts averageMassachusetts average: 4.7%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.3%
Percent of long-stay residents with a urinary tract infection
0.3%
84% better than Massachusetts averageMassachusetts average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.1%
Percent of long-stay residents who lose too much weight
2.1%
59% better than Massachusetts averageMassachusetts average: 5.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
36.8%
Percent of long-stay residents who have depressive symptoms
36.8%
244% worse than Massachusetts averageMassachusetts average: 10.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
15.7%
Percent of long-stay residents who received an antipsychotic medication
15.7%
23% better than Massachusetts averageMassachusetts average: 20.3%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.6%
In line with Massachusetts averageMassachusetts average: 91.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Massachusetts averageMassachusetts average: 94.8%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.59
Number of hospitalizations per 1,000 long-stay resident days.
2.59
39% worse than Massachusetts averageMassachusetts average: 1.86
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.76
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.76
51% better than Massachusetts averageMassachusetts average: 1.54
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.0%
28% better than Massachusetts averageMassachusetts average: 76.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
72% better than Massachusetts averageMassachusetts average: 1.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.0%
12% better than Massachusetts averageMassachusetts average: 77.7%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.0%
5% worse than Massachusetts averageMassachusetts average: 25.8%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
8.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.7%
26% better than Massachusetts averageMassachusetts average: 11.8%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.3%
Percentage of SNF residents who experience falls with major injury during their stay.
0.3%
66% better than Massachusetts averageMassachusetts average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
42.1%
Percentage of residents at or above expected ability to care for themselves at discharge.
42.1%
22% worse than Massachusetts averageMassachusetts average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
67.8%
Rate of successful return to home or community from a skilled nursing facility.
67.8%
34% 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.
Financial Trends
Historical financial and operational data for The Leonard Florence Center based on CMS SNF Cost Reports.
Occupancy Rate
96.7%
↑ 47.6pp vs 2022
Net Income
$2.1M
↑ ~$3.9M vs 2022
Total Payroll
$14.3M
↑ ~$685.1K vs 2022
Profit Margin
9.4%
↑ 18.3pp vs 2022
Loading trend charts...
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