5/5
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.
5/5
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.
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.
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 10th 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.
| 1h 25m per day | ▲ 117% 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 0m per day | ▲ 4% 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 2m per day | ▲ 122% 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.
| 7h 1m per day | ▲ 103% 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 | ▲ 148% 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.
| 1h 8m per day | ▲ 144% State avg: 28m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
34% more staff per resident than Massachusetts average
9% better than Massachusetts average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 28 RN Staff are full-time employees. No contractors work on this role.
28
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursAssists with medical care and medications.
All 21 LPN Staff are full-time employees. No contractors work on this role.
21
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursHelps with daily care and mobility.
All 108 CNA Staff are full-time employees. No contractors work on this role.
108
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
74 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 108 | 0 | 108 | 45,220 | 92 | 100% | 8.7 |
| Registered Nurse | 28 | 0 | 28 | 9,688 | 92 | 100% | 8.7 |
| Licensed Practical Nurse | 21 | 0 | 21 | 7,738 | 92 | 100% | 8.2 |
| Qualified Activities Professional | 22 | 0 | 22 | 7,158 | 92 | 100% | 9.3 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 2,473 | 67 | 73% | 8.6 |
| Respiratory Therapy Technician | 10 | 0 | 10 | 1,484 | 84 | 91% | 7.1 |
| RN Director of Nursing | 3 | 0 | 3 | 1,238 | 89 | 97% | 9.5 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,207 | 67 | 73% | 7.6 |
| Dental Services Staff | 2 | 0 | 2 | 792 | 71 | 77% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 570 | 64 | 70% | 6.3 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Physical Therapy Aide | 2 | 0 | 2 | 406 | 58 | 63% | 7 |
| Occupational Therapy Aide | 2 | 0 | 2 | 354 | 42 | 46% | 8.4 |
| Physical Therapy Assistant | 3 | 0 | 3 | 234 | 48 | 52% | 4.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 152 | 19 | 21% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 42 | 6 | 7% | 7 |
| Medical Director | 0 | 1 | 1 | 32 | 9 | 10% | 3.6 |
| Speech Language Pathologist | 1 | 0 | 1 | 12 | 2 | 2% | 5.8 |
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.
10.5
In line with Massachusetts averageMassachusetts average: 10.2
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
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
12.8%
31% better than Massachusetts averageMassachusetts average: 18.7%
Percent of long-stay residents whose ability to move independently worsened
23.8%
23% worse than Massachusetts averageMassachusetts average: 19.3%
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%
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
In line with Massachusetts averageMassachusetts average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
10.0%
115% worse than Massachusetts averageMassachusetts average: 4.7%
Percent of long-stay residents with a urinary tract infection
0.3%
84% better than Massachusetts averageMassachusetts average: 2.1%
Percent of long-stay residents who lose too much weight
2.1%
59% better than Massachusetts averageMassachusetts average: 5.2%
Percent of long-stay residents who have depressive symptoms
36.8%
244% worse than Massachusetts averageMassachusetts average: 10.7%
Percent of long-stay residents who received an antipsychotic medication
15.7%
23% better than Massachusetts averageMassachusetts average: 20.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.6%
In line with Massachusetts averageMassachusetts average: 91.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Massachusetts averageMassachusetts average: 94.8%
Number of hospitalizations per 1,000 long-stay resident days.
2.59
39% worse than Massachusetts averageMassachusetts average: 1.86
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.76
51% better 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
98.0%
28% better than Massachusetts averageMassachusetts average: 76.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
72% better than Massachusetts averageMassachusetts average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.0%
12% better than Massachusetts averageMassachusetts average: 77.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.0%
5% worse than Massachusetts averageMassachusetts average: 25.8%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.7%
26% better than Massachusetts averageMassachusetts average: 11.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.3%
66% better than Massachusetts averageMassachusetts average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
42.1%
22% worse than Massachusetts averageMassachusetts average: 53.7%
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.
93% of new residents, usually for short-term rehab.
6% 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)
Total residents
98Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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 The Leonard Florence Center 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 #16 / 96Payroll — State benchmarkedThis home is ranked 16th 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 #28 / 96Payroll % — State benchmarkedThis home is ranked 28th 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).
Housing Options: Private Rooms
Building Type: Mid-rise
Beauty Services
Recreational Activities
Exercise Programs
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (93% of admissions), and a typical Medicare stay runs around 19 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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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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 |
The Leonard Florence Center is located in Chelsea, Massachusetts.
Here are the financial assistance programs available to residents in Massachusetts.
The Leonard Florence Center is in the Admirals Hill neighborhood.
The Leonard Florence Center has a walk score of 88. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
The Leonard Florence Center's occupancy is 96.7%.
The Leonard Florence Center is registered as a non-profit.
Yes — there are 4 photos of The Leonard Florence Center in the photo gallery on this page.
The Leonard Florence Center is located at 165 Captains Row, Chelsea, MA 02150.
(617) 887-0001 will put you in contact with the team at The Leonard Florence Center.
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