Skilled Nursing Facility at North Hill (The)
A nursing home in Needham, Massachusetts 02492
865 Central Avenue, Needham, Massachusetts 02492. (781) 444-9910.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 0 health citations at the latest inspection cycle Massachusetts average: 6.4
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
0 health citations at the latest inspection cycle
The Massachusetts average is 6.4.
Last standard inspection Jul 22, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Jan 15, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
8 citations in 3 months of the last 36. Last cited Jul 2025. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 8 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 2 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 18, 2025: standard inspection3 citations
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Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Jan 15, 2025: complaint inspection2 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jul 11, 2024: standard inspection3 citations
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide and implement an infection prevention and control program.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jan 10, 1985.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as non profit, corporation.
- 72 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $16,153 in all.
- No Medicare payment denials in the last three years.
- 2 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jan 15, 2025 | Fine | $16,153 |
Who does the caring?
| Measure | This home | Massachusetts average |
|---|---|---|
| Nurse hours per resident per day | Not given | 3.94 |
| Of which registered nurses | Not given | 0.66 |
| At weekends | Not given | 3.52 |
| Nursing staff turnover | 23.1% | 37.6% |
| Registered nurse turnover | 29.6% | 42.7% |
| Administrators who left | 0 | Not given |
Who owns it?
- Sadia’s Health and Wellness Consulting, Inc. and 4m Building Solutions, LLC run it.
- 49 owners or officers are people: A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Kevin Grimes (corporate director, 0%); Kevin Grimes (trustee); Suzanne Barth (corporate director, 0%); Suzanne Barth (trustee); Natalie Costa (additional disclosable party (controls, leases property to, or provides services to the home)); Susan Mellace (corporate director, 0%); Susan Mellace (trustee); Amy Reich Weil (corporate director, 0%); Amy Reich Weil (trustee); Paul Benoit (runs it (operational or managerial control)); Paul Benoit (additional disclosable party (controls, leases property to, or provides services to the home)); Karalyn Bere (corporate officer, 0%); Karalyn Bere (additional disclosable party (controls, leases property to, or provides services to the home)); William D. Mahoney (corporate director, 0%); William D. Mahoney (trustee); Stephen P Fischer (corporate director, 0%); Stephen P Fischer (trustee); Susan Downey (corporate director, 0%); Susan Downey (runs it (operational or managerial control)); Susan Downey (additional disclosable party (controls, leases property to, or provides services to the home)); Emily Bermudez (runs it (operational or managerial control)); Emily Bermudez (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (corporate officer, 0%); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Nancy Hoffmann (corporate director, 0%); Nancy Hoffmann (trustee); Russell Corsini (corporate director, 0%); Russell Corsini (trustee); Stewart R Goff (corporate director, 0%); Stewart R Goff (runs it (operational or managerial control)); Stewart R Goff (additional disclosable party (controls, leases property to, or provides services to the home)); Martina Anne Oechsle Vasconcelles (corporate director, 0%); Martina Anne Oechsle Vasconcelles (trustee); Joseph A Frias (corporate officer, 0%); Joseph A Frias (runs it (operational or managerial control)); Joseph A Frias (additional disclosable party (controls, leases property to, or provides services to the home)); Peter Pingitore (corporate director, 0%); Peter Pingitore (trustee); A person CMS lists without a name (corporate officer, 0%); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Richard W. Davis (corporate director, 0%); Richard W. Davis (trustee); Elizabeth H Handel (corporate director, 0%); Elizabeth H Handel (trustee); Asif Merchant (runs it (operational or managerial control)); Asif Merchant (additional disclosable party (controls, leases property to, or provides services to the home)); Sarah Creed (corporate director, 0%); Sarah Creed (trustee).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Focus Technology Solutions, Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 3, 2023 | |
| Manufacturers & Traders Trust Company | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 25, 2012 | |
| A.v. Powell & Associates, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 15, 1999 | |
| Babson College | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 14, 1978 | |
| Baker Tilly Us LLP | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 16, 2024 | |
| Aqueduct Technologies, Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 14, 2025 | |
| Jensen Hughes, Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2020 | |
| Health Care Continuum Specialists | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 1, 2023 | |
| Sadia’s Health and Wellness Consulting, Inc. | Runs it (operational or managerial control) | Nov 8, 2021 | |
| Sadia’s Health and Wellness Consulting, Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 29, 2025 | |
| 4m Building Solutions, LLC | Runs it (operational or managerial control) | Jul 22, 2019 | |
| 4m Building Solutions, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 14, 2025 | |
| Clay & Associates, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2023 | |
| Prime Buchholz LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 8, 2004 |
How do residents fare?
- CMS rates its quality measures 3 of 5 (Massachusetts average 3.3).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 3 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 4.4 miles, this one had the 10th most health citations at the latest inspection cycle (0; the middle value was 3).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Skilled Nursing Facility at North Hill (The) This nursing home | 0 | |
| Briarwood Rehabilitation & Healthcare Center | 1.3 | 4 |
| Elizabeth Seton | 1.4 | 0 |
| Stone Rehabilitation and Senior Living | 2.1 | 5 |
| Adviniacare Newton Wellesley | 2.6 | 8 |
| Care One at Newton | 2.7 | 15 |
| Newbridge on the Charles Skilled Nursing Facility | 3.2 | 1 |
| Riverbend of South Natick | 3.3 | 2 |
| Lasell House | 3.4 | 0 |
| Care Village at Parkway | 4.1 | 11 |
| West Newton Healthcare | 4.4 | 17 |
| Mary Ann Morse Nursing & Rehabilitation | 4.4 | 1 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
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Paid listing
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