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Nursing HomeMedicaid Investigative

Benjamin Healthcare Center

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

120 Fisher Avenue, Mission Hill · Boston, MA 02120205 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.5/5

based on 20 Google reviews

5
4
3
2
1
Benjamin Healthcare Center Nursing Home in Boston, MA — Street View
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9/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Special Focus Facility (under heightened CMS scrutiny)
  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (22 vs median 7.0)
  • High staff turnover (98%)
  • High RN turnover (100%)

Bottom 25% in MA · Meets national RN staffing standard · Very high staff turnover · $95,036 in fines · Special Focus Facility (CMS)

Source: Medicare data

What this means for your family

Recent reviews suggest that the facility has seen positive changes under new management, particularly regarding staff attentiveness and responsiveness. However, because multiple reviewers have consistently raised concerns about facility odors and the effectiveness of short-term rehabilitation, we recommend scheduling a tour specifically to inspect the cleanliness of the living areas and requesting a detailed plan for physical therapy frequency.

Google Reviews

Google Reviews

20 reviews on Google
Benjamin Healthcare Center receives polarized feedback, with recent reviews highlighting a dedicated, compassionate staff and improved management under new leadership. However, long-standing concerns regarding facility cleanliness, specifically persistent odors, and inconsistent rehabilitation therapy outcomes remain significant issues for families to consider.

Quality Themes

Tap a score for details
Food8.0Staff8.0Clean2.0ActivitiesN/AMeds1.0MemoryN/AComms7.0ValueN/A

Strengths

  • Dedicated and compassionate nursing staff
  • Strong sense of community and familiar faces
  • Improved responsiveness under new management
  • Supportive and polite administrative personnel

Concerns

  • Persistent unpleasant odors and cleanliness issues (mentioned by 3 reviewers)
  • Inconsistent or inadequate physical therapy services (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'17(1)'20(1)'24(5)'26(3)

Distribution · 23 analyzed

5
9
4
5
3
1
2
0
1
8

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the recent focus on management updates, what specific steps have been taken to ensure the facility maintains a high standard of cleanliness throughout the common areas and resident rooms?
  • 2I noticed the facility has a strong sense of community; how are residents encouraged to participate in daily activities to ensure they stay engaged and active?
  • 3Could you walk me through your current protocols for medication management to ensure accuracy and consistency for all residents?
  • 4How does your team coordinate physical therapy services to ensure residents receive the consistent support they need for their recovery and mobility goals?
  • 5In the event of a medical emergency, what is the immediate process for notifying family members and ensuring the resident receives prompt, specialized care?
  • 6With the recent administrative changes, how are you currently monitoring and improving staffing levels to ensure every resident receives the attention they require?

Personalized based on this facility's data


Key Review Excerpts

My mother came for rehabilitation for two weeks..We wanted THANKS all for taking care of our mom..Nurses, CNA, Occupation Therapy, all those in the 2 floor(east) staff's. They're all very friendly and helpful.

Rehab patient's family · 2025★★★☆☆

Since, the new management has taken over you can see the difference. Staff had brought her lunch, removed the tray afterwards and cleaned up. She was given a nice ice cream treat which she loved and checked on her as well to see if she needed assistance; the response was appropriate and timely.

Long-term resident's family · 2024★★★★

The hallways smell like pee and the front desk is cluttered with papers and binders.

Visitor · 2019☆☆☆☆
Source: 20 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.76hrs
OK
Registered nurses for medical care
Total Nursing
3.50hrs
85%
All nurses + aides combined
Staff Turnover
98%
Lower is better (< 30% = good)
RN Turnover
100%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

7

measures

Worse Than Avg

6

measures

Mixed Results

4

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility10.2%
Better than Avg
Here
10.2%
US
12.1%
MA
13.7%
Suffolk
32.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility3.7%
Better than Avg
Here
3.7%
US
19.5%
MA
19.4%
Suffolk
16.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility9.1%
Better than Avg
Here
9.1%
US
15.3%
MA
16.4%
Suffolk
12.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility19.0%
Mixed vs Avgs
Here
19.0%
US
15.5%
MA
21.3%
Suffolk
13.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility97.0%
Better than Avg
Here
97.0%
US
93.4%
MA
92.4%
Suffolk
92.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility17.1%
Mixed vs Avgs
Here
17.1%
US
19.4%
MA
21.4%
Suffolk
16.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility33.3%
Worse than Avg
Here
33.3%
US
79.8%
MA
77.7%
Suffolk
85.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility74.7%
Worse than Avg
Here
74.7%
US
81.8%
MA
77.6%
Suffolk
82.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
MA
1.3%
Suffolk
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

22deficiencies
1penalties
Well above state avg (8.9)
3 complaint-triggered
$95,036 in fines

Families have filed complaints triggering inspections, with recurring issues in care planning, facility environment, and emergency preparedness across multiple surveys. The facility has faced deficiencies in developing proper care plans, maintaining safe and comfortable environments, and having adequate emergency protocols. While all violations show correction dates, problems persist across different time periods, suggesting ongoing challenges with consistent quality management and oversight.

Sep 10, 2025Complaint
1
0921Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Jul 10, 2025Complaint
1
0921Immediate jeopardy · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Apr 30, 2025Routine
25
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0013Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop Emergency Preparedness policies and procedures.

0029Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop a communication plan.

0036Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0553Potential for harm · PatternCorrected

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

0692Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0700Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

May 23, 2024Routine
6
0801Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0607Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Dec 15, 2023Complaint
1
0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Nov 17, 2022Routine
6
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0725Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Federal Penalties

Fine

Jul 10, 2025

$95,036

Ownership & Operations

Who Operates This Facility

Owner / Operator

Benjamin Healthcare Center

Organization Type

nonprofit

Ownership & Management

Key personnel

Feaster, JosephOfficer / DirectorMark, DeliciaOfficer / DirectorFeaster, JosephManagerHanspard, KenyaManagerMark, DeliciaManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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