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Nursing HomeMedicaid

Life Care Center of Nashoba Valley

Strong Medicare quality ratings; families often praise highly attentive and compassionate nursing staff. Still worth an in-person visit.

191 Foster Street, Littleton, MA 01460120 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.7/5

based on 203 Google reviews

5
4
3
2
1
Life Care Center of Nashoba Valley Nursing Home in Littleton, MA — Street View
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What this means for your family

This facility is highly regarded for its compassionate nursing staff and effective rehabilitation programs, making it a strong choice for recovery. However, families should be aware of the older building layout; specifically, ask for a tour to assess the room size and shared bathroom arrangements, and clarify the facility's policy on call bell response times.

Google Reviews

Google Reviews

203 reviews on Google
Life Care Center of Nashoba Valley is widely praised for its compassionate, professional staff and effective rehabilitation therapy programs. While many families highlight the clean, peaceful environment and engaging activities, some reviewers have raised concerns regarding room size, shared bathroom facilities, and occasional delays in staff response times.

Quality Themes

Tap a score for details
Food8.0Staff9.0Clean9.0Activities9.0Meds8.0Memory9.0Comms6.0ValueN/A

Strengths

  • Highly attentive and compassionate nursing staff
  • Effective and encouraging PT/OT rehabilitation teams
  • Clean and well-maintained facility grounds
  • Engaging activities and animal therapy (alpacas/bunnies)

Concerns

  • Slow call bell response times (mentioned by 3 reviewers)
  • Cramped shared rooms and limited bathroom access (mentioned by 3 reviewers)
  • Difficulties communicating with administration or social workers (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(2)'20(4)'22(13)'24(58)'26(26)

Distribution · 205 analyzed

5
171
4
23
3
0
2
0
1
11

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed you have a very high response rate to online feedback; how do you use that input to improve the daily experience for residents and their families?
  • 2With the facility having a 120-resident capacity, what is the best way for families to ensure they can reach an administrator or social worker when they have a specific concern?
  • 3I see your rehabilitation team is highly regarded; how do you balance the intensity of PT/OT sessions with the need for rest and downtime for residents?
  • 4Regarding the shared living spaces, how do you help residents navigate the shared bathroom access to ensure they feel comfortable and have enough privacy?
  • 5I’ve heard wonderful things about your animal therapy programs; could you tell me more about how these activities are integrated into the weekly schedule?
  • 6When a resident presses their call bell, what is the typical process for staff to triage the request and ensure timely assistance?

Personalized based on this facility's data


Key Review Excerpts

The PT/OT therapy has been an amazing experience. My father would not have made any progress without the team’s consistent and persistent work.

Rehab patient's family · 2023★★★★★

The staff is friendly and responsive when we call or when my mother puts her light on. They handle her with care, and they are very informative when we ask questions.

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

The facility is very clean. The staff is top notch. My father was well taken care of. Communication was very good and thouorgh.

Long-term resident's family · 2025★★★★★
Source: 203 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.76hrs
OK
Registered nurses for medical care
Total Nursing
4.17hrs
OK
All nurses + aides combined
Staff Turnover
40%
Lower is better (< 30% = good)
RN Turnover
52%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

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

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

6

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.4%
Better than Avg
Here
5.4%
US
12.1%
MA
13.7%
Middlesex
13.0%

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

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility26.6%
Worse than Avg
Here
26.6%
US
19.4%
MA
21.4%
Middlesex
19.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility22.7%
Mixed vs Avgs
Here
22.7%
US
15.5%
MA
21.3%
Middlesex
23.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility25.9%
Worse than Avg
Here
25.9%
US
19.5%
MA
19.4%
Middlesex
19.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility11.0%
Better than Avg
Here
11.0%
US
14.4%
MA
16.9%
Middlesex
15.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.9%
Better than Avg
Here
10.9%
US
15.3%
MA
16.4%
Middlesex
13.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.4%
Better than Avg
Here
92.4%
US
81.8%
MA
77.6%
Middlesex
76.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility89.3%
Better than Avg
Here
89.3%
US
79.8%
MA
77.7%
Middlesex
76.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.2%
Better than Avg
Here
0.2%
US
1.6%
MA
1.3%
Middlesex
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
Well below state avg (8.9)

Life Care Center of Nashoba Valley shows concerning patterns with 38 deficiencies across three surveys, primarily in fire safety systems, care planning, and medication management. Recurring issues include sprinkler system problems, incomplete care plans, and pharmacy oversight deficiencies that persist across multiple inspections. While all violations have correction dates, the repeated nature of fire safety and care planning deficiencies suggests ongoing operational challenges families should investigate further.

Aug 14, 2025Routine
6
0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

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.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Aug 1, 2024Routine
28
0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0521Potential for harm · PatternCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0761Potential for harm · PatternCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0911Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0916Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0622Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

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.

0689Potential for 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.

0812Potential for harm · IsolatedCorrected

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 · IsolatedCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0006Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0029Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Develop a communication plan.

0036Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0711Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0914Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Jun 7, 2023Routine
4
0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Life Care Center of Nashoba Valley

Organization Type

for profit

Chain Affiliation

Chain Name

Life Care Centers of America

Chain Size

194 facilities nationwide

Chain avg rating: 3.5/5 · Rank 34 of 194 (Best)

Ownership & Management

Owners

Preston, Forrest

Owner (parent company)

Key personnel

Churchill, TimothyManaging Control - Governing BodyDunleavy, KristenManaging Control - Governing BodyLong, ZofiaManaging Control - Governing BodyCross, CindyOfficer / DirectorHenry, TerryOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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