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Nursing HomeMedicaid Investigative

Melrose Healthcare

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

40 Martin Street, Melrose, MA 02176106 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.0/5

based on 25 Google reviews

5
4
3
2
1
Melrose Healthcare Nursing Home in Melrose, MA — Street View
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5/ 10
high Risk

Quality Concerns Identified

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

  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (27 vs median 7.0)
  • High RN turnover (71%)

Bottom 25% in MA · Below recommended RN staffing · Worst in NEXT STEP HEALTHCARE chain · $49,324 in fines

Source: Medicare data

What this means for your family

While recent reviews suggest an improvement in staff engagement and management responsiveness, the facility's older infrastructure and historical reports of hygiene issues remain significant concerns. We recommend scheduling an in-person tour to observe the cleanliness of the environment firsthand and asking specifically how the facility ensures consistent resident supervision during weekends and evenings.

Google Reviews

Google Reviews

25 reviews on Google
Melrose Healthcare receives highly polarized reviews, with some families praising the dedicated, compassionate staff and others describing a neglectful, unpleasant environment. While supporters highlight the facility's community feel and responsive management, critics frequently report poor hygiene, lack of assistance for residents, and an aging physical plant. Prospective families should be aware that experiences appear to vary significantly based on individual needs and staff interactions.

Quality Themes

Tap a score for details
Food3.0Staff6.0Clean3.0Activities8.0MedsN/AMemory2.0Comms6.0Value5.0

Strengths

  • Compassionate and dedicated nursing staff
  • Responsive management and administration
  • Engaging activities and community atmosphere
  • Thoughtful outdoor visiting areas

Concerns

  • Poor facility hygiene and unpleasant odors (mentioned by 2 reviewers)
  • Lack of assistance and neglect of resident needs (mentioned by 4 reviewers)
  • Missing personal items and laundry issues (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'16(1)'19(5)'23(2)'25(7)

Distribution · 27 analyzed

5
11
4
4
3
0
2
1
1
11

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about the compassion of your nursing staff; how do you ensure that level of care remains consistent during shift changes?
  • 2What specific steps are being taken to maintain high standards of cleanliness and freshness throughout the resident rooms and common areas?
  • 3Could you tell us more about the daily activity calendar and how you keep the community atmosphere engaging for all residents?
  • 4How does the facility manage laundry and ensure that residents' personal belongings and clothing are kept safe and organized?
  • 5With the recent focus on improvements, what specific changes have been made to the dining experience and the quality of the meals provided?
  • 6In the event of a medical emergency after hours, what is the protocol for contacting the family and ensuring immediate care?

Personalized based on this facility's data


Key Review Excerpts

The Director and administrator are responsive to the needs of the facility, families and staff. The nurses are attentive to residents needs, and appropriately identify concerns requiring attention.

Local Guide · 2025★★★★★

The caring Staff and the quiet peaceful atmosphere is what is the most important in my opinion. The residents care about each other. For the most part, they are like a family.

Long-term resident's family · 2025★★★★★

The facility emanates of urine when you first enter the building. The nurse assistants provide little assistance. The condition of my legally blind uncle was appalling.

Family member · 2018☆☆☆☆
Source: 25 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.54hrs
72%
Registered nurses for medical care
Total Nursing
3.42hrs
83%
All nurses + aides combined
Staff Turnover
30%
Lower is better (< 30% = good)
RN Turnover
58%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

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

Medicare Rating
2/ 5
Better Than Avg

9

measures

Worse Than Avg

8

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility31.5%
Worse than Avg
Here
31.5%
US
15.4%
MA
21.3%
Middlesex
22.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility33.8%
Worse than Avg
Here
33.8%
US
19.4%
MA
21.4%
Middlesex
19.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility3.2%
Better than Avg
Here
3.2%
US
14.4%
MA
16.9%
Middlesex
15.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.5%
Better than Avg
Here
8.5%
US
15.3%
MA
16.4%
Middlesex
13.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility19.6%
Worse than Avg
Here
19.6%
US
12.1%
MA
13.7%
Middlesex
11.9%

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 Facility13.1%
Better than Avg
Here
13.1%
US
19.5%
MA
19.4%
Middlesex
19.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility60.9%
Worse than Avg
Here
60.9%
US
79.7%
MA
77.7%
Middlesex
77.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility65.1%
Worse than Avg
Here
65.1%
US
81.8%
MA
77.6%
Middlesex
77.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.5%
Worse than Avg
Here
2.5%
US
1.6%
MA
1.3%
Middlesex
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

27deficiencies
1penalties
Well above state avg (8.9)
1 complaint-triggered
$49,324 in fines

Melrose Healthcare has recurring problems with medication management, care planning, and food safety appearing across multiple surveys from 2023-2025, indicating persistent operational challenges. Most concerning are repeated deficiencies in nursing staff competency, medication errors, and infection control that suggest ongoing quality issues. While all violations show correction dates, the pattern of the same problems reoccurring suggests difficulty maintaining improvements, and one complaint was filed by families regarding resident dignity.

Apr 9, 2025Routine
33
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0161Potential for harm · WidespreadCorrected

Construction Deficiencies

Use approved construction type or materials.

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0271Potential for harm · WidespreadCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0311Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0656Potential for harm · PatternCorrected

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 · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0725Potential for harm · PatternCorrected

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.

0726Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0730Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

0761Potential for harm · PatternCorrected

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.

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.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

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.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0808Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Apr 3, 2024Routine
21
0161Potential for harm · WidespreadCorrected

Construction Deficiencies

Use approved construction type or materials.

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0271Potential for harm · WidespreadCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0311Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0576Potential for harm · PatternCorrected

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

0656Potential for harm · PatternCorrected

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.

0761Potential for harm · PatternCorrected

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

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.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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.

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.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

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.

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.

Jul 26, 2023Complaint
1
0557Potential for harm · IsolatedResolved (past non-compliance)

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Feb 7, 2023Routine
33
0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0161Potential for harm · WidespreadCorrected

Construction Deficiencies

Use approved construction type or materials.

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0271Potential for harm · WidespreadCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0281Potential for harm · WidespreadCorrected

Egress Deficiencies

Install proper backup exit lighting.

0311Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0584Potential for harm · WidespreadCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0041Potential for harm · PatternCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0550Potential for harm · PatternCorrected

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 · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0656Potential for harm · PatternCorrected

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.

0700Potential for harm · PatternCorrected

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.

0761Potential for harm · PatternCorrected

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

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.

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.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

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.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Federal Penalties

Fine

Apr 9, 2025

$49,324

Ownership & Operations

Who Operates This Facility

Owner / Operator

Melrose Healthcare

Organization Type

for profit

Chain Affiliation

Chain Name

Next Step Healthcare

Chain Size

14 facilities nationwide

Chain avg rating: 1.9/5 · Rank 13 of 14 (Worst)

Ownership & Management

Key personnel

Dell'anno, DamianOfficer / DirectorStephan, WilliamOfficer / DirectorNext Step Healthcare LLCManagerLikhi, RishiManagerMubiru, HenryManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

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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