Nursing HomeMedicaid Top Rated

River Terrace Rehabilitation and Healthcare Ctr

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

1675 North Main Street, Lancaster, MA 01523|82 beds|Licensed & Active

5/5

Medicare

Inspection

Quality

Staffing

Google rating

4.4/5

based on 175 Google reviews

(978) 365-4537 Directions Website

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What this means for your family

River Terrace shows a strong commitment to activities and therapy, which many families appreciate. However, the recurring reports of slow response times to call lights and hygiene issues are significant red flags. We strongly recommend visiting unannounced during off-hours to observe staffing levels and response times firsthand before making a decision.

Google Reviews

175 reviews on Google

“River Terrace Rehabilitation and Healthcare Center receives highly polarized feedback, with many families praising the staff's warmth and the facility's cleanliness, while others report serious concerns regarding neglect and poor communication. While some visitors describe the environment as homey and well-maintained, multiple reviewers have documented issues with slow response times to call lights, inadequate hygiene, and poor food quality. Families considering this facility should be aware of the stark contrast between the positive experiences of some and the reports of understaffing and neglect from others.”

Quality Themes

Tap a score for details

Strengths

Warm, attentive nursing and support staff
Clean and well-maintained facility
Engaging activities and music programs
Strong rehabilitation and therapy team

Concerns

Slow response to call lights and lack of basic assistance (mentioned by 6 reviewers)
Poor food quality and inedible meals (mentioned by 5 reviewers)
Inadequate hygiene, odors of urine, and lack of toileting support (mentioned by 5 reviewers)
Poor communication between staff, management, and families (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 175 analyzed

143

How They Respond to Reviews

13%response rate

This facility rarely responds to reviews.

Questions for Your Tour

1Given that the facility has a 5-star CMS health rating, what specific protocols do you have in place to ensure consistent hygiene and cleanliness throughout the day?
2I noticed the staffing rating is lower than other metrics; how do you manage call light response times to ensure residents receive timely assistance?
3Could you walk me through the current process for how the nursing team communicates updates or concerns to family members?
4I see that you have a very active music and events program; could you tell me more about how you encourage residents to participate in these daily activities?
5What steps is the kitchen team taking to improve the quality and variety of the meal service for residents?
6How does your team coordinate medication management to ensure accuracy and safety for residents with complex health needs?

Personalized based on this facility's data

Key Review Excerpts

“The facility is deplorable, run down and smells of urine the minute you walk into the place. The management were rude and incompetent.”

Long-term resident's family · 2023★☆☆☆☆

“The facility itself is nicely maintained, very clean and has a homey feeling. More importantly....the staff are a wonderful group of people! They take excellent care of my mom and treat her like a family member.”

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

“I encounter fog almost every time I ask about or for something. Nobody seems to know who knows what. Fortunately this morning after waiting an hour in the communication fog I encountered the Director, who took charge immediately.”

Family member · 2025★★★☆☆

Source: 175 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.59hrs

78%

Registered nurses for medical care

Total Nursing

3.35hrs

82%

All nurses + aides combined

Staff Turnover

29%

Lower is better (< 30% = good)

RN Turnover

22%

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

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

Medicare Rating

5/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

😔

Residents with depression symptoms

↓ Lower is better

This Facility89.4%

Worse than Avg

Here

89.4%

12.1%

13.7%

Worcester

11.7%

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 Facility8.7%

Better than Avg

Here

8.7%

19.4%

21.4%

Worcester

22.7%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility8.7%

Better than Avg

Here

8.7%

15.5%

21.3%

Worcester

21.8%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility7.6%

Better than Avg

Here

7.6%

14.4%

16.9%

Worcester

17.0%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility11.2%

Better than Avg

Here

11.2%

15.3%

16.4%

Worcester

16.8%

💉

Residents vaccinated for the flu

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

95.5%

94.8%

Worcester

95.9%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility87.1%

Better than Avg

Here

87.1%

81.8%

77.6%

Worcester

80.0%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility79.8%

Mixed vs Avgs

Here

79.8%

77.7%

Worcester

81.1%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility1.0%

Better than Avg

Here

1.0%

1.6%

1.3%

Worcester

1.4%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

0deficiencies

1penalties

Well below state avg (8.9)

1 complaint-triggered

$8,964 in fines

Clean record — no deficiencies

River Terrace has 7 federal deficiencies across 3 surveys, including one complaint-triggered medication error issue that has been corrected. The most recurring problems involve care planning and assessment, fire safety systems, and building safety features like exits and emergency power. While most deficiencies have correction dates from the facility, the most recent survey in December 2024 identified multiple safety and care planning issues that families should inquire about during visits.

May 5, 2025Complaint1 finding

0760Actual harm · IsolatedResolved (past non-compliance)

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Dec 26, 2024Routine5 findings

0227Potential for harm · WidespreadCorrected

Egress Deficiencies

Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0712Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0641Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Federal Penalties

Fine

May 5, 2025

$8,964

Ownership & Operations

Who Operates This Facility

Owner / Operator

River Terrace Rehabilitation and Healthcare Ctr

Organization Type

for profit

Chain Affiliation

Chain Name

Marquis Health Services

Chain Size

88 facilities nationwide

Chain avg rating: 3.0/5 · Rank 7 of 80 (Best)

Ownership & Management

Owners

Quinto Guardian LLC

Owner · Organization

Ukr Consulting LLC

Owner · Organization

Kohn Fam Tr Gst Exempt Uad 3-25-13