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Nursing HomeMedicaid Investigative

Woburn Rehabilitation and Nursing Center

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

18 Frances Street, #3095, Woburn, MA 01801140 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.0/5

based on 52 Google reviews

5
4
3
2
1
Woburn Rehabilitation and Nursing Center Nursing Home in Woburn, 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 (15 vs median 7.0)
  • High RN turnover (60%)

Bottom 25% in MA · Below recommended RN staffing · Above average staffing · Worst in STELLAR HEALTH GROUP chain · $8,512 in fines

Source: Medicare data

What this means for your family

While some families report positive experiences with specific staff members, the recurring reports of severe understaffing and medical neglect are critical red flags. If you are considering this facility, we strongly advise you to conduct unannounced visits and ask specifically how they manage medical emergencies and dietary needs for chronic conditions.

Google Reviews

Google Reviews

52 reviews on Google
Woburn Rehabilitation and Nursing Center receives highly polarized feedback, with many families reporting severe concerns regarding patient neglect, understaffing, and poor communication. While some reviewers praise specific staff members and physical therapy services, a significant number of families describe a facility that is unresponsive to medical needs and difficult to navigate for discharge planning.

Quality Themes

Tap a score for details
Food2.0Staff3.0Clean6.0Activities3.0Meds2.0MemoryN/AComms2.0Value1.0

Strengths

  • Dedicated physical therapy staff
  • Specific compassionate individual caregivers
  • Clean, well-maintained building

Concerns

  • Severe understaffing leading to neglect (mentioned by 9 reviewers)
  • Poor communication with families and healthcare proxies (mentioned by 5 reviewers)
  • Inadequate medical response and delayed emergency care (mentioned by 4 reviewers)
  • Poor food quality and failure to manage dietary restrictions (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'18(2)'21(4)'23(3)'25(11)'26(10)

Distribution · 56 analyzed

5
26
4
3
3
2
2
3
1
22

How They Respond to Reviews

20%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the recent feedback regarding communication, what specific protocols do you have in place to ensure families are kept updated on their loved one's health status and care changes?
  • 2I noticed the facility has a strong physical therapy team; how do you integrate their work with the daily nursing care to ensure residents stay active and engaged throughout the week?
  • 3Can you walk me through the process for managing dietary restrictions and meal service to ensure residents receive the correct nutrition consistently?
  • 4When a medical concern or emergency arises, what is the exact chain of communication and response time we can expect for our family member?
  • 5With the current staffing levels, how does the team prioritize individual attention for residents who may need extra support with daily tasks or mobility?
  • 6I see that you respond to some family feedback online; how does that input from families directly influence the changes or improvements you make to the facility's operations?

Personalized based on this facility's data


Key Review Excerpts

If my dad never went to this rehab, I believe he would still be alive today. Don't trust this understaffed and neglectful facility with your loved ones.

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

Failure to identify and reach out to healthcare proxies timely and when they finally did, failed to respond to multiple requests to participate in team meetings and discharge planning.

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

My uncle is in here and diabetic - they 'don't do special diets' apparently (I guess they've never heard of diabetes) and his blood sugar was 500 due to the food they're giving him.

Family member · 2025☆☆☆☆
Source: 52 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.72hrs
96%
Registered nurses for medical care
Total Nursing
3.97hrs
97%
All nurses + aides combined
Staff Turnover
38%
Lower is better (< 30% = good)
RN Turnover
47%
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

8

measures

Worse Than Avg

8

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility47.1%
Worse than Avg
Here
47.1%
US
12.1%
MA
13.7%
Middlesex
12.3%

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

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility15.4%
Better than Avg
Here
15.4%
US
15.5%
MA
21.3%
Middlesex
23.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility20.8%
Worse than Avg
Here
20.8%
US
14.4%
MA
16.9%
Middlesex
14.9%
🦠

Residents who got a urinary tract infection

↓ Lower is better
This Facility5.9%
Worse than Avg
Here
5.9%
US
1.6%
MA
1.9%
Middlesex
1.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility95.6%
Better than Avg
Here
95.6%
US
93.4%
MA
92.4%
Middlesex
92.0%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility1.6%
Better than Avg
Here
1.6%
US
4.9%
MA
4.3%
Middlesex
4.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility90.4%
Better than Avg
Here
90.4%
US
81.8%
MA
77.6%
Middlesex
76.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility68.2%
Worse than Avg
Here
68.2%
US
79.8%
MA
77.7%
Middlesex
76.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.4%
Better than Avg
Here
1.4%
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

15deficiencies
1penalties
Well above state avg (8.9)
4 complaint-triggered
$8,512 in fines

Families filed complaints that led to citations for safety hazards and care quality issues. The facility shows persistent problems across surveys with medication management, nutrition and dietary services, and resident rights violations. While all deficiencies have correction dates, recurring issues with medication errors, food service, and family notification suggest ongoing challenges in core care areas that warrant careful evaluation.

Jan 9, 2025Routine
19
0161Potential for harm · Widespread

Construction Deficiencies

Use approved construction type or materials.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

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.

0610Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

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.

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.

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.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0740Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Sep 27, 2024Complaint
1
0689Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

Jul 24, 2024Complaint
3
0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

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.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Jan 12, 2024Routine
13
0161Potential for harm · WidespreadCorrected

Construction Deficiencies

Use approved construction type or materials.

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.

0552Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

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.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · IsolatedResolved (past non-compliance)

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.

0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

Dec 7, 2022Routine
10
0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0161Potential for harm · WidespreadCorrected

Construction Deficiencies

Use approved construction type or materials.

0311Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

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.

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Sep 27, 2024

$8,512

Ownership & Operations

Who Operates This Facility

Owner / Operator

Woburn Rehabilitation and Nursing Center

Organization Type

for profit

Chain Affiliation

Chain Name

Stellar Health Group

Chain Size

7 facilities nationwide

Chain avg rating: 2.7/5 · Rank 6 of 6 (Worst)

Ownership & Management

Owners

Woburn Operations LLC

Owner · Organization

100%

Boston Master Tenant LLC

Owner (parent company) · Organization

100%

Key personnel

Burns, DanielW-2 Managing EmployeeEvangelista, CherylW-2 Managing EmployeeJohanson, BarbaraW-2 Managing EmployeePugliese, NicholasW-2 Managing EmployeeErlichman, ArielOfficer / Director
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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