Nashoba Park
State licensed15 WINTHROP AVE, Ayer, MA 01432
Assisted Living
Assisted living & personal care24-hour supervisionMedication management
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Medicare-certifiedSkilled Nursing
Ayer Valley Rehab and Nursing
Ayer, MassachusettsMedicare inspection record
About Ayer Valley Rehab and Nursing
AYER VALLEY REHAB AND NURSING is a for profit - limited liability company nursing home in AYER, MA with 123 certified beds.
Community at a glance
Capacity
123 residents
Location
Ayer, MA
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
400 GROTON ROAD, Ayer, Massachusetts 01432
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on March 13, 2025, state inspectors cited 19 health deficiencies (the Massachusetts average is 6.8).
Nurses and nurse aides spend 3 hours 39 minutes with each resident a day, below the Massachusetts average of 3 hours 52 minutes.
Medicare fined Ayer Valley Rehab and Nursing once in the last three years, $53,264 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 39 minutesBelow the Massachusetts average |
| Registered nurse time per resident, per day | 46 minutesAbove the Massachusetts average |
| Nursing staff who left in the past year | 58%Above the Massachusetts average |
Inspections
60 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 25, 2026 · Complaint investigation · 1 citation
Hire a qualified full-time social worker in a facility with more than 120 beds.
Risk of harm, no one hurt, widespread (level F)AdministrationFrom a complaintCorrected Jun 26, 2026
March 13, 2025 · Standard inspection · 18 citations
Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Mar 25, 2025Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Mar 25, 2025Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Mar 25, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Mar 25, 2025Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Mar 25, 2025Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 25, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 25, 2025Provide or get specialized rehabilitative services as required for a resident.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 25, 2025Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Mar 25, 2025Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Mar 25, 2025Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Mar 25, 2025Provide care or services that was trauma informed and/or culturally competent.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 25, 2025Develop and implement policies and procedures for flu and pneumonia vaccinations.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Mar 25, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Mar 25, 2025Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 25, 2025Observe each nurse aide's job performance and give regular training.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Mar 25, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 25, 2025Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
Minimal harm or risk, widespread (level C)AdministrationCorrected Mar 25, 2025
January 2, 2025 · Complaint investigation · 3 citations+
Provide enough food/fluids to maintain a resident's health.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 20, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jan 20, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jan 20, 2025
June 5, 2024 · Complaint investigation · 3 citations+
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Jun 21, 2024Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Risk of harm, no one hurt, a pattern (level E)AdministrationFrom a complaintCorrected Jun 17, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 17, 2024
March 5, 2024 · Standard inspection · 22 citations+
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Mar 22, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Residents were harmed, a few residents (level G)Resident RightsCorrected Mar 22, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Mar 25, 2024Have 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.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Mar 25, 2024Assure that each resident’s assessment is updated at least once every 3 months.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Mar 25, 2024Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Mar 25, 2024Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Mar 25, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Mar 25, 2024Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Mar 25, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Mar 25, 2024Provide or obtain dental services for each resident.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 25, 2024Plan the resident's discharge to meet the resident's goals and needs.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 25, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 25, 2024Provide care or services that was trauma informed and/or culturally competent.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 25, 2024Provide enough food/fluids to maintain a resident's health.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 25, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 25, 2024Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Mar 25, 2024Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 25, 2024Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 25, 2024Ensure each resident’s drug regimen must be free from unnecessary drugs.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Mar 25, 2024Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Mar 25, 2024Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Minimal harm or risk, a pattern (level B)Resident RightsCorrected Mar 25, 2024
December 29, 2023 · Complaint investigation · 13 citations+
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, widespread (level F)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 23, 2024Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Risk of harm, no one hurt, widespread (level F)Resident RightsFrom a complaintCorrected Feb 23, 2024Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesFrom a complaintCorrected Feb 23, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, widespread (level F)Infection ControlFrom a complaintCorrected Feb 23, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Feb 23, 2024Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Feb 23, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 23, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 23, 2024Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Feb 23, 2024Provide activities to meet all resident's needs.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 23, 2024Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Minimal harm or risk, widespread (level C)AdministrationFrom a complaintCorrected Feb 23, 2024Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Minimal harm or risk, widespread (level C)EnvironmentalFrom a complaintCorrected Feb 23, 2024Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Minimal harm or risk, widespread (level C)EnvironmentalFrom a complaintCorrected Feb 23, 2024
Fines and payment denials
1 fine totaling $53,264 in the last three years.
- March 5, 2024Fine: $53,264
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Ayer Valley Rehab and Nursing LLC
- Medicare-certified beds
- 123
- Average residents per day
- 101
- Accepts
- Medicare and Medicaid
- First certified
- July 1, 1990
- Part of a chain
- Stern Consultants, 22 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 225421
Location
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400 GROTON ROADAyer, MA 01432
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Questions about Ayer Valley Rehab and Nursing
How did Ayer Valley Rehab and Nursing do on its last inspection?+
State inspectors visited on March 13, 2025 and cited 19 health deficiencies, 1 of them from complaint investigations. The Massachusetts average is 6.8.
How much nursing care does each resident get at Ayer Valley Rehab and Nursing?+
Nurses and aides spend 3 hours 39 minutes with each resident per day, including 46 minutes from registered nurses. 58% of nursing staff left over the past year.
Has Ayer Valley Rehab and Nursing been fined by Medicare?+
Yes. Medicare fined Ayer Valley Rehab and Nursing once in the last three years, totaling $53,264.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.