Waterstone at Lexington
State licensed55 Watertown Street, Lexington, MA 02421
Assisted Living
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Medicare-certifiedSkilled Nursing
Meadow Green Nursing and Rehabilitation Center
Waltham, MassachusettsMedicare inspection record
About Meadow Green Nursing and Rehabilitation Center
Meadow Green Nursing and Rehabilitation Center brings together skilled nursing care and rehabilitation services in Waltham, Massachusetts, with a focus on helping residents regain independence and mobility. Our medical team works closely with each person to create personalized recovery plans during their time with us.
Community at a glance
Capacity
123 residents
Location
Waltham, MA
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
45 WOBURN STREET, Waltham, Massachusetts 02453
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 February 9, 2026, state inspectors cited 15 health deficiencies (the Massachusetts average is 6.8).
Nurses and nurse aides spend 3 hours 55 minutes with each resident a day, about the same as the Massachusetts average.
Medicare fined Meadow Green Nursing and Rehabilitation Center 2 times in the last three years, $195,559 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 55 minutes |
| Registered nurse time per resident, per day | 38 minutes |
| Nursing staff who left in the past year | 65%Above the Massachusetts average |
Inspections
63 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
February 9, 2026 · Standard inspection · 15 citations
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Mar 12, 2026Provide safe, appropriate dialysis care/services for a resident who requires such services.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Mar 12, 2026Keep residents' personal and medical records private and confidential.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Mar 12, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Mar 12, 2026Provide 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 CareCorrected Mar 12, 2026Provide 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 12, 2026Develop 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 PlanningCorrected Mar 12, 2026Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Mar 12, 2026Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Mar 12, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 12, 2026Ensure 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 PlanningCorrected Mar 12, 2026Ensure 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 12, 2026Safeguard 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 12, 2026Develop 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 few residents (level D)Resident Assessment and Care PlanningCorrected Mar 12, 2026Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Minimal harm or risk, a pattern (level B)Resident RightsCorrected Mar 12, 2026
February 27, 2025 · Standard inspection · 11 citations
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Apr 8, 2025Provide 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 Apr 8, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Apr 8, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 8, 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 PlanningCorrected Apr 8, 2025Develop 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 PlanningCorrected Apr 8, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 8, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 8, 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 Apr 8, 2025Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 8, 2025Assist a resident in gaining access to vision and hearing services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 8, 2025
October 15, 2024 · Complaint investigation · 2 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Nov 5, 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 Nov 4, 2024
March 13, 2024 · Standard inspection · 32 citations+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Residents were harmed, a pattern (level H)Freedom from Abuse, Neglect, and ExploitationCorrected Apr 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.
Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Apr 23, 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, widespread (level F)AdministrationCorrected Apr 23, 2024Have a plan that describes the process for conducting QAPI and QAA activities.
Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Apr 23, 2024Honor the resident's right to organize and participate in resident/family groups in the facility.
Risk of harm, no one hurt, widespread (level F)Resident RightsCorrected Apr 23, 2024Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Apr 23, 2024Ensure 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.
Risk of harm, no one hurt, widespread (level F)Pharmacy ServiceCorrected May 15, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected May 17, 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 pattern (level E)Nursing and Physician ServicesCorrected Apr 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 PlanningCorrected May 15, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected Apr 23, 2024Assess the resident when there is a significant change in condition
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Apr 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 CareCorrected May 17, 2024Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Apr 23, 2024Observe each nurse aide's job performance and give regular training.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Apr 23, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected May 16, 2024Safeguard 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 pattern (level E)Resident Assessment and Care PlanningCorrected Apr 29, 2024Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Apr 23, 2024Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Apr 23, 2024Ensure that residents are fully informed and understand their health status, care and treatments.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 23, 2024Keep residents' personal and medical records private and confidential.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected May 15, 2024Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Apr 23, 2024Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 23, 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 few residents (level D)Quality of Life and CareCorrected Apr 29, 2024Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Apr 23, 2024Provide or obtain dental services for each resident.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 23, 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 few residents (level D)Resident Assessment and Care PlanningCorrected Apr 23, 2024Provide activities to meet all resident's needs.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 23, 2024Honor 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 Apr 23, 2024Ensure 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 PlanningCorrected May 15, 2024Allow residents to self-administer drugs if determined clinically appropriate.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 23, 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 Apr 23, 2024
Showing the 60 most recent. The full list is on Medicare.gov.
Fines and payment denials
2 fines totaling $195,559 in the last three years.
- October 15, 2024Fine: $9,318
- March 13, 2024Fine: $186,241
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Meadow Green Nursing Home Inc
- Medicare-certified beds
- 123
- Average residents per day
- 92
- Accepts
- Medicare and Medicaid
- First certified
- July 1, 1990
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 225440
Location
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45 WOBURN STREETWaltham, MA 02453
12 other communities within 10 miles
Senior living near Waltham
Brookhaven at Lexington
Medicare-certified1010 WALTHAM STREET, Lexington, MA 02421
Skilled Nursing
Medicare certifiedSprinkler systemsResident & family councilContinuing care retirement community+2 more
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Bridges by EPOCH at Lexington
State licensed56 Watertown St, Lexington, MA 02421
Assisted Living
Call for pricing
Prices not published
Questions about Meadow Green Nursing and Rehabilitation Center
How did Meadow Green Nursing and Rehabilitation Center do on its last inspection?+
State inspectors visited on February 9, 2026 and cited 15 health deficiencies. The Massachusetts average is 6.8.
How much nursing care does each resident get at Meadow Green Nursing and Rehabilitation Center?+
Nurses and aides spend 3 hours 55 minutes with each resident per day, including 38 minutes from registered nurses. 65% of nursing staff left over the past year.
Has Meadow Green Nursing and Rehabilitation Center been fined by Medicare?+
Yes. Medicare fined Meadow Green Nursing and Rehabilitation Center 2 times in the last three years, totaling $195,559.
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.