Ayer Valley Rehab and Nursing
400 Groton Road, Ayer, MA 01432 · (978) 772-1704
For profit - Limited Liability company · 123 certified beds
Ayer Valley Rehab and Nursing has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in March 2025, found 18 citations (the Massachusetts average is 6.8). It was fined 2 times in the last three years, $63,034 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on March 13, 2025 found 18 citations. What an inspection citation means
- Provide safe and appropriate respiratory care for a resident when needed.March 13, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that the resident and his/her doctor meet face-to-face at all required visits.March 13, 2025 · F0712 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.March 13, 2025 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.March 13, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.March 13, 2025 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide for the safe, appropriate administration of IV fluids for a resident when needed.March 13, 2025 · F0694 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care or services that was trauma informed and/or culturally competent.March 13, 2025 · F0699 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.March 13, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Observe each nurse aide's job performance and give regular training.March 13, 2025 · F0730 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.March 13, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.March 13, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.March 13, 2025 · F0805 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide or get specialized rehabilitative services as required for a resident.March 13, 2025 · F0825 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.March 13, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.March 13, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures for flu and pneumonia vaccinations.March 13, 2025 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Educate 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.March 13, 2025 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Have 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.March 13, 2025 · F0843 · Level of harm: Potential for minimal harm · Residents affected: Many
Complaint inspections, last three years
Inspections after complaints found 20 citations.
- Hire a qualified full-time social worker in a facility with more than 120 beds.June 25, 2026 · F0850 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.January 2, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.January 2, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.January 2, 2025 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.June 5, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.June 5, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.June 5, 2024 · F0867 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.December 29, 2023 · F0557 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Reasonably accommodate the needs and preferences of each resident.December 29, 2023 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.December 29, 2023 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide care and assistance to perform activities of daily living for any resident who is unable.December 29, 2023 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide activities to meet all resident's needs.December 29, 2023 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.December 29, 2023 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.December 29, 2023 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.December 29, 2023 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Establish 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.December 29, 2023 · F0837 · Level of harm: Potential for minimal harm · Residents affected: Many
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.December 29, 2023 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.December 29, 2023 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.December 29, 2023 · F0921 · Level of harm: Potential for minimal harm · Residents affected: Many
- Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.December 29, 2023 · F0925 · Level of harm: Potential for minimal harm · Residents affected: Many
Fines and payment denials
- Fine of $53,264March 5, 2024
- Fine of $9,770September 27, 2023
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Massachusetts average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.65 | 3.86 | 3.86 |
| Registered nurses (RN) | 0.77 | 0.65 | 0.69 |
| Licensed practical nurses (LPN) | 0.71 | 0.95 | 0.86 |
| Nurse aides | 2.17 | 2.25 | 2.32 |
| Total nursing staff turnover | 58.1% | 38.2% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 123 |
| Average residents per day | 101.4 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Life Care Center of Acton Acton · ★★★★★ 4 out of 5 stars
- Park Avenue Health Center Arlington · ★★★★★ 1 out of 5 stars
- Waterview Lodge Llc, Rehabilitation & Healthcare Ashland · ★★★★★ 3 out of 5 stars
- Carleton-Willard Village Retirement & Nursing Ctr Bedford · ★★★★★ 5 out of 5 stars
- Belmont Manor Nursing Home, in Belmont · ★★★★★ 2 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Ayer Valley Rehab and Nursing on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.