SAUGUS CENTER

Special Focus Facility candidate · CCN 225147 · LINCOLN ROAD OPERATIONS LLC · For profit - Limited Liability company · 80 certified beds · Essex · MA


SAUGUS CENTER is a 80-bed nursing home in SAUGUS, Massachusetts. CMS has certified it for Medicare and Medicaid since 1967-12-01. It averages 70.1 residents a day.

What harm was found in the violations cited at SAUGUS CENTER?

CMS lists 66 health-inspection deficiencies for SAUGUS CENTER since 2023-05-01, 52 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-06-16.

Survey dateTagDeficiencySeverity
2025-06-16F0580, F0689, F0726, F0835Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Administer the facility in a manner that enables it to use its resources effectively and efficiently.J
2025-06-16F0730Observe each nurse aide's job performance and give regular training.F
2025-06-16F0584, F0880, F0881, F0887Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. / 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.E
2025-06-16F0641, F0656, F0658, F0677, F0679, F0684, F0685, F0688, F0695, F0699, F0744, F0761, F0770, F0791, F0805, F0865Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Assist a resident in gaining access to vision and hearing services. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Provide safe and appropriate respiratory care for a resident when needed. / Provide care or services that was trauma informed and/or culturally competent. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / 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. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Provide or obtain dental services for each resident. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Have a plan that describes the process for conducting QAPI and QAA activities.D
2025-04-01F0686, F0760Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that residents are free from significant medication errors.D
2024-07-09F0725, F0880Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide and implement an infection prevention and control program.F
2024-07-09F0550, F0656, F0761, F0790Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. / Provide routine and 24-hour emergency dental care for each resident.E
2024-07-09F0554, F0578, F0641, F0658, F0684, F0686, F0689, F0692, F0695, F0698, F0740, F0812, F0842, F0908, F0607, F0609, F0691Allow residents to self-administer drugs if determined clinically appropriate. / Honor 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. / Ensure each resident receives an accurate assessment. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Keep all essential equipment working safely. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.D
2024-04-01F0656, F0689Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2023-05-01F0552, F0584, F0656, F0677, F0684, F0688, F0695, F0699, F0756, F0759, F0804, F0880Ensure that residents are fully informed and understand their health status, care and treatments. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Provide safe and appropriate respiratory care for a resident when needed. / Provide care or services that was trauma informed and/or culturally competent. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure medication error rates are not 5 percent or greater. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program.D
2023-05-01F0623, F0625Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify 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.B

Why was SAUGUS CENTER fined 2 times?

DateTypeAmount
2025-06-16Fine$56,407
2024-04-01Fine$9,539

How is SAUGUS CENTER staffed relative to the MA average?

MeasureThis facilityMA average
Total nurse staffing hours per resident per day3.174703.86193
Total nursing staff turnover (%)30.038.2
Average number of residents per day70.198.5

Who owns SAUGUS CENTER?

SAUGUS CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name LINCOLN ROAD OPERATIONS LLC.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTMA SNF HOLDINGS LLCsince 03/15/2024
5% OR GREATER INDIRECT OWNERSHIP INTERESTISHAKIS, YOCHANAN, LEVINE, YISROELsince 03/15/2024
5% OR GREATER MORTGAGE INTERESTCELTIC BANK CORPORATIONsince 09/03/2024
OPERATIONAL/MANAGERIAL CONTROLZENITH CARE LLC, LEVINE, YISROEL, MACARELLI, ROBERTsince 09/03/2024
ADP OF THE SNFMA SNF HOLDINGS LLC, ZENITH CARE LLC, AWEH, NELSON, ISHAKIS, YOCHANAN, LEVINE, YISROEL, MACARELLI, ROBERTsince 09/03/2024

Were you or a family member harmed at SAUGUS CENTER?