MELROSE HEALTHCARE

Special Focus Facility candidate · CCN 225329 · 40 MARTIN STREET OPERATOR LLC · For profit - Limited Liability company · NEXT STEP HEALTHCARE chain · 106 certified beds · Middlesex · MA


MELROSE HEALTHCARE is a 106-bed nursing home in MELROSE, Massachusetts. CMS has certified it for Medicare and Medicaid since 1989-02-13. It averages 94.4 residents a day.

What harm was found in the violations cited at MELROSE HEALTHCARE?

CMS lists 66 health-inspection deficiencies for MELROSE HEALTHCARE since 2023-02-07, 44 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-04-09.

Survey dateTagDeficiencySeverity
2025-04-09F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2025-04-09F0550, F0584, F0656, F0658, F0677, F0725, F0726, F0730, F0761, F0803, F0804, F0812Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / 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 enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / Observe each nurse aide's job performance and give regular training. / 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. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2025-04-09F0552, F0578, F0585, F0684, F0689, F0692, F0695, F0698, F0699, F0757, F0791, F0808, F0842, F0880Ensure that residents are fully informed and understand their health status, care and treatments. / 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. / 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Provide care or services that was trauma informed and/or culturally competent. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide or obtain dental services for each resident. / Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.D
2024-04-03F0576, F0656, F0761, F0812Ensure residents have reasonable access to and privacy in their use of communication methods. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-04-03F0552, F0578, F0600, F0604, F0658, F0677, F0679, F0685, F0695, F0698, F0756, F0758, F0842Ensure that residents are fully informed and understand their health status, care and treatments. / 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / 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. / Assist a resident in gaining access to vision and hearing services. / 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 a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2023-02-07F0584Honor 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.F
2023-02-07F0550, F0604, F0656, F0700, F0761, F0812, F0842, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / 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. / 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. / Provide and implement an infection prevention and control program.E
2023-02-07F0552, F0554, F0637, F0641, F0657, F0676, F0677, F0684, F0689, F0698, F0756, F0758, F0759Ensure that residents are fully informed and understand their health status, care and treatments. / Allow residents to self-administer drugs if determined clinically appropriate. / Assess the resident when there is a significant change in condition / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Ensure medication error rates are not 5 percent or greater.D

Why was MELROSE HEALTHCARE fined?

DateTypeAmount
2025-04-09Fine$49,324

How is MELROSE HEALTHCARE staffed relative to the MA average?

MeasureThis facilityMA average
Total nurse staffing hours per resident per day3.488123.86193
Total nursing staff turnover (%)32.938.2
Average number of residents per day94.498.5

Who owns MELROSE HEALTHCARE, and what chain is it in?

MELROSE HEALTHCARE is registered with CMS as For profit - Limited Liability company, operates under the legal business name 40 MARTIN STREET OPERATOR LLC and belongs to the NEXT STEP HEALTHCARE chain.

RoleOwnerAssociation date
CORPORATE OFFICERDELL'ANNO, DAMIAN, STEPHAN, WILLIAMsince 09/01/2017
OPERATIONAL/MANAGERIAL CONTROLNEXT STEP HEALTHCARE LLC, LIKHI, RISHI, MUBIRU, HENRYsince 01/27/2025
ADP OF THE SNFNEXT STEP HEALTHCARE LLC, LIKHI, RISHI, MUBIRU, HENRYsince 01/27/2025

Were you or a family member harmed at MELROSE HEALTHCARE?