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B
Good

AYER VALLEY REHAB AND NURSING

400 GROTON ROAD · AYER, MA 01432

9787721704 · For profit - Limited Liability company

123 beds109.4 residents193 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

AYER VALLEY REHAB AND NURSING receives an overall staffing grade of B (Good). With 3.5844 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.7411 HPRD, below the recommended 0.75. It is 0.31 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 19.81% compared to weekdays. The facility uses a moderate level of agency staff (10.88% of hours), suggesting some reliance on temporary workers.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.7411 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.5844hrs/resident/day▼ 0.31
CMS benchmark: 3.48
RN HPRD
0.7411hrs/resident/day▲ 0.06
Recommended: 0.75
Weekend Drop-off
19.81%
3.797 weekday → 3.0448 weekend
Agency Staff
10.88%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1048hrs/resident/day
Direct care aides
LPN HPRD
0.7131hrs/resident/day
Licensed practical nurses
Consistency
0.3963std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Middlesex County Average-0.39 HPRD
3.98
03.58 HPRD
vs. Massachusetts State Average-0.29 HPRD
3.87
03.58 HPRD
vs. National Average-0.31 HPRD
3.90
03.58 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
AYER VALLEY REHAB AND NURSING ★
AYER · This facility
—
B
3.58440.7411★☆☆☆☆
KEYSTONE CENTER
LEOMINSTER
8.9 mi
C
3.35940.4386★☆☆☆☆
LIFE CARE CENTER OF ACTON
ACTON
9.4 mi
C
3.81750.4998★★★★☆
RIVER TERRACE REHABILITATION AND HEALTHCARE CTR
LANCASTER
9.6 mi
B
3.59530.5994★★★★★
LIFE CARE CENTER OF LEOMINSTER
LEOMINSTER
10.7 mi
D
4.03050.3972★★★★☆
FITCHBURG REHABILITATION AND NURSING CENTER
FITCHBURG
10.9 mi
C
3.07840.466★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

10
Inspections
84
Total Deficiencies
$72,804
Fines Assessed
Mar 13, 2025Health
18 deficiencies cited
▼
Jan 2, 2025Health
3 deficiencies cited
▼
Jun 5, 2024Health
3 deficiencies cited
▼
Mar 5, 2024Health
22 deficiencies cited· Includes actual harm
▼
Dec 29, 2023Health
13 deficiencies cited
▼
Sep 27, 2023Health
3 deficiencies cited· Includes actual harm
▼
Jul 5, 2023Health
3 deficiencies cited· Includes actual harm
▼
Apr 11, 2023Health
1 deficiency cited
▼
Feb 2, 2023Health
3 deficiencies cited
▼
Jun 16, 2022Health
15 deficiencies cited· Includes actual harm
▼

Penalty History

Mar 5, 2024Fine
$53,264
Sep 27, 2023Fine
$9,770
Jul 5, 2023Fine
$9,770
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.