Nursing homeFAID #5809
Ayer Valley Rehab and Nursing
★★★★★1/5CMS Five-Star overall1/5 health inspections3/5 staffing3/5 quality measuresSource: CMS Care Compare
Photo via Google · Apple Valley Center
Public record summary
What we can show you for free.
Bed capacity
123
CMS facility ID
225421
Care type
Nursing home
County
Middlesex
Facility name
Ayer Valley Rehab and Nursing
Street address
400 GROTON ROAD
City / state / ZIP
Ayer, MA 01432
Phone
(978) 772-1704
Website
About this facility — Ayer Valley Rehab and Nursing
Ayer Valley Rehab and Nursing is a Medicare/Medicaid-certified skilled nursing facility in Ayer, Massachusetts. It is licensed for 123 beds — close to the median for skilled nursing facilities in Massachusetts (123 beds).
It is one of 2 senior care facilities in Ayer and 341 skilled nursing facilities across Massachusetts. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Ayer Valley Rehab and Nursing 102 times across 11 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $63,034 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Parent company
Stern Consultants
Ownership type
For profit - Limited Liability company
Registered owners & officers
Friedman, Shana
Direct owner — 12% stake — since 2023
Com Family Trust
Indirect owner · Additional disclosable party — 10% stake — since 2023
Ayer Valley Propco Llc
Additional disclosable party — since 2023
Beatty, Brittany
Direct owner · Operational control · Additional disclosable party — since 2023
Cambridge, Joshua
Operational control · Additional disclosable party — since 2023
E Newhouse Family Trust
Additional disclosable party — since 2023
Erblich, Avraham
Governing body · Operational control · Additional disclosable party — since 2023
Etn Family Holdings Llc
Operational control · Additional disclosable party — since 2023
Friedman, Benjamin
Direct owner · Operational control · Additional disclosable party — since 2023
Millman, Chaim
Indirect owner · Governing body · Operational control · Trustee · Additional disclosable party — since 2023
Newhouse, Eric
Indirect owner · Governing body · Operational control · Trustee · Additional disclosable party — since 2023
Nilsson, Claes
Governing body · Operational control · Additional disclosable party — since 2023
Plew, Andrea
Operational control · Additional disclosable party — since 2023
Sheps, Boruch
Governing body · Operational control · Additional disclosable party — since 2023
Stern Therapy Consultants Llc
Operational control · Additional disclosable party — since 2023
Stern, Bezalel
Additional disclosable party — since 2023
T Newhouse Family Trust
Additional disclosable party — since 2023
Tlco Holdings Llc
Operational control · Additional disclosable party — since 2023
Tlm Family Trust
Additional disclosable party — since 2023
Regulatory standing
Licensed / certified since
1990-07-01
CMS overall rating
1 of 5 stars
Health deficiencies
19 at the last standard inspection
Federal fines
$63,034 total
Last standard inspection
2025-03-13
Nurse staffing
3.7 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$511 per day (≈ $15,530/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
82% Medicaid · 8% Medicare · 10% private/other
Occupancy
91% (fiscal year 2023)
Vs. state median
4% above the MA median of $489/day — full state cost breakdown
Services & coverage
Licensed beds
123
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-25Health inspectionComplaint-triggered1 citation
F-0850
F · No harm foundFrom a complaint
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected 2026-06-26
2025-03-13Health inspection18 citations
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-03-25
F-0585
D · No harm found
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.
Corrected 2025-03-25
F-0694
D · No harm found
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2025-03-25
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-03-25
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-03-25
F-0712
E · No harm found
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2025-03-25
F-0726
D · No harm found
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.
Corrected 2025-03-25
F-0730
D · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2025-03-25
F-0756
E · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-03-25
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2025-03-25
F-0804
D · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-03-25
F-0805
D · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-03-25
F-0825
D · No harm found
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2025-03-25
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-03-25
F-0843
C · No harm found
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.
Corrected 2025-03-25
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-03-25
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-03-25
F-0887
D · No harm found
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.
Corrected 2025-03-25
9 earlier / fire-safety inspections (83 citations)
2025-01-02Health inspectionComplaint-triggered3 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-01-20
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-01-20
F-0692
D · No harm foundFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-01-20
2024-06-05Health inspectionComplaint-triggered3 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-17
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-06-21
F-0867
E · No harm foundFrom a complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-06-17
2024-03-05Health inspection22 citations
F-0557
D · No harm found
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-03-25
F-0580
G · Actual harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-03-22
F-0623
D · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-03-25
F-0625
B · No harm found
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.
Corrected 2024-03-25
F-0638
E · No harm found
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-03-25
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-03-25
F-0657
E · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-03-25
F-0660
D · No harm found
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-03-25
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-25
F-0686
G · Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-03-22
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-25
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-03-25
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-03-25
F-0725
E · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-03-25
F-0726
D · No harm found
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.
Corrected 2024-03-25
F-0727
F · No harm found
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-03-25
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-03-25
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-03-25
F-0791
D · No harm found
Provide or obtain dental services for each resident.
Corrected 2024-03-25
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-03-25
F-0868
E · No harm found
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-03-25
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-03-25
2023-12-29Health inspectionComplaint-triggered13 citations
F-0557
F · No harm foundFrom a complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-02-23
F-0558
E · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-02-23
F-0656
E · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-23
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-02-23
F-0679
D · No harm foundFrom a complaint
Provide activities to meet all resident's needs.
Corrected 2024-02-23
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-23
F-0725
F · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-02-23
F-0804
D · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-02-23
F-0837
C · No harm foundFrom a complaint
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.
Corrected 2024-02-23
F-0842
F · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-02-23
F-0880
F · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-02-23
F-0921
C · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-02-23
F-0925
C · No harm foundFrom a complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-02-23
2023-09-27Health inspectionComplaint-triggered3 citations
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-09-01
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-09-01
F-0761
D · No harm foundFrom a complaint
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.
Corrected 2023-10-31
2022-06-16Health inspection15 citations
F-0580
G · Actual harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-07-21
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-07-21
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-07-21
F-0686
G · Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-08-16
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-07-21
F-0698
G · Actual harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-07-21
F-0700
D · No harm found
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.
Corrected 2022-07-21
F-0725
E · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2022-07-21
F-0740
D · No harm found
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2022-07-21
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-07-21
F-0865
D · No harm found
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2022-08-26
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2022-08-16
F-0883
E · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-08-26
F-0886
E · No harm found
Perform COVID19 testing on residents and staff.
Corrected 2022-07-21
F-0887
D · No harm found
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.
Corrected 2022-08-16
2025-03-13Fire-safety inspection13 citations
E-0015
F · No harm found
Address subsistence needs for staff and patients.
Corrected 2025-04-11
E-0037
F · No harm found
Establish staff and initial training requirements.
Corrected 2025-04-11
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-04-11
K-0311
F · No harm found
Have an enclosure around a vertical opening shaft.
Corrected 2025-04-11
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2025-04-11
K-0345
D · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-04-17
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-17
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-04-17
K-0711
F · No harm found
Provide a written emergency evacuation plan.
Corrected 2025-04-11
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-04-17
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-04-11
K-0911
E · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-04-11
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-23
2024-03-05Fire-safety inspection9 citations
E-0004
D · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-03-22
E-0013
D · No harm found
Develop Emergency Preparedness policies and procedures.
Corrected 2024-03-22
E-0029
D · No harm found
Develop a communication plan.
Corrected 2024-03-22
E-0036
D · No harm found
Establish emergency prep training and testing.
Corrected 2024-03-22
E-0041
E · No harm found
Implement emergency and standby power systems.
Corrected 2024-03-22
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-22
K-0712
E · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-03-25
K-0761
D · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-03-25
K-0918
E · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-03-22
2022-06-16Fire-safety inspection2 citations
K-0351
F · No harm found
Install an approved automatic sprinkler system.
Corrected 2022-07-30
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-07-30
Federal penalties
2024-03-05Fine$53,264
2023-09-27Fine$9,770
Total fines$63,034
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 225421.
Visitor reviews
What people say on Google.
4.2★★★★★59 ratings on Google
★★★★★Cheryl Netos · 2026-03-27 · via Google“If you need long or short term care Ayer Valley Rehabilitation Center is by far the best place to go. The staff are welcoming and friendly. They listen to your concerns and any questions you may have. Ayer Valley Rehabilitation Center will be where I would want to be long term I give. I highly recommend Ayer Valley Rehabilitation Center. I give Ayer Valley Rehabilitation Center a 10 all around..Th…”
★★★★★Cheryl · 2026-03-03 · via Google“The staff of Ayer Valley were very welcoming when I first got here. They make me feel safe and very well looked after. I have seen other places in Leominster I'm very greatful to be at Ayer Valley Rehab and Nursing.”
★★★★★Wendy Prest · 2026-07-24 · via Google“My husband recently spent several weeks here after a quadruple bypass. The staff were consistently professional and unfailingly kind. I do no hesitate to recommend rehab here.”
Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 102 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered