Home›Browse›Massachusetts›Waltham›Meadow Green Nursing and Rehabilitation Center

Nursing homeFAID #5820

Meadow Green Nursing and Rehabilitation Center

45 WOBURN STREET, WALTHAM, MA, 02453

(781) 899-8600

123 licensed beds

★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

45 Woburn Street

Waltham, MA 02453

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Public record summary

What we can show you for free.

Bed capacity

123

CMS facility ID

225440

Care type

Nursing home

County

Middlesex

Facility name

Meadow Green Nursing and Rehabilitation Center

Street address

45 WOBURN STREET

City / state / ZIP

Waltham, MA 02453

Phone

(781) 899-8600

About this facility — Meadow Green Nursing and Rehabilitation Center

Meadow Green Nursing and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Waltham, Massachusetts. It is licensed for 123 beds — close to the median for skilled nursing facilities in Massachusetts (123 beds).

It is one of 13 senior care facilities in Waltham 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 Meadow Green Nursing and Rehabilitation Center 79 times across 7 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $195,559 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

Ownership type

For profit - Limited Liability company

Registered owners & officers

Franchi, Anthony

Direct owner · Director · Officer · Operational control — 80% stake — since 1985

Franchi, Constance

Direct owner · Director · Officer — 20% stake — since 1985

A. Franchi Contractors, Inc.

Operational control — since 1985

Regulatory standing

Licensed / certified since

1990-07-01

CMS overall rating

1 of 5 stars

Health deficiencies

15 at the last standard inspection

Federal fines

$195,559 total

Last standard inspection

2026-02-09

Nurse staffing

3.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$469 per day (≈ $14,260/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

65% Medicaid · 18% Medicare · 17% private/other

Occupancy

75% (fiscal year 2023)

Vs. state median

4% below the MA median of $489/day — full state cost breakdown

Services & coverage

Licensed beds

123

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · 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 1 food-safety citation on its three-year record — flagged below among the inspections.

2026-02-09Health inspection15 citations

F-0582

B · No harm found

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2026-03-12

F-0583

E · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2026-03-12

F-0605

D · No harm found

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2026-03-12

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 2026-03-12

F-0657

D · 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 2026-03-12

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-03-12

F-0677

E · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-03-12

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2026-03-12

F-0695

E · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-03-12

F-0698

E · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2026-03-12

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 2026-03-12

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2026-03-12

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 2026-03-12

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-03-12

F-0883

E · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2026-03-12

2025-02-27Health inspection11 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-04-08

F-0578

D · No harm found

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.

Corrected 2025-04-08

F-0582

E · No harm found

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-04-08

F-0656

D · 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 2025-04-08

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-04-08

F-0685

D · No harm found

Assist a resident in gaining access to vision and hearing services.

Corrected 2025-04-08

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-04-08

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-04-08

F-0695

E · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-04-08

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 2025-04-08

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-04-08

5 earlier / fire-safety inspections (53 citations)

2024-10-15Health inspectionComplaint-triggered2 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 2024-11-04

F-0689

G · Actual harmFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-11-05

2024-03-13Health inspection35 citations

F-0550

E · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-05-16

F-0552

D · No harm found

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2024-04-23

F-0554

D · No harm found

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-04-23

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-04-23

F-0565

F · No harm found

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2024-04-23

F-0583

D · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2024-05-15

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 2024-04-23

F-0600

H · Actual harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-04-23

F-0604

D · No harm found

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-04-23

F-0607

D · No harm found

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-04-23

F-0609

E · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-04-23

F-0610

D · No harm found

Respond appropriately to all alleged violations.

Corrected 2024-04-23

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 2024-04-23

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 2024-04-23

F-0637

E · No harm found

Assess the resident when there is a significant change in condition

Corrected 2024-04-23

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 2024-05-15

F-0657

D · 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 2024-04-23

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-05-15

F-0677

E · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-05-17

F-0679

D · No harm found

Provide activities to meet all resident's needs.

Corrected 2024-04-23

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 2024-04-29

F-0726

E · 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 2024-04-23

F-0730

E · No harm found

Observe each nurse aide's job performance and give regular training.

Corrected 2024-04-23

F-0761

F · No harm found

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 2024-05-15

F-0791

D · No harm found

Provide or obtain dental services for each resident.

Corrected 2024-04-23

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 2024-04-23

F-0835

F · No harm found

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-04-23

F-0837

F · No harm found

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 2024-04-23

F-0842

E · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-04-29

F-0849

D · No harm found

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2024-04-23

F-0865

F · No harm found

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2024-04-23

F-0867

F · No harm found

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2024-04-23

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-05-17

F-0940

D · No harm found

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Corrected 2024-04-23

F-0947

E · No harm found

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2024-04-23

2026-02-09Fire-safety inspection2 citations

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-04-10

K-0918

E · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-04-10

2025-02-27Fire-safety inspection11 citations

E-0037

F · No harm found

Establish staff and initial training requirements.

Corrected 2025-04-14

K-0222

D · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-04-14

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2025-04-14

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-04-14

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-14

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-04-14

K-0372

F · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-04-14

K-0711

E · No harm found

Provide a written emergency evacuation plan.

Corrected 2025-04-14

K-0911

E · No harm found

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2025-04-14

K-0918

E · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-04-14

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2025-04-14

2024-03-13Fire-safety inspection3 citations

K-0521

F · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-04-26

K-0531

F · No harm found

Have elevators that firefighters can control in the event of a fire.

Corrected 2024-04-26

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-04-26

Federal penalties

2024-10-15Fine$9,318

2024-03-13Fine$186,241

Total fines$195,559

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 225440.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 79 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 only

Active civil suits

Federal dockets

CDC infection data

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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

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