nursing home in Waltham, MA

Maristhill Nursing & Rehabilitation Center

66 Newton Street, Waltham, MA 02453 · (781) 755-2020

★★★★★3
Average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★5
  • Quality measures★★★★★2

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Maristhill Nursing & Rehabilitation Center at a glance

Maristhill Nursing & Rehabilitation Center is a 123-bed non-profit nursing home in Waltham, Massachusetts (Middlesex County).

CMS gives it 3 out of 5 stars on its overall star rating, close to the Massachusetts average of 3.

Residents receive about 3.9 hours of nursing care per day (1.2 of them from registered nurses), close to the state average of 3.9 hours.

Its most recent standard health inspection (November 25, 2025) found 12 health citations. The Massachusetts average is 6.8.

Federal regulators fined it 1 time in the past three years, totaling $9,496.

Nursing staff turnover is 15.3% per year (state average 38.2%).

Facility details

Type
Nursing home
Ownership
Non Profit - Corporation
Beds
123
Certified for
Medicare and Medicaid
Chain / affiliated entity
Covenant Health
Medicare-certified since
July 1, 1990
Resident/family council
Resident
County
Middlesex County
CMS Certification Number
225408

Ratings

MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)3 / 53 / 53 / 5Average
Health inspection rating ⓘ (higher is better)2 / 53 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)5 / 53.1 / 52.9 / 5Better
Quality measures rating ⓘ (higher is better)2 / 53.3 / 53.6 / 5Worse
Long-stay quality rating (higher is better)2 / 53.4 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)1 / 53 / 53.3 / 5Worse

Staffing

This facility3.90 hrsMassachusetts average3.86 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Massachusetts and U.S. averages
MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.90 hrs3.86 hrs3.86 hrsAverage
Registered nurse hours per resident per day (higher is better)1.20 hrs0.65 hrs0.69 hrsBetter
Nurse aide hours per resident per day (higher is better)2.17 hrs2.25 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)3.57 hrs3.48 hrs3.42 hrsAverage
Nursing staff turnover (yearly) (lower is better)15.3%38.2%45.8%Better
Registered nurse turnover (yearly) (lower is better)9.5%42.6%42.9%Better
Administrators who left in the past year (lower is better)001Better

Inspections

This facility12Massachusetts average7U.S. average9
Health citations in the most recent inspection: this facility vs. Massachusetts and U.S. averages
MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)1279Worse
Citations from complaint investigations (latest cycle) (lower is better)013Better
Weighted health inspection score ⓘ (lower is better)6851.880.6Better

Penalties

This facility1Massachusetts average1U.S. average1
Fines in the past 3 years: this facility vs. Massachusetts and U.S. averages
MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)111Worse
Total fines in the past 3 years (lower is better)$9,496$34,265$30,972Better
All federal penalties in the past 3 years (lower is better)111Average

Size

MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Certified beds123120107
Average residents per day889986
Occupancy71.8%82.1%80.9%

Long-stay residents

This facility4.8%Massachusetts average3.4%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Massachusetts and U.S. averages
MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)4.8%3.4%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)3.3%4.2%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)21%21.4%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)2.5%1.8%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)0.8%0.8%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)19%16.4%13.9%Worse
Long-stay residents whose walking worsened (lower is better)16.3%15.4%14.1%Worse
Long-stay residents who lose too much weight (lower is better)6%5.1%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)0.3%15.5%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.1%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)10.3%19.5%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)22.4%21.2%19%Worse
Long-stay residents given a flu vaccine (higher is better)96.7%94.8%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)92.2%92.6%93.6%Average

Short-stay residents

This facility4.2%Massachusetts average1.4%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Massachusetts and U.S. averages
MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)4.2%1.4%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)71.2%77.7%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)85.8%78.3%82%Average

Inspection citations

State inspectors cited this home for 43 health deficiencies and 29 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.

DateCitationSeverityStatus
November 25, 2025
Fire safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914
F
Potential harm, widespread
Corrected January 22, 2026
November 25, 2025
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected January 22, 2026
November 25, 2025
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
F
Potential harm, widespread
Corrected January 22, 2026
November 25, 2025
Fire safety
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.
Egress Deficiencies · Tag K0222
F
Potential harm, widespread
Corrected January 22, 2026
November 25, 2025
Fire safety
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies · Tag K0291
F
Potential harm, widespread
Corrected January 22, 2026
November 25, 2025
Fire safety
Have properly located and lighted "Exit" signs.
Egress Deficiencies · Tag K0293
F
Potential harm, widespread
Corrected January 22, 2026
November 25, 2025
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
F
Potential harm, widespread
Corrected January 22, 2026
November 25, 2025
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected January 22, 2026
November 25, 2025
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
F
Potential harm, widespread
Corrected January 22, 2026
November 25, 2025
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
F
Potential harm, widespread
Corrected January 22, 2026
November 25, 2025
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
F
Potential harm, widespread
Corrected January 22, 2026
November 25, 2025
Fire safety
Have elevators that firefighters can control in the event of a fire.
Services Deficiencies · Tag K0531
F
Potential harm, widespread
Corrected January 22, 2026
November 25, 2025
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
E
Potential harm, pattern
Corrected December 25, 2025
November 25, 2025
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected December 25, 2025
November 25, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected December 25, 2025
November 25, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected December 25, 2025
November 25, 2025
Standard
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604
D
Potential harm, isolated
Corrected December 25, 2025
November 25, 2025
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected December 25, 2025
November 25, 2025
Standard
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Tag F0693
D
Potential harm, isolated
Corrected December 25, 2025
November 25, 2025
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected December 25, 2025
November 25, 2025
Standard
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Tag F0554
D
Potential harm, isolated
Corrected December 25, 2025
November 25, 2025
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected December 25, 2025
November 25, 2025
Standard
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605
D
Potential harm, isolated
Corrected December 25, 2025
November 25, 2025
Standard
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · Tag F0740
D
Potential harm, isolated
Corrected December 25, 2025
February 24, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected April 3, 2025
October 10, 2024
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
F
Potential harm, widespread
Corrected December 2, 2024
October 10, 2024
Fire safety
Provide a written emergency evacuation plan.
Miscellaneous Deficiencies · Tag K0711
F
Potential harm, widespread
Corrected December 2, 2024
October 10, 2024
Fire safety
Properly provide smoke detection systems in areas open to corridors.
Smoke Deficiencies · Tag K0347
E
Potential harm, pattern
Corrected December 12, 2024
October 10, 2024
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
E
Potential harm, pattern
Corrected December 12, 2024
October 10, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected December 12, 2024
October 10, 2024
Fire safety
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911
E
Potential harm, pattern
Corrected December 2, 2024
October 10, 2024
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected December 12, 2024
October 10, 2024
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
D
Potential harm, isolated
Corrected December 12, 2024
October 10, 2024
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
D
Potential harm, isolated
Corrected December 12, 2024
October 10, 2024
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
E
Potential harm, pattern
Corrected November 24, 2024
October 10, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected November 24, 2024
October 10, 2024
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected November 24, 2024
October 10, 2024
Standard
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · Tag F0685
D
Potential harm, isolated
Corrected November 24, 2024
October 10, 2024
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected November 24, 2024
October 10, 2024
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected November 24, 2024
October 10, 2024
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected November 24, 2024
October 10, 2024
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected November 24, 2024
October 10, 2024
Standard
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Tag F0645
D
Potential harm, isolated
Corrected November 24, 2024
October 10, 2024
Standard
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected November 24, 2024
October 10, 2024
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
D
Potential harm, isolated
Corrected November 24, 2024
October 10, 2024
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected November 24, 2024
October 10, 2024
Standard
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Tag F0699
D
Potential harm, isolated
Corrected November 24, 2024
October 4, 2023
Fire safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Egress Deficiencies · Tag K0225
F
Potential harm, widespread
Corrected December 9, 2023
October 4, 2023
Fire safety
Implement emergency and standby power systems.
Emergency Preparedness Deficiencies · Tag E0041
F
Potential harm, widespread
Corrected December 9, 2023
October 4, 2023
Fire safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0927
F
Potential harm, widespread
Corrected December 9, 2023
October 4, 2023
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected December 9, 2023
October 4, 2023
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
F
Potential harm, widespread
Corrected December 9, 2023
October 4, 2023
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
F
Potential harm, widespread
Corrected December 9, 2023
October 4, 2023
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected December 9, 2023
October 4, 2023
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
E
Potential harm, pattern
Corrected December 9, 2023
October 4, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected November 18, 2023
October 4, 2023
Standard
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.
Quality of Life and Care Deficiencies · Tag F0700
D
Potential harm, isolated
Corrected November 18, 2023
October 4, 2023
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected November 18, 2023
October 4, 2023
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected November 18, 2023
October 4, 2023
Standard
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · Tag F0637
D
Potential harm, isolated
Corrected November 18, 2023
October 4, 2023
Standard
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604
D
Potential harm, isolated
Corrected November 18, 2023
October 4, 2023
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected November 18, 2023
October 4, 2023
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected November 18, 2023
October 4, 2023
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected November 18, 2023
October 4, 2023
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected November 18, 2023
October 4, 2023
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
D
Potential harm, isolated
Corrected November 18, 2023
October 4, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected November 18, 2023
October 4, 2023
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected November 18, 2023
October 4, 2023
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected November 18, 2023
October 4, 2023
Standard
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Tag F0756
D
Potential harm, isolated
Corrected November 18, 2023
October 4, 2023
Standard
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.
Pharmacy Service Deficiencies · Tag F0758
D
Potential harm, isolated
Corrected November 18, 2023
October 4, 2023
Standard
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.
Nursing and Physician Services Deficiencies · Tag F0726
D
Potential harm, isolated
Corrected November 18, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 1 federal penalty in the past three years, including $9,496 in fines.

DatePenaltyAmount / length
February 24, 2025Fine$9,496

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
CASTILLO, NICOLE
Individual
corporate officerNOT APPLICABLE05/18/2018
CASTILLO, NICOLE
Individual
w-2 managing employeeNOT APPLICABLE05/18/2018

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Frequently asked questions

What is Maristhill Nursing & Rehabilitation Center's rating?

Maristhill Nursing & Rehabilitation Center has 3 out of 5 stars on the CMS overall star rating. The average for Massachusetts nursing homes is 3 stars.

How many inspection citations did Maristhill Nursing & Rehabilitation Center receive?

Its most recent standard health inspection found 12 citations, compared with a Massachusetts average of 6.8. Every citation is listed on this page with its severity.

Does Maristhill Nursing & Rehabilitation Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Maristhill Nursing & Rehabilitation Center?

It is non profit - corporation and part of Covenant Health. The ownership section on this page lists the owners and managers reported to CMS.

Where is Maristhill Nursing & Rehabilitation Center and how do I contact it?

Maristhill Nursing & Rehabilitation Center is at 66 Newton Street, Waltham, MA 02453. Phone: (781) 755-2020.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.