Nursing HomeInspections

Ayer Valley Rehab and Nursing

Nursing home in Ayer, MA

Medicare & Medicaid certified1★ overall (CMS)

Call (978) 772-1704Send a messageMap ↗

Public-record details

Address
400 Groton Road, Ayer, MA 01432
Phone
(978) 772-1704
Listed under
For-profit
Medicare CCN
225421
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
123
Average residents per day
101
Ownership
For-profit, limited Liability company
Legal business name
Ayer Valley Rehab and Nursing LLC
Chain
Stern Consultants (22 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 1, 1990
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 225421. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 13, 2025. CMS lists 78 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 16, 2022 to Jun 25, 2026): 23 from complaint inspections, 6 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 25, 2026Hire a qualified full-time social worker in a facility with more than 120 beds.
Administration · complaint inspection		F
Potential for more than minimal harm, widespread
Mar 13, 2025Have 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.
Administration		C
Potential for minimal harm, widespread
Mar 13, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 13, 2025Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 13, 2025Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 13, 2025Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 13, 2025Ensure 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		D
Potential for more than minimal harm, isolated
Mar 13, 2025Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services		D
Potential for more than minimal harm, isolated
Mar 13, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Mar 13, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Mar 13, 2025Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Mar 13, 2025Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 78. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $63,034 in the last three years.

Mar 5, 2024Fine: $53,264
Sep 27, 2023Fine: $9,770

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.65 hours
Registered nurse (RN) time per resident per day
0.77 hours
Nurse aide time per resident per day
2.17 hours
Total nurse staffing on weekends
3.17 hours
Nursing staff turnover (yearly)
58%
RN turnover (yearly)
39%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.