Nursing HomeInspections

St Joseph Rehab & Nursing Care Center

Nursing home in Dorchester, MA

Medicare & Medicaid certified3★ overall (CMS)

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Public-record details

Address
321 Centre Street, Dorchester, MA 02122
Phone
(617) 825-6320
Listed under
For-profit
Medicare CCN
225493
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
5 of 5
Certified beds
123
Average residents per day
111
Ownership
For-profit, limited Liability company
Legal business name
Ashmont Hill, LLC
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 and family councils
Sprinklers in all required areas
Yes

CMS certification number 225493. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Feb 19, 2026. CMS lists 45 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 9, 2024 to Jul 21, 2026): 3 from complaint inspections, 4 at the “actual harm” level or higher.

InspectionCitationSeverity
Jul 21, 2026Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Feb 19, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Feb 19, 2026Ensure medication error rates are not 5 percent or greater.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Feb 19, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service
E
Potential for more than minimal harm, pattern
Feb 19, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
Feb 5, 2025Reasonably accommodate the needs and preferences of each resident.
Resident Rights
D
Potential for more than minimal harm, isolated
Feb 5, 2025Develop 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
D
Potential for more than minimal harm, isolated
Feb 5, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Feb 5, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Feb 5, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Feb 5, 2025Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Feb 5, 2025Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 45. 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 Oct 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $82,612 in the last three years.

Jul 8, 2024Fine: $29,348
Feb 9, 2024Fine: $53,264

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

Staffing

Total nurse staffing per resident per day
3.70 hours
Registered nurse (RN) time per resident per day
0.93 hours
Nurse aide time per resident per day
2.14 hours
Total nurse staffing on weekends
3.30 hours
Nursing staff turnover (yearly)
40%
RN turnover (yearly)
54%

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.

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