Public Record
Shrewsbury Rehabilitation and Nursing at Southgate
From CMS
Facility profile
- CMS overall rating
- 5 / 5
- Certified beds
- 99
- Avg. residents per day
- 90.5
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 33
- Inspections on file
- 8
- Last inspection
- 2025-11-04
*CMS
*CMS
*CMS
Citations
33 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0007Generalpotential for harm
Address patient/client population and determine types of services needed.
- 0030Generalpotential for harm
List the names and contact information of those in the facility.
- 0041Generalpotential for harm
Implement emergency and standby power systems.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0686Generalpotential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0761Generalpotential for harm
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.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0636Generalpotential for harm
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- 0641Generalno actual harm
Ensure each resident receives an accurate assessment.
- 0646Generalno actual harm
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
- 0254Generalpotential for harm
Provide hallway or ground-level exits in all residents' rooms.
- 0222Generalpotential for harm
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.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0374Generalpotential for harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- 0324Generalpotential for harm
Provide properly protected cooking facilities.
- 0311Generalpotential for harm
Have an enclosure around a vertical opening shaft.
- 0271Generalpotential for harm
Have exits that are accessible at all times.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0351Generalpotential for harm
Install an approved automatic sprinkler system.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0689Seriousactual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0347Generalpotential for harm
Properly provide smoke detection systems in areas open to corridors.
- 0883Generalpotential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- 0758Generalpotential for harm
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.
- 0756Generalpotential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 0732Generalno actual harm
Post nurse staffing information every day.
- 0694Generalpotential for harm
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- 0552Generalpotential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
FAQ
Questions and answers
- What is Shrewsbury Rehabilitation and Nursing at Southgate?
- Shrewsbury Rehabilitation and Nursing at Southgate is a Medicare- and Medicaid-certified nursing home in Shrewsbury, MA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 225491.
- What is the CMS rating for Shrewsbury Rehabilitation and Nursing at Southgate?
- Shrewsbury Rehabilitation and Nursing at Southgate has a CMS overall rating of 5 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Shrewsbury Rehabilitation and Nursing at Southgate have?
- Shrewsbury Rehabilitation and Nursing at Southgate is certified for 99 beds. It serves an average of 90.5 residents per day.
- How many citations does Shrewsbury Rehabilitation and Nursing at Southgate have?
- Shrewsbury Rehabilitation and Nursing at Southgate has 33 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Shrewsbury Rehabilitation and Nursing at Southgate last inspected?
- Shrewsbury Rehabilitation and Nursing at Southgate was last inspected on November 4, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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