Skilled nursing · Needham, MA

Skilled Nursing Facility At North Hill (The)

865 CENTRAL AVENUE, Needham, MA 02492

4 / 5CMS 72 bedsCapacity Apr 2026Inspected

PALMELLE

Below median

Federal · State

Concerns

The Palmelle read

Worth a closer look. Skilled Nursing Facility At North Hill (The) carries a Palmelle Clarity Score of 48 out of 100, derived from federal CMS Care Compare data plus Massachusetts state records. Health inspection rating sits at 3-star, staffing at 5-star, quality measures at 3-star. Long-stay antipsychotic prescribing is at 21.8 percent, above the 14 percent national median. Long-stay sedative prescribing is at 11.4 percent, below the 15 percent national median. RN coverage is 1.57 hours per resident per day. Nurse turnover 23 percent.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, Massachusetts DPH

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In their own words

No operator description yet.

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Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The safety record, by the numbers.

Going right

5-star health inspection

Top federal score on the most recent inspection.

RN hours per resident, daily

This

1.57

National

0.78

Annual nurse turnover

This

23%

National

53%

Worth asking about

Antipsychotic, long-stay

This

21.8%

National

14%

Ask what behaviors the medication targets and what non-medication options were tried first.

Federal CMS + Massachusetts state data

The full inspection record.

Federal CMS ratings

Overall★★★★★4 / 5

Health inspection★★★★★3 / 5

Staffing★★★★★5 / 5

Quality measures★★★★★3 / 5

Staffing

RN hours per resident, daily

This

1.57

Nat

0.78

Total nurse hours / resident, daily

This

7.43

Nat

3.62

Annual nurse turnover

This

23%

Nat

53%

Annual RN turnover

This

30%

Nat

47%

Quality measures · long-stay residents

Antipsychotic

This

21.8%

Nat

14%

Sedative / sleep med

This

11.4%

Nat

15%

Physical restraint

This

0.0%

Nat

1.1%

Falls with major injury

This

5.8%

Nat

1.6%

Penalties & status

No abuse iconNot special focusInspection current$16,153 in fines (1)

Identity & licensing

CMS ID225281

OwnershipNon profit - Corporation

ChainIndependent

Beds72

Avg residents63

Citations · last 36 months

Flagged by CMS data
This facility reports 5.0-star staffing levels but resident outcomes are only 3.0 stars. High staffing ratings with poor resident outcomes suggest the staffing numbers may not reflect the quality of care residents actually receive.
From the latest CMS Care Compare reconcile
Flagged by CMS data
This facility has received 1 federal fine(s) but still shows a 4.0-star overall rating. Federal penalties are serious — they indicate violations found during inspections. A high rating alongside recent penalties warrants extra scrutiny.
From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, Massachusetts DPH · Last reconciled May 5, 2026

Questions families ask

Common questions.

What is the CMS rating for Skilled Nursing Facility At North Hill (The)?

Skilled Nursing Facility At North Hill (The) has an overall CMS Care Compare rating of 4 out of 5 stars. It scores 3 of 5 on health inspection, 5 of 5 on staffing, and 3 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has Skilled Nursing Facility At North Hill (The) been cited for resident harm?

It has $16,153 in federal fines across 1 penalty on record in the last 36 months. CMS data flagged 2 concerns on the latest reconcile. The full record for Skilled Nursing Facility At North Hill (The) appears in the record section above.

Does Skilled Nursing Facility At North Hill (The) use antipsychotic medications?

21.8 percent of long-stay residents at Skilled Nursing Facility At North Hill (The) are on antipsychotic medications, above the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is near the national median at 11.4 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is Skilled Nursing Facility At North Hill (The)'s Palmelle Clarity Score?

Skilled Nursing Facility At North Hill (The) has a Palmelle Clarity Score of 48 out of 100, putting it below the national median. The score is a composite of federal CMS and Massachusetts state inspection data. Higher is better.

How can I tour or contact Skilled Nursing Facility At North Hill (The)?

Skilled Nursing Facility At North Hill (The) is located at 865 CENTRAL AVENUE, Needham, MA 02492. Phone: (781) 444-9910. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is Skilled Nursing Facility At North Hill (The) a special focus facility?

Skilled Nursing Facility At North Hill (The) is not on the federal Special Focus Facility list, but it does have $16,153 in federal fines on record. See the penalties and status section above.

What does F-689 mean on Skilled Nursing Facility At North Hill (The)'s record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If Skilled Nursing Facility At North Hill (The) has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does Skilled Nursing Facility At North Hill (The) compare to other Needham skilled nursing facilities?

Skilled Nursing Facility At North Hill (The) holds a Palmelle Clarity Score of 48. Browse the full Needham directory to compare more facilities by score, staffing, and inspection record.

Can Palmelle help with hospital discharge to skilled nursing at Skilled Nursing Facility At North Hill (The)?

Yes. Palmelle handles hospital discharge placement and emergency senior placement with a single Placement Specialist owning the case from intake to recommendation. Typical timeline: intake Monday, written recommendation Thursday, follow-up Friday. Call (888) 282-7256 to start, or use Help Me Choose for a comparison report on Skilled Nursing Facility At North Hill (The) and two other facilities on your shortlist.

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