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Medway Country Manor Skilled Nursing & Rehabilitation, Medway, Massachusetts

63
Citations from health inspectionsMassachusetts average: 29 a home
5
Residents harmed or put in dangerMassachusetts average: 1.4 a home
$192,421
Fines from the federal governmentMassachusetts average: $34,265 a home
No rating given
Overall rating in starsMassachusetts average: 3.0

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

Seven inspection visits produced 63 citations. Residents were in immediate danger in four findings. Residents were found hurt in one case. Federal fines came to $192,421 (two fines).

This home is a Special Focus Facility. Homes that have done poorly on past inspections are put on this list by CMS, and they get extra attention.

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Quick Look at the Record

The home's overall star rating
No rating is given while the home stays on the Special Focus list
Rating for health inspections
No rating is given while the home stays on the Special Focus list
Rating for staffing
No rating is given while the home stays on the Special Focus list
Rating for quality of care
No rating is given while the home stays on the Special Focus list
Nurse time for each resident
3.24 hours each dayThe Massachusetts average is 3.86 hours
Time from registered nurses
0.35 hours each dayThe Massachusetts average is 0.65 hours
Nursing staff who left during one year
40.8%against the Massachusetts average of 38.2%
Beds that are certified
123
Ownership
Individual (for profit)
Chain
Shimon Lefkowitz, with five homes
Street address
115 Holliston Street, Medway, Massachusetts 02053
County
Norfolk

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

Nine citations dated March 19, 2026

  • F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
  • F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
  • F697 Pain Management: residents were harmed, one or a few residents.
  • F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents.
  • F685 Help Getting Vision and Hearing Care: risk of harm, no one found hurt, a pattern, several residents.
  • F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
  • F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, one or a few residents.
  • F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, widespread.
  • F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.

Two citations dated Feb. 5, 2025

  • F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Four citations dated Jan. 29, 2025

  • F880 Infection Prevention and Control: immediate danger to residents, widespread, found on a complaint visit.
  • F835 Run the Facility Effectively: immediate danger to residents, widespread, found on a complaint visit.
  • F773 Order Laboratory Tests and Report Results Promptly: immediate danger to residents, widespread, found on a complaint visit.
  • F726 Nurses and Aides Have Needed Skills: immediate danger to residents, widespread, found on a complaint visit.

20 citations dated Nov. 25, 2024

  • F947 Nurse Aide Skills, Dementia, and Abuse Training: risk of harm, no one found hurt, widespread.
  • F924 Secure Handrails in Hallways: risk of harm, no one found hurt, one or a few residents.
  • F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, a pattern, several residents.
  • F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
  • F805 Food Prepared to Meet Individual Needs: risk of harm, no one found hurt, a pattern, several residents.
  • F802 Enough Kitchen Support Staff: risk of harm, no one found hurt, a pattern, several residents.
  • F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
  • F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, one or a few residents.
  • F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, one or a few residents.
  • F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents.
  • F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, one or a few residents.
  • F730 Review Nurse Aide Performance and Training: risk of harm, no one found hurt, widespread.
  • F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, widespread.
  • F712 Face to Face Doctor Visits: risk of harm, no one found hurt, a pattern, several residents.
  • F699 Trauma Informed and Culturally Respectful Care: risk of harm, no one found hurt, one or a few residents.
  • F698 Dialysis Care: risk of harm, no one found hurt, one or a few residents.
  • F697 Pain Management: risk of harm, no one found hurt, one or a few residents.
  • F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
  • F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents.
  • F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.

Three citations dated July 2, 2024

  • F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

One citation dated Jan. 9, 2024

  • F626 Right to Return After Hospital Stay: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

24 citations dated Aug. 10, 2023

  • F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, a pattern, several residents.
  • F849 Arrange Hospice Care When Needed: risk of harm, no one found hurt, one or a few residents.
  • F842 Medical Records and Privacy: risk of harm, no one found hurt, a pattern, several residents.
  • F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, one or a few residents.
  • F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
  • F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, a pattern, several residents.
  • F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, one or a few residents.
  • F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, one or a few residents.
  • F699 Trauma Informed and Culturally Respectful Care: risk of harm, no one found hurt, one or a few residents.
  • F698 Dialysis Care: risk of harm, no one found hurt, one or a few residents.
  • F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
  • F694 Safe Fluids Given Through a Vein: risk of harm, no one found hurt, one or a few residents.
  • F693 Feeding Tube Care: risk of harm, no one found hurt, one or a few residents.
  • F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
  • F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, a pattern, several residents.
  • F685 Help Getting Vision and Hearing Care: risk of harm, no one found hurt, one or a few residents.
  • F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents.
  • F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
  • F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
  • F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, one or a few residents.
  • F637 Reassess After a Major Change in Condition: risk of harm, no one found hurt, one or a few residents.
  • F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, one or a few residents.
  • F604 Freedom From Physical Restraints: risk of harm, no one found hurt, one or a few residents.
  • F565 Right to Resident and Family Groups: risk of harm, no one found hurt, a pattern, several residents.

Payment Denials and Fines

DatePenaltyAmount
March 19, 2026Fine$58,136
Jan. 29, 2025Fine$134,285

Ownership and Management of the Home

  • The home is run by Mavado Management LLC (operational or managerial control).

One person with an ownership stake is also listed by CMS.

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 225412. Other homes in Massachusetts.