All states › Massachusetts › Needham › Skilled Nursing Facility at North Hill (The)
865 Central Avenue Needham, MA 02492 · Norfolk County
All 2 nursing homes in Needham, MA (2 take Medicaid)
CMS certification number 225281 · See this home on Medicare Care Compare
Is Skilled Nursing Facility at North Hill (The) a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Skilled Nursing Facility at North Hill (The) as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Massachusetts average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
23.1% of nursing staff left within a year (Massachusetts median 36.1%). That is lower than most homes in Massachusetts, a sign of a steadier team.
About this nursing home
Paying for care at Skilled Nursing Facility at North Hill (The): Medicare and Medicaid
Skilled Nursing Facility at North Hill (The) is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Massachusetts's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 22, 2026 and found 0 deficiencies. In total, inspectors issued 8 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 8 citations at Skilled Nursing Facility at North Hill (The) across 3 inspection dates, 2 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on January 15, 2025 (complaint inspection). The most common areas cited were infection control (2) and quality of life and care (2). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level J, January 15, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.
July 18, 2025 · 3 citations
EPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure 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.
January 15, 2025 · 2 citations, includes immediate jeopardy · includes complaint inspection
JProvide appropriate treatment and care according to orders, resident’s preferences and goals.
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
July 11, 2024 · 3 citations
EDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Skilled Nursing Facility at North Hill (The)
- Inspectors cited the home at the immediate-jeopardy level on January 15, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on July 18, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $16,153 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jan 15, 2025 | Fine | $16,153 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 3/5 |
| August 2026 | 2/5 | 3/5 | 1/5 | 4/5 |
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Location
Hospitals near Skilled Nursing Facility at North Hill (The)
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.2 mi
Beth Israel Deaconess Hospital - Needham NeedhamEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 3h 16m for patients treated and sent home
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2.8 mi
Newton-Wellesley Hospital NewtonEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 4h 25m for patients treated and sent home
- 5.2 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Skilled Nursing Facility at North Hill (The) › All nursing homes in Needham ›
Compare Skilled Nursing Facility at North Hill (The) with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Elizabeth Seton · Wellesley · 5 stars · 1.4 mi
- NewBridge on the Charles Skilled Nursing Facility · Dedham · 5 stars · 3.2 mi
- Riverbend of South Natick · S Natick · 5 stars · 3.3 mi
- Lasell House · Newton · 5 stars · 3.4 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.