01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-01-15 | 13 | 2026-01-15 | 12 |
| Cycle 2 | 2025-01-09 | 20 | 2025-01-09 | 11 |
| Cycle 3 | 2024-01-17 | 18 | 2024-01-17 | 4 |
CMS CCN 2252942026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Andover Manor Rehab And Nursing
89 Morton Street · Andover, MA 01810 · Essex County
Certified beds174CMS provider file
Recent citation rows78current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
78 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 16 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-01-15 · FIREE0015Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Correction field: Deficient, Provider has date of correction · 2026-02-102026-01-15 · FIREE0034Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Provide a means of sharing information on occupancy/needs.
Correction field: Deficient, Provider has date of correction · 2026-02-102026-01-15 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2026-02-052026-01-15 · HEALTHF0585Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Correction field: Deficient, Provider has date of correction · 2026-02-052026-01-15 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2026-02-052026-01-15 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2026-02-052026-01-15 · HEALTHF0689Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-02-052026-01-15 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2026-02-052026-01-15 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-02-052026-01-15 · HEALTHF0791Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Correction field: Deficient, Provider has date of correction · 2026-02-022026-01-15 · HEALTHF0808Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Correction field: Deficient, Provider has date of correction · 2026-02-052026-01-15 · HEALTHF0825Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
Correction field: Deficient, Provider has date of correction · 2026-02-052026-01-15 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2026-02-052026-01-15 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-02-052026-01-15 · HEALTHF0908Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Keep all essential equipment working safely.
Correction field: Deficient, Provider has date of correction · 2026-02-052026-01-15 · FIREK0211Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2026-02-102026-01-15 · FIREK0293Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2026-02-102026-01-15 · FIREK0311Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Correction field: Deficient, Provider has date of correction · 2026-02-102026-01-15 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2026-02-102026-01-15 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2026-02-102026-01-15 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-02-102026-01-15 · FIREK0372Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2026-02-102026-01-15 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2026-02-102026-01-15 · FIREK0914Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2026-02-1003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- FRIEDMAN, SHANAIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST12% · since 10/16/2023
- BEATTY, BRITTANYIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/16/2023
- FRIEDMAN, BENJAMINIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/16/2023
- COM FAMILY TRUSTOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST10% · since 10/16/2023
- MILLMAN, CHAIMIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/16/2023
- NEWHOUSE, ERICIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/16/2023
- ERBLICH, AVRAHAMIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/16/2023
- HERNANDEZ, AMANDAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/16/2023
- MILLMAN, CHAIMIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/16/2023
- NEWHOUSE, ERICIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/16/2023
- SHEPS, BORUCHIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/16/2023
- ETN FAMILY HOLDINGS LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/16/2023
- TLCO HOLDINGS LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/16/2023
- BEATTY, BRITTANYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/16/2023
- ERBLICH, AVRAHAMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/16/2023
- FRIEDMAN, BENJAMINIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/16/2023
- GAUTHIER, SUSANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/16/2023
- HERNANDEZ, AMANDAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/16/2023
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.80per resident day
RN hours0.56per resident day
Weekend nurse hours3.36per resident day
Staff turnover47.0%CMS reported field
06 / LOCAL RECORDS
Open the Andover ledger →