Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Plymouth Rehabilitation & Health Care Center

PLYMOUTH, MA · 186 certified beds · Last Life Safety survey February 2, 2026

CMS Certification Number 225207 · first certified January 1972

Ownership

Operated by ATHENA HEALTHCARE SYSTEMS · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

16
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
11
Inspection & testing records
Of the citations on file

Position within MA

16 citations — more than 69% of the 341 certified nursing homes in MA. Compared within MA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 6. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 4 months from now. This facility’s last Life Safety survey was February 2026. Facilities in MA are typically surveyed 12–15 months after the last one (median 13), measured over 556 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

7 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 16 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in MA, and nationally. Surveyors differ markedly between states, so the MA figure is the meaningful one.

This facility16MA median11National median11
Citations on file over three years, compared
MeasureCitations
This facility16
Median facility in MA11
Median facility nationally11

Survey history

Citations at each Life Safety survey
42023-0982024-1242026-02
Citations at each Life Safety survey
Survey dateCitations
September 29, 20234
December 26, 20248
February 2, 20264

Most-cited tags

Most-cited tags at this facility
K-03453K-03533K-03512K-03212K-03241K-09181K-05111K-03631
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0345Have approved installation, maintenance and testing program for fire alarm systems.32026-02-02
K-0353Inspect, test, and maintain automatic sprinkler systems.32026-02-02
K-0351Install an approved automatic sprinkler system.22026-02-02
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22026-02-02
K-0324Provide properly protected cooking facilities.12024-12-26
K-0918Have generator or other power source capable of supplying service within 10 seconds.12024-12-26
K-0511Have properly installed electrical wiring and gas equipment.12024-12-26
K-0363Install corridor and hallway doors that block smoke.12023-09-29

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 12
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Egress Deficiencies 1
  • Services Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies12
Gas, Vacuum, and Electrical Systems Deficiencies2
Egress Deficiencies1
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 2, 2026 — 4 citations

Citations issued on February 2, 2026
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (April 17, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 17, 2026)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (April 17, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 17, 2026)

December 26, 2024 — 8 citations

Citations issued on December 26, 2024
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (February 22, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (February 22, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (February 22, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 22, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 22, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (February 22, 2025)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (February 22, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 22, 2025)

September 29, 2023 — 4 citations

Citations issued on September 29, 2023
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (December 1, 2023)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (December 1, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 1, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (December 1, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.