Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
SHREWSBURY REHABILITATION AND NURSING AT SOUTHGATE
SHREWSBURY, MA · 99 certified beds · Last Life Safety survey March 12, 2026
CMS Certification Number 225491 · first certified July 1990
Ownership
Operated by ATLAS HEALTHCARE · For profit - Limited Liability company
- Ownership changed May 7, 2024 (change of ownership)to SHREWSBURY SNF OPERATIONS LLC from SHREWSBURY NURSING & REHABILITATION CENTER INC
Position within MA
14 citations — more than 63% 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
The latest survey found 2 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 March 2027 — about 5 months from now. This facility’s last Life Safety survey was March 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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Emergency preparedness
3 of the 14 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
4 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 14 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in MA, and nationally. Surveyors differ markedly between states, so the MA figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 14 |
| Median facility in MA | 11 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| September 19, 2023 | 2 |
| November 27, 2024 | 10 |
| March 12, 2026 | 2 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0351 | Install an approved automatic sprinkler system. | 2 | 2026-03-12 |
| K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. | 1 | 2024-11-27 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2024-11-27 |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | 1 | 2026-03-12 |
| K-0311 | Have an enclosure around a vertical opening shaft. | 1 | 2024-11-27 |
| E-0041 | Implement emergency and standby power systems. | 1 | 2024-11-27 |
| E-0030 | List the names and contact information of those in the facility. | 1 | 2024-11-27 |
| K-0254 | Provide hallway or ground-level exits in all residents' rooms. | 1 | 2024-11-27 |
What the citations cover
- Smoke Deficiencies 6
- Egress Deficiencies 4
- Emergency Preparedness Deficiencies 3
- Gas, Vacuum, and Electrical Systems Deficiencies 1
| Category | Citations |
|---|---|
| Smoke Deficiencies | 6 |
| Egress Deficiencies | 4 |
| Emergency Preparedness Deficiencies | 3 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
March 12, 2026 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (April 22, 2026) |
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has date of correction (April 22, 2026) |
November 27, 2024 — 10 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has date of correction (January 25, 2025) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (January 25, 2025) |
| E-0041 | Implement emergency and standby power systems. | Deficient, Provider has date of correction (January 25, 2025) |
| K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Deficient, Provider has date of correction (January 25, 2025) |
| K-0254 | Provide hallway or ground-level exits in all residents' rooms. | Deficient, Provider has date of correction (January 25, 2025) |
| K-0271 | Have exits that are accessible at all times. | Deficient, Provider has date of correction (January 25, 2025) |
| K-0311 | Have an enclosure around a vertical opening shaft. | Deficient, Provider has date of correction (January 25, 2025) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (January 25, 2025) |
| K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. | Deficient, Provider has date of correction (January 25, 2025) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (January 25, 2025) |
September 19, 2023 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0347 | Properly provide smoke detection systems in areas open to corridors. | Deficient, Provider has date of correction (October 25, 2023) |
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has date of correction (November 19, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.