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Nursing home

Timothy Daniels House

Holliston, Massachusetts · Middlesex County

  • 84 Elm Street, Holliston, MA 01746 · Directions
  • (508) 429‑4566
  • Medicare overall rating: 4 of 5 starsMedicare overall rating
  • Ownership: For profit – corporation
  • 26 health citations in its last 3 inspection cycles (most serious: level F). See the inspection record

Summary

Timothy Daniels House is a Medicare-certified nursing home in Holliston, Massachusetts, with 40 certified beds. Medicare overall rating: 4 of 5 stars. Most recent standard health inspection: 2026-03-10, with 1 health deficiency. Ownership: for profit – corporation. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 4 of 5 starsMedicare overall rating
40Certified beds
Health inspections: 3 of 5 starsHealth inspections

Quick answers

Where is Timothy Daniels House?
84 Elm Street, Holliston, MA 01746, in Middlesex County, Massachusetts.
What is the phone number of Timothy Daniels House?
(508) 429-4566, as listed by Medicare (CMS).
What is the Medicare star rating of Timothy Daniels House?
Medicare overall rating: 4 out of 5 stars (CMS data updated 2026-10-01).
Has Timothy Daniels House been fined?
Medicare lists no fines for Timothy Daniels House, but 1 payment denial.
What did inspectors find at Timothy Daniels House?
In its last three inspection cycles (February 16, 2024 to March 10, 2026), Medicare lists 26 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 4 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 3 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 5 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 3 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Short-stay residents (rehab): 4 of 5 stars
Quality rating for people who stay a short time, usually to recover after a hospital stay.
Long-stay residents
Long-stay residents: 3 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (February 16, 2024 to March 10, 2026), Timothy Daniels House had 26 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). It had 1 Medicare payment denial (the latest began February 16, 2024) and no fines. Nurse staffing is 4.74 hours per resident per day; the Massachusetts average is 3.94 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: March 10, 2026 — 1 health citation

Inspections in this cycle: November 25, 2025 (complaint investigation); March 10, 2026 (standard health inspection).

Show 1 citation (levels A to F, no actual harm)
  • F0689 Level D November 25, 2025 · from a complaint · corrected December 19, 2025

    “Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”

Previous cycle: March 6, 2025 — 16 health citations

Inspections in this cycle: March 6, 2025 (standard health inspection).

Show 16 citations (levels A to F, no actual harm)
  • F0727 Level F March 6, 2025 · corrected April 5, 2025

    “Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.”

  • F0880 Level F March 6, 2025 · corrected April 5, 2025

    “Provide and implement an infection prevention and control program.”

  • F0565 Level E March 6, 2025 · corrected April 5, 2025

    “Honor the resident's right to organize and participate in resident/family groups in the facility.”

  • F0584 Level E March 6, 2025 · corrected April 5, 2025

    “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.”

  • F0585 Level E March 6, 2025 · corrected April 5, 2025

    “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.”

  • F0604 Level E March 6, 2025 · corrected April 5, 2025

    “Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.”

  • F0761 Level E March 6, 2025 · corrected April 5, 2025

    “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.”

  • F0881 Level E March 6, 2025 · corrected April 5, 2025

    “Implement a program that monitors antibiotic use.”

  • F0558 Level D March 6, 2025 · corrected April 5, 2025

    “Reasonably accommodate the needs and preferences of each resident.”

  • F0645 Level D March 6, 2025 · corrected April 5, 2025

    “PASARR screening for Mental disorders or Intellectual Disabilities”

  • F0655 Level D March 6, 2025 · corrected April 5, 2025

    “Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”

  • F0656 Level D March 6, 2025 · corrected April 5, 2025

    “Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”

  • F0658 Level D March 6, 2025 · corrected April 5, 2025

    “Ensure services provided by the nursing facility meet professional standards of quality.”

  • F0757 Level D March 6, 2025 · corrected April 5, 2025

    “Ensure each resident’s drug regimen must be free from unnecessary drugs.”

  • F0812 Level D March 6, 2025 · corrected April 5, 2025

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0640 Level B March 6, 2025 · corrected March 25, 2025

    “Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.”

Earlier cycle: February 16, 2024 — 9 health citations

Inspections in this cycle: February 16, 2024 (standard health inspection).

Show 9 citations (levels A to F, no actual harm)
  • F0880 Level F February 16, 2024 · corrected March 28, 2024

    “Provide and implement an infection prevention and control program.”

  • F0656 Level E February 16, 2024 · corrected March 26, 2024

    “Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”

  • F0727 Level E February 16, 2024 · corrected March 15, 2024

    “Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.”

  • F0881 Level E February 16, 2024 · corrected March 26, 2024

    “Implement a program that monitors antibiotic use.”

  • F0883 Level E February 16, 2024 · corrected March 28, 2024

    “Develop and implement policies and procedures for flu and pneumonia vaccinations.”

  • F0887 Level E February 16, 2024 · corrected March 28, 2024

    “Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.”

  • F0689 Level D February 16, 2024 · corrected March 28, 2024

    “Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”

  • F0761 Level D February 16, 2024 · corrected March 22, 2024

    “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.”

  • F0641 Level B February 16, 2024 · corrected March 26, 2024

    “Ensure each resident receives an accurate assessment.”

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fire safety citations (9)
  • K0291 Level F March 10, 2026 · corrected April 23, 2026

    “Install emergency lighting that can last at least 1 1/2 hours.”

  • K0918 Level F March 10, 2026 · corrected April 23, 2026

    “Have generator or other power source capable of supplying service within 10 seconds.”

  • E0004 Level F March 6, 2025 · corrected March 31, 2025

    “Develop and maintain an Emergency Preparedness Program (EP).”

  • E0013 Level F March 6, 2025 · corrected March 31, 2025

    “Develop Emergency Preparedness policies and procedures.”

  • E0029 Level F March 6, 2025 · corrected March 31, 2025

    “Develop a communication plan.”

  • E0036 Level F March 6, 2025 · corrected March 31, 2025

    “Establish emergency prep training and testing.”

  • K0291 Level F March 6, 2025 · corrected April 11, 2025

    “Install emergency lighting that can last at least 1 1/2 hours.”

  • K0918 Level D March 6, 2025 · corrected April 11, 2025

    “Have generator or other power source capable of supplying service within 10 seconds.”

  • K0353 Level D February 16, 2024 · corrected April 5, 2024

    “Inspect, test, and maintain automatic sprinkler systems.”

Fines and payment denials

Total fines over about the last three years: $0 (0 fines). A payment denial means Medicare stopped paying for new admissions for a time.

DatePenaltyAmount or length
February 16, 2024Payment denialfrom March 28, 2024, 18 days

Source: Medicare (CMS) Penalties file, data updated October 1, 2026.

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homeMassachusettsNational
Registered nurse (RN) hours per resident per day0.950.660.69
Licensed practical nurse (LPN) hours per resident per day0.790.970.86
Nurse aide hours per resident per day2.992.312.35
Total nurse staff hours per resident per day4.743.943.90
Total nurse staff hours per resident per day on the weekend4.423.523.43
RN hours per resident per day on the weekend0.580.460.48
Nursing staff turnover (per year)48.5%37.6%45.3%
RN turnover (per year)42.9%42.7%42.5%
Administrators who left in the last year0.00.40.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Owners and operator

Part of a group of 6 nursing homes: Rehabilitation Associates.

Legal business name: 84 Elm St Inc..

Owners and managers Medicare lists (2)
NameRoleShareSince
Thisse, MarionDirect owner100%March 14, 2024
Rehabilitation Associates IncManagement company (operational or managerial control)NOT APPLICABLEMay 24, 1972

Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds40
Average residents per day26.6
Takes part inMedicare and Medicaid
OwnershipFor profit – corporation
Group or chain (affiliated entity)Rehabilitation Associates
Legal business name84 Elm St Inc.
First approved by Medicare/Medicaid1996-08-01
Resident and family councilsResident council
Sprinklers in all required areasPartial
Changed ownership in the last 12 monthsNo
Address84 Elm Street, Holliston, MA 01746
CountyMiddlesex County
StateMassachusetts
Phone(508) 429‑4566
CMS Certification Number225709
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13