Middlesex County, Massachusetts · Nursing home
The Commons Skilled Nursing & Rehabilitation
5 of 5 overall from CMS
3 Harvest Circle, Lincoln, MA 01773
At a glance
- Overall rating 5 of 5 Above the state average of 3.0
- Nurse time per resident, per day 5.99 hours Above the state average of 3.86
- Nursing staff who left in a year 17.1% Below the state average of 38.2%
- Health citations, last 3 inspection cycles 15 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 86.2% of 32 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
The Commons Skilled Nursing & Rehabilitation is a 32-bed nursing home in Lincoln, Massachusetts (Middlesex County). CMS rates it 5 of 5 stars overall as of Sep 2026. It reports 5.99 nurse staffing hours per resident per day, above the Massachusetts average of 3.86. CMS lists no fines in the past three years.
- Certified beds
- 32
- Residents per day (average)
- 27.6
- Certified since
- 2016 (10 yrs)
Non profit - Corporation Participates in MedicarePart of Justliving Communities (2 homes)Continuing care retirement community
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask The Commons Skilled Nursing & Rehabilitation
Chosen from this home's public data.
- CMS counts 9 health deficiencies in the latest inspection cycle (the standard inspection on Nov 26, 2025 plus complaint and infection-control inspections); the Massachusetts average is 6.8. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 5.06 hours per resident on weekends against 5.99 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 5 of 5 Massachusetts average 3.0
- Health inspections 4 of 5 Massachusetts average 3.0
- Staffing 5 of 5 Massachusetts average 3.1
- Quality measures 3 of 5 Massachusetts average 3.3
The vertical line marks the Massachusetts average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 5.99 h Massachusetts average 3.86
- Nurse aides 2.98 h Massachusetts average 2.25
- Licensed practical nurses 1.24 h Massachusetts average 0.95
- Registered nurses 1.77 h Massachusetts average 0.65
- All staff, weekends 5.06 h Massachusetts average 3.48
How much nurse staffing is enough? All bars share one scale, 0 to 9 hours. The vertical line marks the Massachusetts average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover17.1%
- Massachusetts average38.2%
- Registered nurse turnover20.0%
- Massachusetts average42.6%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Massachusetts and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Massachusetts | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | Too few residents or stays to report | 16.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight | Too few residents or stays to report | 5.1% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | Too few residents or stays to report | 0.8% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 5.0% | 1.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 15.5% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 4.2% | 3.4% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 83.3% | 92.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | Too few residents or stays to report | 15.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 4.3% | 19.5% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 94.8% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 24.2% | 4.2% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Too few residents or stays to report | 21.2% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | Too few residents or stays to report | 21.4% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.88 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 1.50 | 1.78 |
Short-stay residents
| Measure | This home | Massachusetts | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 78.8% | 78.3% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% | 1.4% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.7% | 77.7% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.5% | 25.7% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 14.7% | 11.9% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 15 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 2 were cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Nov 26, 2025 | 9 | 0 |
| Oct 2, 2024 | 0 | 3 |
| Sep 15, 2023 | 6 | 0 |
Massachusetts homes averaged 6.8 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (15)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 7, 2026)
-
EPotential for more than minimal harm, pattern
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 16, 2026)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jan 8, 2026)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jan 8, 2026)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 8, 2026)
Show 10 more
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 8, 2026)
-
DPotential for more than minimal harm, isolated
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration · Deficient, Provider has date of correction (Jan 8, 2026)
-
DPotential for more than minimal harm, isolated
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Administration · Deficient, Provider has date of correction (Jan 8, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jan 8, 2026)
-
DPotential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 23, 2023)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 23, 2023)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 23, 2023)
-
DPotential for more than minimal harm, isolated
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 23, 2023)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Oct 23, 2023)
-
DPotential for more than minimal harm, isolated
Implement a program that monitors antibiotic use.
Infection Control · Deficient, Provider has date of correction (Oct 23, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Massachusetts homes averaged 0.8 fines and $34,265 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Massachusetts
- Size338 of 341 by certified beds
- Massachusetts average residents per day98.5
- ChainJustliving Communities
- Chain average overall rating5.0 of 5
- Resident or family councilResident
- Homes in Middlesex County72
Common questions
What is the CMS star rating for The Commons Skilled Nursing & Rehabilitation?
The Commons Skilled Nursing & Rehabilitation has an overall rating of 5 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 4, staffing is 5 and quality measures is 3.
How many beds does The Commons Skilled Nursing & Rehabilitation have?
The Commons Skilled Nursing & Rehabilitation has 32 certified beds. It averages 27.6 residents per day, about 86.2% of its certified beds.
How much nursing care do residents get at The Commons Skilled Nursing & Rehabilitation?
The home reports 5.99 hours of nurse staffing per resident per day, including 1.77 hours from registered nurses. The Massachusetts average is 3.86 hours and 0.65 hours from registered nurses.
Has The Commons Skilled Nursing & Rehabilitation been fined?
CMS lists no fines for this home in the past three years.
Does The Commons Skilled Nursing & Rehabilitation accept Medicare or Medicaid?
CMS lists its participation as "Medicare". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 4 of 5 Care One at Concord 135beds 95.8%in use 3.51nurse hours a day
- 5 of 5 Rivercrest Long Term Care 151beds 24.6%in use 4.44nurse hours a day
- 5 of 5 Campion Health & Wellness, Inc 70beds 46.6%in use 6.80nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Middlesex County
Who to call in Massachusetts
These offices serve residents of every nursing home in Massachusetts.
- Long-term care ombudsman Massachusetts Long-Term Care Ombudsman Program 617-222-7495 (Long-Term Care Ombudsman line listed on the state's nursing and rest home ombudsman page. Local ombudsman programs are listed by city/town on the same page. MassOptions: 800-243-4636.) An advocate for residents and their families.
- File a complaint about a nursing home Complaint Intake Unit, Division of Health Care Facility Licensure and Certification 800-462-5540 (24-hour Consumer Complaint Line. Main Intake Number 617-753-8150 (during business hours). Fax 617-753-8165. Mail: Complaint Intake Unit, 67 Forest Street, Marlborough, MA 01752. No online form; email is not accepted for complaint materials.) The state agency that inspects nursing homes.
Massachusetts staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 225782. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.