Meadow Green Rehabilitation and Nursing Center

    45 Woburn St, Waltham, MA, 02452
    3.3 · 42 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Excellent rehab, inconsistent nursing, management

    I placed my mom there and saw a split picture: the building is clean, cheerful, with great activities and outstanding PT/rehab, and many frontline caregivers were kind and attentive. But care was inconsistent - sloppy nursing practices, missed call bells, delayed incontinence care, unsafe transfers, medication/infection-control problems, and belongings mishandled. Communication and management were the worst: unresponsive administration, denial of issues, poor follow-through and confusing hospice coordination, so I had to constantly advocate. Bottom line: excellent staff at the bedside and rehab, but unreliable nursing and unacceptable leadership - I can't trust management.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.33 · 42 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.3
    • Staff

      3.2
    • Meals

      1.6
    • Amenities

      5.0
    • Value

      3.3

    Pros

    • Facility cleanliness and pleasant aroma
    • Well-kept grounds and inviting common areas
    • Strong physical therapy (PT) and occupational therapy (OT) services
    • Effective rehabilitation unit for many residents
    • Several caring, compassionate CNAs and nurses
    • Attentive front-desk and admissions staff (positive mentions of Henna)
    • Notable helpful individual staff (Gayane, Amy, Mike, Julia, Kathy)
    • Engaging activities program (Mass, group singing, holiday events)
    • Home-like, comfortable environment for many residents
    • Dignity and respect shown by some staff
    • Prompt pain management and some timely updates
    • Supportive hospice coordination in positive cases
    • Open visitation and family-friendly atmosphere reported by some
    • Overall above-average appearance and well-kept facility areas
    • Some residents reported thriving after leaving or enjoying their stay

    Cons

    • Inconsistent quality of care between shifts and staff
    • Chronic staffing shortages and low staff-to-patient ratios
    • Poorly trained or inattentive CNAs reported
    • Unsafe patient transfers and inadequate use of Hoyer lifts
    • Call bells often unavailable or not answered promptly
    • Belongings mishandled or lost (glasses, teeth, personal items)
    • Incontinence care problems (urine-soaked clothing and wheelchair pads)
    • Medication errors and concerning medication management
    • Lack of accountability and alleged cover-up of errors
    • Delayed or inadequate medical response (e.g., jaundice, infections)
    • Inadequate infection control during COVID-19 outbreak and deaths
    • Delayed diagnostics and dismissive physician response
    • Poor communication with families and unreliable callbacks
    • Nursing leadership unresponsive to complaints
    • Inconsistent nursing care despite strong therapy services
    • Fall prevention gaps, no bed rails or alarms on many residents
    • Food quality/suboptimal dining options and portion concerns
    • Some areas of the nursing home section reported as poor compared with rehab
    • Minimal supervision and delayed assistance leading to distress
    • Misdiagnoses and unnecessary ER visits reported
    • Unsafe storage practices (locked ice leading to melting issues)
    • Appearance prioritized over clinical care in some accounts
    • Delayed wound/incision care leading to infections
    • Administrative denial or dismissal of family concerns
    • Reports of unprofessional or unkind caregivers
    • Valuables disappearing and trust concerns with management
    • Inconsistent hospice coordination leading to confusion
    • Wide variation between positive individual staff and systemic issues
    • Some reports of resident deterioration during rehab stay

    Summary review

    Overall sentiment across the reviews is strongly mixed, with consistent praise for the facility's cleanliness, grounds, therapy services, and a number of individual staff members, contrasted by repeated and serious concerns about nursing care consistency, safety, communication, and management responsiveness. Many reviewers emphasize that PT/OT and the rehab unit deliver excellent, even outstanding, care — residents made measurable progress and families were grateful for therapists who were attentive, supportive, and goal-oriented. The building, common areas, and grounds receive frequent compliments for being clean, well-kept, and welcoming, contributing to a home-like atmosphere for several residents.

    However, a major and recurring theme is inconsistency in caregiving quality. Multiple reviews describe a split experience: while some CNAs and nurses are described as compassionate, attentive, and respectful, others are portrayed as poorly trained, inattentive, or outright neglectful. Specific safety issues are repeatedly raised, including unsafe patient transfers, inadequate use of Hoyer lifts, oxygen not being reattached, and the absence of bed rails or alarms. There are documented incidents of delayed assistance — call lights unanswered for long periods — which led to incontinence events, distress, and, in at least one case, infection and worsening of medical conditions. Families report having to visit daily to ensure adequate care, and some say that good treatment often depends on who is on shift.

    Clinical and medical concerns are serious in several reviews. Reported medication errors, eye injury from ear drops, delayed responses to jaundice, ignored infected incisions, and misdiagnoses leading to ER visits indicate gaps in clinical oversight. Reviewers describe a pattern where therapy is prioritized and performs well, but RN-level nursing care and medical management can be inconsistent or neglectful. Infection-control problems during a COVID-19 outbreak and several resident deaths are cited as particularly alarming. Multiple reviewers also allege a lack of accountability from administration, including denial of problems by management, poor follow-through on complaints, and cover-up tendencies — all of which undermine family trust.

    Communication and management emerge as another prominent issue. Positive reviews praise specific admissions and activities staff for prompt responses and compassionate coordination (names mentioned include Henna in Admissions, Julia in Activities, Gayane and Amy in nursing leadership, and Mike in Administration), and some families felt safe and well cared for when those individuals were involved. In contrast, many reviews report poor or nonexistent callbacks from case management and nursing leadership, dismissive doctors, and confusion over hospice coordination. Several reviewers explicitly rated management poorly, describing unresponsiveness, dishonesty, missing valuables, and insufficient action when problems were raised.

    Dining and activities receive mixed comments. The activities program is highlighted positively — residents enjoyed Mass, holiday events, group singing, and an overall engaging atmosphere. However, food quality is a frequent complaint: meals described as subpar, small portions, limited healthy options, and hospital-like fare that some families found unsatisfactory. Some reviewers requested more salads and healthier choices. Despite food critiques, many still appreciated the overall environment and the efforts of activity and therapy teams to enhance residents’ quality of life.

    Notable patterns: (1) strong, consistent praise for PT/OT and some frontline staff contrasts sharply with frequent reports of systemic nursing failures; (2) safety and medication incidents are not isolated and contribute to family distrust; (3) administrative and communication breakdowns amplify clinical concerns because complaints are often reported as unanswered or minimized; (4) the resident experience can vary greatly depending on unit (rehab vs long-term nursing) and individual staff on duty. Families who had positive experiences often cite specific staff members by name and describe personalized, compassionate care; families with negative experiences describe neglect, lost personal items, and avoidable medical decline.

    Recommendations for prospective families or oversight: ask detailed questions about staffing levels and nursing oversight on the unit you are considering (rehab vs long-term care), clarify protocols for transfers, lift use, bed alarms, and incontinence care, request information on infection-control measures and recent incident history, and get contact names for responsive administrative staff. For current family members concerned about care, escalate promptly with documented incidents, request meetings with nursing leadership and administration, and consider involving the ombudsman when communication or safety issues persist.

    In summary, Meadow Green Rehabilitation and Nursing Center shows clear strengths in cleanliness, therapy services, activities, and several standout staff members, but it also exhibits systemic issues in nursing consistency, safety practices, communication, leadership responsiveness, and clinical oversight. The polarized reviews suggest that while many residents receive excellent therapy and compassionate support from individual employees, there are recurring and significant risks related to inconsistent nursing care, safety procedures, and administrative follow-through that warrant careful scrutiny by families and regulators.

    Location

    Map showing location of Meadow Green Rehabilitation and Nursing Center

    About Meadow Green Rehabilitation and Nursing Center

    Meadow Green Rehabilitation and Nursing Center sits at 45 Woburn Street in Waltham, Massachusetts, and offers a mix of skilled nursing care, short-term rehabilitation, memory care, assisted living, and independent living services for seniors, and it's one of those places owned by the Anthony Franchi Family, who've been running facilities like this since 1985 and also take care of Ellis Rehabilitation and Nursing Center, The Glen, and Grove Manor Estates in the area, so they kind of know what they're doing, though nothing's perfect. The nursing team gives round-the-clock support and they say their therapy staff works every day, using occupational, physical, and speech therapy to help people get stronger after surgery or illness, and they try to tailor each resident's treatment with help from social services too, which sounds like a good amount of attention. The place holds 123 certified beds and usually has about 98 residents, and you'll see folks getting both long-term care and the kind of short-term medical help that lets people get home after a setback, and there's also support for folks who need more help because of Alzheimer's or dementia, with a memory care unit, safety features, and secure areas meant to make sure residents don't wander off or get hurt.

    For living, residents have access to room amenities like kitchenettes, cable TV, and washrooms, plus washers and dryers so they can do their own laundry if they're able, and cleaning staff come through for housekeeping; there's also a game and activity room, fitness center, dining room, and even a pergola outdoors if they want to sit outside in the shade, and of course most places like this now offer wifi and guest parking, which some families like to have, and they've got a salon and barbershop if you want a simple cut or style. They serve meals in the dining room, and the kitchen staff aim for decent variety, though every place has its ups and downs when it comes to food. Residents can join social activities, arts and crafts, education sessions, and regular health and wellness programs, so there are some choices to fill the days.

    Medical support goes beyond basic care, since there's wound care, medication help, a podiatrist who comes in, personal care like dressing and bathing, and support for walking or using a wheelchair; staff also help with things like toileting and grooming-little things that matter to dignity-though some people have raised concerns, since inspection reports have found issues, especially with infection control, respiratory care, and properly letting residents know about Medicaid and Medicare coverage, which means families should review all the state documentation and be aware of the 57 total deficiencies reported and three related to infection. They post their licensing and inspection records for transparency, and everything's documented by the Centers for Medicare and Medicaid Services, which helps you know what to ask about. The nurse turnover rate is 57.8% and the average nurse staffing is about 4.01 hours per resident each day, which you can compare to state averages. The owners are Anthony Franchi, holding 80%, with Constance Franchi owning 20%, and A. Franchi Contractors, Inc. manages the daily operation, so it's a family-run business that covers several communities across Eastern Massachusetts and prides itself on experience rather than flash.

    If someone's interested in moving in, Meadow Green has procedures for waiting lists, discharge planning, and move-in steps, with assessments to see what care level fits best, and they also work with senior care advisors to help families understand the differences between independent living, assisted living, nursing care, and memory support. The center's earned recognition too, like the JCAHO accreditation, an AHCA Bronze Star Award, and memberships in both the American Healthcare Association and the Massachusetts Senior Care Association, which aren't nothing, and it's fair to say staff try to create a caring place that can feel like home, though it's wise for anyone looking here to read the inspection records and visit in person before making decisions.

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