Meadow Green Rehabilitation and Nursing Center

    45 Woburn St, Waltham, MA 02452
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Compassionate effective care and safety

    I had a very positive experience placing my mom here. Rehab and nursing were excellent, therapy effective, and hospice coordination professional. Staff - Gayane, Amy, Henna, Julia, Mike, Kathy and many others - were compassionate, responsive, and treated us like family; activities, Mass and holiday events kept her engaged. The facility is clean, home-like with beautiful grounds, and I always felt she was safe and well cared for.

    Loved one of resident
    Sep 2026

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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

    Reviews

    3.52·(50)

    Overall rating

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

      3.4
    • Staff

      3.3
    • Meals

      2.4
    • Amenities

      3.7
    • Value

      3.5

    Pros

    • Clean, well-maintained environment
    • Strong physical and occupational therapy program
    • Compassionate and respectful caregiving staff
    • Engaging activities and social dining
    • Attentive front-desk and admissions support
    • Comfortable, inviting common areas and grounds
    • Individualized, family-centered approaches in many cases
    • Timely pain management when addressed
    • Supportive rehabilitation and therapy teams
    • Prompt hospice information and coordination (when provided)

    Cons

    • Inconsistent nursing care quality
    • Staffing shortages and variable staff-to-resident ratios
    • Insufficient CNA training and supervision
    • Weak transfer-safety and mobility-assist protocols
    • Unreliable call-response and communication systems
    • Gaps in medication-management and clinical follow-up
    • Inconsistent infection-prevention practices
    • Incontinence-care process gaps
    • Poor accountability and complaint-resolution by management
    • Belongings-handling and limited resident storage processes
    • Variable dining quality and limited menu/portion options
    • Inadequate fall-prevention equipment and alarm use
    • Unclear discharge planning and payer guidance

    Summary of reviews

    Meadow Green presents a mixed picture. Many families and residents describe a clean, well-kept environment with attractive common areas and well-maintained grounds. Its rehabilitation services — physical and occupational therapy — receive consistently positive feedback for effectiveness and staff engagement. Activity programming and social dining are frequently mentioned as strengths, and several reviewers praised front-desk, admissions, and individual caregivers for being warm, attentive, and family-centered.

    At the same time, there is a recurring pattern of inconsistent clinical care. Nursing quality appears variable: nursing and aide performance ranges from highly compassionate and attentive to inattentive or insufficiently trained. Staffing shortages and variable staff-to-resident ratios contribute to delays in responding to call lights and attending to basic needs. Several operational gaps emerge across reviews, including inadequate CNA training and supervision, weak transfer and mobility-assist protocols (including inconsistent use of mechanical lifts and alarms), and inconsistent incontinence-care practices. These operational weaknesses have translated, in some accounts, into medication-management errors and delays in clinical follow-up for concerning conditions.

    Infection-prevention practices and clinical incident response are additional areas of concern. Reviewers described uneven infection-control measures during an outbreak and instances in which clinical escalation (hospital transfer or diagnostic follow-up) appeared delayed. Families also report challenges with belongings handling and limited resident storage, which has led to personal items being misplaced or mishandled. Communication and complaint resolution are frequently cited as problematic: call-response systems, timely return phone calls, and proactive family updates are inconsistent, and some families feel they must visit daily or escalate concerns to obtain satisfactory follow-up. Management responsiveness is uneven — some administrative staff are singled out for helpfulness while others are described as inaccessible or dismissive.

    Dining feedback is mixed: some residents enjoy the food and find portions adequate, while others want healthier options, larger portions, or more variety. Facility sanitation is generally described as good, but isolated pest-control and sanitation concerns were raised and should be evaluated. A notable pattern is the contrast between a well-regarded rehab program and more variable long-term nursing care; families considering Meadow Green should weigh that split when their primary need is either short-term rehabilitation or long-term skilled nursing.

    Prospective residents and families should consider the facility's strong therapy and activity offerings and the positive experiences with many individual staff members, while also planning for active advocacy around clinical oversight, medication management, call-response expectations, and belongings handling. It may be helpful to ask about current staffing ratios, lift and fall-prevention policies, infection-control protocols, complaint-resolution processes, and specific discharge-planning and payer guidance before admission.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Meadow Green Rehabilitation and Nursing Center

    Meadow Green Rehabilitation and Nursing Center is located at 45 Woburn St, Waltham, MA, 02452.

    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.

    People often ask...

    Meadow Green Rehabilitation and Nursing Center offers assisted living, memory care, and skilled nursing.

    There are 33 photos of Meadow Green Rehabilitation and Nursing Center on Mirador.

    The full address for this community is 45 Woburn St, Waltham, MA 02452.

    No, Meadow Green Rehabilitation and Nursing Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Meadow Green Rehabilitation and Nursing Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Meadow Green Rehabilitation and Nursing Center directly. There is no cost for this service. We are compensated by the community you select.

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