Meadow Green Rehabilitation and Nursing Center

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

    Excellent compassionate care and therapy

    I moved my mom (she has dementia) here after touring and have been very pleased - rehab/therapy and nursing are excellent, staff are compassionate and treat her with dignity, and activities (Julia) keep her engaged in a warm, home-like setting. Admissions and administration (Henna, Mike) and head nurse Gayane were prompt, supportive, and coordinated hospice/therapy when needed, giving quick updates that made us feel safe. The facility and grounds are clean and inviting, the team became like family, and overall I highly recommend them.

    Loved one of resident
    Jul 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

    3.49·(49)

    Overall rating

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

      3.3
    • Staff

      3.3
    • Meals

      2.1
    • Amenities

      3.0
    • Value

      3.5

    Pros

    • Effective physical and occupational therapy services
    • Compassionate and personable caregiving staff
    • Clean, well-maintained interior and grounds
    • Engaging activities program and spiritual services
    • Attentive front-desk and admissions support
    • Positive short-term rehabilitation outcomes
    • Supportive hospice coordination and end-of-life support
    • Home-like atmosphere with seasonal programming
    • Timely pain management and clinical responsiveness in many cases
    • Welcoming common areas and social dining opportunities

    Cons

    • Inconsistent nursing-care quality
    • Unreliable staffing levels and supervision
    • Gaps in transfer safety and fall-prevention protocols
    • Weak medication-administration and clinical-escalation processes
    • Incontinence-care delays and hygiene-management weaknesses
    • Poor family communication and complaint-follow-up
    • Inadequate personal-belongings tracking and storage
    • Variable infection-prevention practices
    • Uneven quality between rehabilitation and long-term care units
    • Inconsistent dining quality and limited menu variety
    • Pest-control and sanitation lapses
    • Lack of accountability and incident transparency

    Summary of reviews

    Meadow Green Rehabilitation and Nursing Center elicits strongly mixed impressions. Many families and patients highlight the facility’s strengths in restorative care: physical and occupational therapy services are frequently described as effective, and short-term rehabilitation outcomes are often positive. The facility’s environment is commonly characterized as clean and well-kept, with pleasant common areas, attractive grounds, and a home-like atmosphere supported by seasonal programming and social dining.

    Staffing is a prominent source of variability. Numerous accounts praise individual caregivers, therapists, nurses, and front-desk personnel as compassionate, personable, and attentive; those staff members provide meaningful emotional support, activities engagement (including spiritual services), and timely pain management. However, this is contrasted by recurrent concerns about inconsistent nursing care, unreliable staffing levels, and uneven supervision. Families describe occasions when call lights are unanswered for extended periods, shifts with limited oversight, and the need for family members to advocate through frequent visits to ensure baseline care.

    Clinical safety and care processes show notable divergence. Strengths in therapy and rehabilitation sit alongside operational weaknesses in transfer safety, fall prevention, and medication-administration controls. Reviewers cite delayed clinical escalation in some cases, problems with transfers and assistive-device use, and examples of delayed diagnostic or treatment responses. Infection-prevention practices and clinical incident handling have been described inconsistently; while some families felt well informed and supported in hospice coordination, others raised concerns about outbreak management and post-incident communication.

    Daily living services and belongings management are another mixed area. Several reviews note attentive assistance with personal care and dignity-preserving interactions, yet there are repeated descriptions of incontinence-care delays, inconsistent hygiene management, and shortcomings in tracking or returning residents’ personal items. Dining impressions range from satisfactory to subpar: some residents appreciate the meals and hospital-style offerings, while others request healthier options, larger portions, or more menu variety.

    Facilities and amenities are generally regarded positively: clean rooms, inviting common spaces, active programming, and accessible therapy areas are recurring positives. There are, however, isolated sanitation and pest-control concerns and occasional logistical issues (for example, ice access and storage problems) that suggest variability in environmental oversight.

    Management and communication emerge as central patterns. Positive experiences often reference helpful admissions staff, specific nurses or administrators who intervene effectively, and clear, timely updates. Conversely, multiple families describe difficulty obtaining follow-up on complaints, limited availability of nurse leadership, and perceptions of insufficient accountability or transparency after adverse events. A consistent theme is unevenness: individual staff members and specific units (notably the inpatient rehabilitation section) earn strong praise, while other units or shifts are described as delivering substantially lower-quality care.

    Overall, Meadow Green offers meaningful strengths—especially in rehabilitation therapy, engaging activities, and certain compassionate staff—but prospective residents and families should be prepared for variability in nursing care, staffing reliability, clinical-safety practices, and management responsiveness. Direct questions about staffing ratios, transfer protocols, medication-safety procedures, infection-control policies, personal-belongings handling, and complaint-resolution pathways are recommended during tours and admissions conversations to clarify how the facility addresses the operational gaps noted above.

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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 28 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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