Ayer Valley Rehab and Nursing
Nursing Home Facility
400 Groton Road, Ayer, MA 01432
Located in the heart of apple country, Apple Valley Center is conveniently located in the Nashoba Valley area, on the campus of the community hospital, close to a great skiing and local farming community. Our newly renovated facility offers private and semi- private rooms, free cable and wireless internet, telephone service and unit based kitchenettes to make your stay with us as comfortable as possible.
Operated by Genesis HealthCare, which runs 507 communities in our directory.
Ayer Valley Rehab and Nursing is licensed for 123 beds.
Federal reporting puts occupancy at about 82% of its licensed beds.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 3 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in March 2025 and recorded 19 deficiencies.
Residents receive about 3.7 hours of nursing care per day on average, including 0.8 hours from a registered nurse. Nursing staff turnover over the past year was about 58%.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 78 problems at Ayer Valley Rehab and Nursing. 6 findings involved harm to a resident. 23 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $53,264.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, widespread
Administration
Hire a qualified full-time social worker in a facility with more than 120 beds.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
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Could cause more than minimal harm, a pattern
Nursing and Physician Services
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Could cause more than minimal harm, one or a few residents
Resident Rights
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.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide care or services that was trauma informed and/or culturally competent.
Show 11 more
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Could cause more than minimal harm, one or a few residents
Nursing and Physician Services
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
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Could cause more than minimal harm, one or a few residents
Nursing and Physician Services
Observe each nurse aide's job performance and give regular training.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure that residents are free from significant medication errors.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide or get specialized rehabilitative services as required for a resident.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Infection Control
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Could cause more than minimal harm, one or a few residents
Infection Control
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.
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Minimal harm or the potential for it, widespread
Administration
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Ayer Valley Rehab and Nursing offers nursing home care, hospice care, respite care, and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 123
- Occupancy 82%
- Nursing hours per resident/day 3.7
- Annual staff turnover 58%
- Last health inspection March 2025
Resident & family reviews
No one has shared a review of Ayer Valley Rehab and Nursing yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.