CCN 225412 · Norfolk County, Massachusetts
Medway Country Manor Skilled Nursing & Rehabilitat
115 Holliston Street, Medway, MA 02053
Medway Country Manor Skilled Nursing & Rehabilitat is a 123-bed for-profit nursing home in Medway, Massachusetts, first certified for Medicare or Medicaid in 1990. CMS publishes no overall star rating for it in its September 2026 data. It averaged 114.7 residents a day, about 93% of its certified beds. HUD's healthcare database shows an FHA-insured Section 232 loan for a project matching this facility, most recently $4.8 million in June 2007 (223(a)(7) refinance of a construction loan), and none of them appears in HUD's active-loan file.
Facility facts
- Certified beds
- 123
- Average residents per day
- 114.7 (93.3% of beds)
- Ownership type
- For profit - Individual
- Certification
- Medicare and Medicaid
- Legal business name
- Medway Country Manor, Inc.
- Certified since
- Jul 1, 1990
- Chain or affiliated group
- Shimon Lefkowitz (5 facilities, chain average 2.8 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Massachusetts median | US median |
|---|---|---|---|
| Overall rating | not rated | State spread: 65 at 1, 68 at 2, 62 at 3, 72 at 4, 71 at 5 | |
| Health inspections | not rated | ||
| Quality measures | not rated | ||
| Staffing | not rated | ||
| Total nurse hours per resident per day | 3.24 | 3.70 | 3.68 |
| RN hours per resident per day | 0.35 | 0.60 | 0.58 |
| Weekend nurse hours per resident per day | 3.03 | ||
| Nursing staff turnover | 40.8% | 37.7% | 44.9% |
| Occupancy (residents / beds) | 93.3% | 86.9% | 85.7% |
| Fines reported by CMS | 2 totaling $192,421 | ||
| Health deficiencies, latest standard survey | 9 (Mar 19, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Medway Country Manor Skilled Nursing & Rehabilitat does not meet it today: no overall rating, no health inspection rating. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Lefkowitz, ShimonIndividual | Direct Ownership Interest | 65% | 06/01/2014 |
| Mavado Management LLCOrganization | Operational / Managerial Control | n/a | 06/01/2014 |
| Bbuye, StevenIndividual | Operational / Managerial Control | n/a | 12/01/2024 |
| Castiglioni, AimeeIndividual | Operational / Managerial Control | n/a | 06/20/2022 |
| Simha, DavidIndividual | Operational / Managerial Control | n/a | 06/01/2014 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Jun 27, 2007 | 223(a)(7) refinance of a construction loanHUD project name: medway country manor, 123 beds. Lender at endorsement: Capstone Realty Advisors | $4,818,700 | Ended May 30, 2014Prepayment | 02343288 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.