{"schema_version":"1.0.0","facility":{"id":"cms-225009","ccn":"225009","name":"Hermitage Healthcare (the)","source_name":"HERMITAGE HEALTHCARE (THE)","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"MA","address":{"line1":"383 Mill Street","city":"Worcester","state":"MA","zip":"01602","county_name":"Worcester County","county_fips":"25027","county_method":"name_match","ssa_county_code":"170","urban":true},"location":{"lat":42.2622,"lon":-71.851,"method":"cms_published_coordinates"},"phone":"5087918131","certification":{"authority":"CMS","ccn":"225009","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1967-01-01","certified_beds":101,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/225009"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":101,"avg_residents_per_day":88.2},"ownership_type":"For profit - Corporation","ownership_class":"for_profit","legal_business_name":"383 MILL STREET OPERATOR LLC","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":2},"health_inspection":{"value":3},"quality_measures":{"value":1},"long_stay_qm":{"value":2},"short_stay_qm":{"value":1},"staffing":{"value":3},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.1851,"lpn_hprd":1.03185,"rn_hprd":0.49279,"licensed_hprd":1.52464,"total_nurse_hprd":3.70974,"weekend_total_nurse_hprd":3.35261,"weekend_rn_hprd":0.1961,"pt_hprd":0.00897,"nursing_turnover_pct":18.7,"rn_turnover_pct":18.2,"administrators_left":0,"case_mix_index":1.49646,"case_mix_index_ratio":1.06113,"case_mix_total_nurse_hprd":4.13932,"adjusted_total_nurse_hprd":3.46858,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-08-20","cycle1_deficiencies":12,"cycle1_score":48,"cycle2_date":"2024-06-04","cycle23_deficiencies":4,"cycle23_score":16,"total_weighted_score":40},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"chain":{"id":"cms-chain-371","cms_chain_id":"371","name":"NEXT STEP HEALTHCARE"},"operator_id":"op-383-mill-street-operator-llc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/225009","provenance":[{"source_id":"cms_provider_info","source_record_id":"225009","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225009&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"225009","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225009&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":6,"health_count":3,"fire_count":3,"complaint_count":0,"latest_date":"2025-08-20","latest_standard_health":"2025-08-20","earliest_date":"2023-01-19","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":44,"health_count":33,"fire_count":11,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":0,"by_severity":{"potential":42,"minimal":2},"by_scope_severity":{"F":10,"D":25,"E":7,"B":2},"by_concept":{"environment_life_safety":11,"administration":4,"resident_rights":5,"clinical_care":12,"staffing":1,"medication":3,"infection_prevention":7,"food_nutrition":1},"type_ids":["cms-k0918","cms-k0222","cms-k0372","cms-f0835","cms-f0838","cms-f0557","cms-f0558","cms-f0658","cms-f0677","cms-f0685","cms-f0726","cms-f0759","cms-f0942","cms-f0628","cms-f0641","cms-k0353","cms-k0363","cms-k0511","cms-k0711","cms-f0584","cms-f0699","cms-f0744","cms-k0541","cms-k0712","cms-f0868","cms-f0880","cms-f0881","cms-f0882","cms-f0885","cms-f0886","cms-f0679","cms-f0883","cms-f0887","cms-f0656","cms-f0657","cms-f0692","cms-f0698","cms-f0756","cms-f0758","cms-f0770","cms-f0812"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":10,"organizations":1,"individuals":7,"not_available":false}},"row":{"id":"cms-225009","ccn":"225009","name":"Hermitage Healthcare (the)","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"MA","city":"Worcester","zip":"01602","county_fips":"25027","county_name":"Worcester County","address":"383 Mill Street","beds":101,"residents":88.2,"ownership":"for_profit","operator_id":"op-383-mill-street-operator-llc","operator_name":"383 Mill Street Operator LLC","chain_id":"cms-chain-371","chain_name":"Next Step Healthcare","lat":42.2622,"lon":-71.851,"overall":2,"health_rating":3,"staffing_rating":3,"qm_rating":1,"nurse_hprd":3.71,"turnover":18.7,"inspections":6,"last_inspection":"2025-08-20","deficiencies":44,"serious":0,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-k0918","cms-k0222","cms-k0372","cms-f0835","cms-f0838","cms-f0557","cms-f0558","cms-f0658","cms-f0677","cms-f0685","cms-f0726","cms-f0759","cms-f0942","cms-f0628","cms-f0641","cms-k0353","cms-k0363","cms-k0511","cms-k0711","cms-f0584","cms-f0699","cms-f0744","cms-k0541","cms-k0712","cms-f0868","cms-f0880","cms-f0881","cms-f0882","cms-f0885","cms-f0886","cms-f0679","cms-f0883","cms-f0887","cms-f0656","cms-f0657","cms-f0692","cms-f0698","cms-f0756","cms-f0758","cms-f0770","cms-f0812"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-383-mill-street-operator-llc","name":"383 Mill Street Operator LLC","legal_name":"383 MILL STREET OPERATOR LLC","facility_count":1,"states":["MA"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-371","name":"Next Step Healthcare","cms_chain_id":"371","facility_count":14,"states":["MA"],"cms_reported":{"facility_count":14,"avg_overall_rating":1.7,"avg_health_inspection_rating":1.8,"avg_staffing_rating":2.6,"avg_qm_rating":2.3}},"ownership":[{"owner_id":"org-next-step-healthcare-llc","owner_type":"organization","owner_name":"Next Step Healthcare LLC","role":"direct_owner","role_raw":"DIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2017-09-01"},{"owner_type":"individual","owner_name":"Damian Dell'anno","role":"indirect_owner","role_raw":"INDIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2017-09-01","owner_name_raw":"DELL'ANNO, DAMIAN"},{"owner_type":"individual","owner_name":"William Stephan","role":"partner","role_raw":"INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-11-10","owner_name_raw":"STEPHAN, WILLIAM"},{"owner_id":"org-next-step-healthcare-llc","owner_type":"organization","owner_name":"Next Step Healthcare LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2017-09-01"},{"owner_type":"individual","owner_name":"Pankaj Ksheersagar","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-03-10","owner_name_raw":"KSHEERSAGAR, PANKAJ"},{"owner_type":"individual","owner_name":"Kimberly Ward","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2022-01-27","owner_name_raw":"WARD, KIMBERLY"},{"owner_type":"individual","owner_name":"Damian Dell'anno","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2017-09-01","owner_name_raw":"DELL'ANNO, DAMIAN"},{"owner_id":"org-next-step-healthcare-llc","owner_type":"organization","owner_name":"Next Step Healthcare LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-10-29"},{"owner_type":"individual","owner_name":"Pankaj Ksheersagar","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-03-10","owner_name_raw":"KSHEERSAGAR, PANKAJ"},{"owner_type":"individual","owner_name":"Kimberly Ward","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-01-27","owner_name_raw":"WARD, KIMBERLY"}],"inspections":[{"id":"cms-225009-20250820-fire","ccn":"225009","date":"2025-08-20","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0222","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-29","std":1,"tv":"New"},{"t":"cms-k0372","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-28","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2025-09-18","std":1,"tv":"New"}]},{"id":"cms-225009-20250820-health","ccn":"225009","date":"2025-08-20","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":12,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0557","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-22","std":1},{"t":"cms-f0558","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-22","std":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-22","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-22","std":1},{"t":"cms-f0685","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-22","std":1},{"t":"cms-f0726","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-22","std":1},{"t":"cms-f0759","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-22","std":1},{"t":"cms-f0835","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-22","std":1},{"t":"cms-f0838","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-22","std":1},{"t":"cms-f0942","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-22","std":1},{"t":"cms-f0628","ss":"B","sl":1,"cs":"corrected","cd":"2025-09-22","std":1},{"t":"cms-f0641","ss":"B","sl":1,"cs":"no_revisit_needed","cd":"2025-09-22","std":1}]},{"id":"cms-225009-20240604-fire","ccn":"225009","date":"2024-06-04","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0353","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-20","std":1,"tv":"New"},{"t":"cms-k0363","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-20","std":1,"tv":"New"},{"t":"cms-k0372","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-20","std":1,"tv":"New"},{"t":"cms-k0511","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-20","std":1,"tv":"New"},{"t":"cms-k0711","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-20","std":1,"tv":"New"}]},{"id":"cms-225009-20240604-health","ccn":"225009","date":"2024-06-04","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0584","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-21","std":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-21","std":1},{"t":"cms-f0699","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-21","std":1},{"t":"cms-f0744","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-21","std":1}]},{"id":"cms-225009-20230119-fire","ccn":"225009","date":"2023-01-19","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0372","ss":"F","sl":2,"cs":"corrected","cd":"2023-02-17","std":1,"tv":"New"},{"t":"cms-k0541","ss":"F","sl":2,"cs":"corrected","cd":"2023-02-17","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2023-02-17","std":1,"tv":"New"}]},{"id":"cms-225009-20230119-health","ccn":"225009","date":"2023-01-19","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":17,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2023-02-17","std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2023-02-17","std":1},{"t":"cms-f0679","ss":"E","sl":2,"cs":"corrected","cd":"2023-02-17","std":1},{"t":"cms-f0692","ss":"D","sl":2,"cs":"corrected","cd":"2023-02-17","std":1},{"t":"cms-f0698","ss":"D","sl":2,"cs":"corrected","cd":"2023-02-17","std":1},{"t":"cms-f0756","ss":"D","sl":2,"cs":"corrected","cd":"2023-02-17","std":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2023-02-17","std":1},{"t":"cms-f0770","ss":"D","sl":2,"cs":"corrected","cd":"2023-02-17","std":1},{"t":"cms-f0812","ss":"D","sl":2,"cs":"corrected","cd":"2023-02-17","std":1},{"t":"cms-f0868","ss":"F","sl":2,"cs":"corrected","cd":"2023-02-17","std":1},{"t":"cms-f0880","ss":"F","sl":2,"cs":"corrected","cd":"2023-02-17","std":1},{"t":"cms-f0881","ss":"F","sl":2,"cs":"corrected","cd":"2023-02-17","std":1},{"t":"cms-f0882","ss":"F","sl":2,"cs":"corrected","cd":"2023-02-17","std":1},{"t":"cms-f0883","ss":"E","sl":2,"cs":"corrected","cd":"2023-02-17","std":1},{"t":"cms-f0885","ss":"F","sl":2,"cs":"corrected","cd":"2023-02-17","std":1},{"t":"cms-f0886","ss":"F","sl":2,"cs":"corrected","cd":"2023-02-17","std":1},{"t":"cms-f0887","ss":"E","sl":2,"cs":"corrected","cd":"2023-02-17","std":1}]}],"deficiency_types":{"cms-k0918":{"code":"K-0918","title":"Have generator or other power source capable of supplying service within 10 seconds.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0222":{"code":"K-0222","title":"Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0372":{"code":"K-0372","title":"Ensure smoke barriers are constructed to a 1 hour fire resistance rating.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0835":{"code":"F-0835","title":"Administer the facility in a manner that enables it to use its resources effectively and efficiently.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0838":{"code":"F-0838","title":"Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0557":{"code":"F-0557","title":"Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0558":{"code":"F-0558","title":"Reasonably accommodate the needs and preferences of each resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0658":{"code":"F-0658","title":"Ensure services provided by the nursing facility meet professional standards of quality.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0677":{"code":"F-0677","title":"Provide care and assistance to perform activities of daily living for any resident who is unable.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0685":{"code":"F-0685","title":"Assist a resident in gaining access to vision and hearing services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0726":{"code":"F-0726","title":"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.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0759":{"code":"F-0759","title":"Ensure medication error rates are not 5 percent or greater.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0942":{"code":"F-0942","title":"Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0628":{"code":"F-0628","title":"Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0641":{"code":"F-0641","title":"Ensure each resident receives an accurate assessment.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0363":{"code":"K-0363","title":"Install corridor and hallway doors that block smoke.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0511":{"code":"K-0511","title":"Have properly installed electrical wiring and gas equipment.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0711":{"code":"K-0711","title":"Provide a written emergency evacuation plan.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0584":{"code":"F-0584","title":"Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0699":{"code":"F-0699","title":"Provide care or services that was trauma informed and/or culturally competent.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0744":{"code":"F-0744","title":"Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0541":{"code":"K-0541","title":"Install properly constructed and protected linen or trash chutes.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0712":{"code":"K-0712","title":"Have simulated fire drills held at unexpected times.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0868":{"code":"F-0868","title":"Have the Quality Assessment and Assurance group have the required members and meet at least quarterly","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0881":{"code":"F-0881","title":"Implement a program that monitors antibiotic use.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0882":{"code":"F-0882","title":"Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0885":{"code":"F-0885","title":"Report COVID19 data to residents and families.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0886":{"code":"F-0886","title":"Perform COVID19 testing on residents and staff.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0679":{"code":"F-0679","title":"Provide activities to meet all resident's needs.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0883":{"code":"F-0883","title":"Develop and implement policies and procedures for flu and pneumonia vaccinations.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0887":{"code":"F-0887","title":"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.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0656":{"code":"F-0656","title":"Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0657":{"code":"F-0657","title":"Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0692":{"code":"F-0692","title":"Provide enough food/fluids to maintain a resident's health.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0698":{"code":"F-0698","title":"Provide safe, appropriate dialysis care/services for a resident who requires such services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0756":{"code":"F-0756","title":"Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0758":{"code":"F-0758","title":"Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0770":{"code":"F-0770","title":"Provide timely, quality laboratory services/tests to meet the needs of residents.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"}},"penalties":[],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225009&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225009&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225009&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225009&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225009&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225009&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"MA","overall_rating":3.1,"health_inspection_rating":3,"qm_rating":3.3,"staffing_rating":3.1,"avg_residents_per_day":97.6,"cycle1_health_deficiencies":6.4,"cycle1_fire_deficiencies":3.9,"nurse_aide_hprd":2.31,"lpn_hprd":0.97,"rn_hprd":0.65518,"licensed_hprd":1.63,"total_nurse_hprd":3.93743,"weekend_total_nurse_hprd":3.5165,"weekend_rn_hprd":0.46,"pt_hprd":0.08,"nursing_turnover_pct":37.6,"rn_turnover_pct":42.7,"administrators_left":0.4,"case_mix_index":1.40112,"fines":0.7,"fine_amount":33030,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"MA","name":"Massachusetts"},"county":{"fips":"25027","name":"Worcester County"},"zip":"01602","city":"Worcester"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-225067","ccn":"225067","name":"Wedgemere Healthcare","address":"146 Dean Street","city":"Taunton","state":"MA","zip":"02780","beds":94,"overall":1,"inspections":11,"last_inspection":"2026-05-12","deficiencies":59,"serious":2,"ij":0,"open":0,"fines_total":129794,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-225137","ccn":"225137","name":"Dexter House Healthcare","address":"120 Main Street","city":"Malden","state":"MA","zip":"02148","beds":130,"overall":2,"inspections":7,"last_inspection":"2025-09-26","deficiencies":37,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-225145","ccn":"225145","name":"Oakhill Healthcare","address":"76 North Street","city":"Middleboro","state":"MA","zip":"02346","beds":123,"overall":2,"inspections":9,"last_inspection":"2026-06-02","deficiencies":51,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-225216","ccn":"225216","name":"Fitchburg Healthcare","address":"1199 John Fitch Hwy","city":"Fitchburg","state":"MA","zip":"01420","beds":160,"overall":1,"inspections":8,"last_inspection":"2026-02-11","deficiencies":48,"serious":1,"ij":0,"open":0,"fines_total":21567,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-225242","ccn":"225242","name":"Westborough Healthcare","address":"8 Colonial Drive","city":"Westborough","state":"MA","zip":"01581","beds":117,"overall":3,"inspections":9,"last_inspection":"2026-02-25","deficiencies":39,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-225267","ccn":"225267","name":"Garden Place Healthcare","address":"193-195 Pleasant Street","city":"Attleboro","state":"MA","zip":"02703","beds":133,"overall":2,"inspections":7,"last_inspection":"2025-12-10","deficiencies":57,"serious":2,"ij":0,"open":0,"fines_total":27372,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-225284","ccn":"225284","name":"Plymouth Harborside Healthcare","address":"19 Obery Street","city":"Plymouth","state":"MA","zip":"02360","beds":101,"overall":1,"inspections":12,"last_inspection":"2026-06-08","deficiencies":65,"serious":9,"ij":3,"open":0,"fines_total":290784,"sff":"SFF Candidate","status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-225324","ccn":"225324","name":"West Newton Healthcare","address":"25 Armory Street","city":"West Newton","state":"MA","zip":"02465","beds":123,"overall":1,"inspections":8,"last_inspection":"2026-06-04","deficiencies":95,"serious":1,"ij":0,"open":0,"fines_total":184166,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":13,"same_site_review":[],"nearby":[{"id":"cms-225390","ccn":"225390","name":"Parsons Hill Rehabilitation & Health Care Center","address":"1350 Main Street","city":"Worcester","state":"MA","zip":"01603","beds":162,"overall":2,"inspections":10,"last_inspection":"2026-06-30","deficiencies":52,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":2.3},{"id":"cms-225305","ccn":"225305","name":"St Mary Health Care Center","address":"39 Queen Street","city":"Worcester","state":"MA","zip":"01610","beds":172,"overall":2,"inspections":8,"last_inspection":"2026-04-14","deficiencies":44,"serious":1,"ij":0,"open":0,"fines_total":8788,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.1},{"id":"cms-225500","ccn":"225500","name":"West Side House Ltc Facility","address":"35 Fruit Street","city":"Worcester","state":"MA","zip":"01609","beds":91,"overall":5,"inspections":7,"last_inspection":"2026-03-30","deficiencies":43,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.4},{"id":"cms-225173","ccn":"225173","name":"Jewish Healthcare Center","address":"629 Salisbury Street","city":"Worcester","state":"MA","zip":"01609","beds":141,"overall":4,"inspections":7,"last_inspection":"2026-04-07","deficiencies":26,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.8},{"id":"cms-225379","ccn":"225379","name":"Lutheran Rehabilitation and Skilled Care Center","address":"26 Harvard Street","city":"Worcester","state":"MA","zip":"01609","beds":150,"overall":5,"inspections":6,"last_inspection":"2025-12-22","deficiencies":0,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.2},{"id":"cms-225199","ccn":"225199","name":"Worcester Rehabilitation & Health Care Center","address":"119 Providence Street","city":"Worcester","state":"MA","zip":"01604","beds":160,"overall":2,"inspections":10,"last_inspection":"2025-10-21","deficiencies":74,"serious":0,"ij":0,"open":0,"fines_total":59511,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.1},{"id":"cms-225219","ccn":"225219","name":"Vantage at Worcester LLC","address":"59 Acton Street","city":"Worcester","state":"MA","zip":"01604","beds":173,"overall":1,"inspections":14,"last_inspection":"2026-05-21","deficiencies":48,"serious":6,"ij":4,"open":0,"fines_total":122646,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.5},{"id":"cms-225443","ccn":"225443","name":"Blaire House of Worcester","address":"116 Houghton Street","city":"Worcester","state":"MA","zip":"01604","beds":75,"overall":3,"inspections":8,"last_inspection":"2025-08-29","deficiencies":24,"serious":1,"ij":0,"open":0,"fines_total":13095,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.6}]}}