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HERMITAGE HEALTHCARE (THE)

Open-data reference.

HERMITAGE HEALTHCARE (THE) is a for profit - corporation facility in WORCESTER, MA with 101 certified beds and a 3-star overall CMS rating. The facility has 33 deficiency records on file.

383 MILL STREET, WORCESTER, MA 01602

Phone: 5087918131

Overall Rating

3/5

Health Inspection

3/5

Staffing

3/5

Quality Measures

2/5

Long-Stay Quality

3/5

Facility Information

Provider Number
225009
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
101
Residents
90
In Hospital
No
County
Worcester
Last Inspection
Aug 20, 2025

Staffing Data

RN Hours
0.50 (nat'l avg: 0.68)
LPN Hours
0.96
CNA Hours
2.13
Total Nursing Hours
3.60 (nat'l avg: 3.89)
PT Hours
0.01
Nursing Turnover
21.3%
RN Turnover
25.0%

What the CMS Record Reveals About HERMITAGE HEALTHCARE (THE)

HERMITAGE HEALTHCARE (THE) operates 101 certified beds in WORCESTER, MA with approximately 90 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (3★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 33 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.60 total nursing hours per resident day (national average 3.89), with RN coverage at 0.50 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, HERMITAGE HEALTHCARE (THE) falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 21.3%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (33 most recent)

D — Isolated - Minimal harm Aug 20, 2025 Tag: 0942

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Category: Resident Rights Deficiencies

Corrected: Sep 22, 2025

E — Pattern - Minimal harm Aug 20, 2025 Tag: 0838

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

Corrected: Sep 22, 2025

E — Pattern - Minimal harm Aug 20, 2025 Tag: 0835

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Category: Administration Deficiencies

Corrected: Sep 22, 2025

D — Isolated - Minimal harm Aug 20, 2025 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Sep 22, 2025

D — Isolated - Minimal harm Aug 20, 2025 Tag: 0726

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

Corrected: Sep 22, 2025

D — Isolated - Minimal harm Aug 20, 2025 Tag: 0685

Assist a resident in gaining access to vision and hearing services.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 22, 2025

D — Isolated - Minimal harm Aug 20, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 22, 2025

D — Isolated - Minimal harm Aug 20, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 22, 2025

B — Pattern - No harm Aug 20, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 22, 2025

B — Pattern - No harm Aug 20, 2025 Tag: 0628

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Category: Resident Rights Deficiencies

Corrected: Sep 22, 2025

D — Isolated - Minimal harm Aug 20, 2025 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Sep 22, 2025

D — Isolated - Minimal harm Aug 20, 2025 Tag: 0557

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Category: Resident Rights Deficiencies

Corrected: Sep 22, 2025

D — Isolated - Minimal harm Jun 4, 2024 Tag: 0744

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 21, 2024

D — Isolated - Minimal harm Jun 4, 2024 Tag: 0699

Provide care or services that was trauma informed and/or culturally competent.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 21, 2024

D — Isolated - Minimal harm Jun 4, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 21, 2024

D — Isolated - Minimal harm Jun 4, 2024 Tag: 0584

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

Corrected: Jun 21, 2024

E — Pattern - Minimal harm Jan 19, 2023 Tag: 0887

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

Corrected: Feb 17, 2023

F — Widespread - Minimal harm Jan 19, 2023 Tag: 0886

Perform COVID19 testing on residents and staff.

Category: Infection Control Deficiencies

Corrected: Feb 17, 2023

F — Widespread - Minimal harm Jan 19, 2023 Tag: 0885

Report COVID19 data to residents and families.

Category: Infection Control Deficiencies

Corrected: Feb 17, 2023

E — Pattern - Minimal harm Jan 19, 2023 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Feb 17, 2023

F — Widespread - Minimal harm Jan 19, 2023 Tag: 0882

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category: Infection Control Deficiencies

Corrected: Feb 17, 2023

F — Widespread - Minimal harm Jan 19, 2023 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Feb 17, 2023

F — Widespread - Minimal harm Jan 19, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 17, 2023

F — Widespread - Minimal harm Jan 19, 2023 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: Feb 17, 2023

D — Isolated - Minimal harm Jan 19, 2023 Tag: 0812

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

Corrected: Feb 17, 2023

D — Isolated - Minimal harm Jan 19, 2023 Tag: 0770

Provide timely, quality laboratory services/tests to meet the needs of residents.

Category: Administration Deficiencies

Corrected: Feb 17, 2023

D — Isolated - Minimal harm Jan 19, 2023 Tag: 0758

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

Corrected: Feb 17, 2023

D — Isolated - Minimal harm Jan 19, 2023 Tag: 0756

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

Corrected: Feb 17, 2023

D — Isolated - Minimal harm Jan 19, 2023 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 17, 2023

D — Isolated - Minimal harm Jan 19, 2023 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 17, 2023

E — Pattern - Minimal harm Jan 19, 2023 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 17, 2023

D — Isolated - Minimal harm Jan 19, 2023 Tag: 0657

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

Corrected: Feb 17, 2023

D — Isolated - Minimal harm Jan 19, 2023 Tag: 0656

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

Corrected: Feb 17, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 11.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.5% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 3.5% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 1.3% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.5% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 68.5% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 12.5% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 22.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 70.6% No
Percentage of long-stay residents with pressure ulcers Long Stay 2.4% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 28.3% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 29.7% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for HERMITAGE HEALTHCARE (THE)?
HERMITAGE HEALTHCARE (THE) has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (3★), and quality measures (2★).
What are the staffing levels at HERMITAGE HEALTHCARE (THE)?
HERMITAGE HEALTHCARE (THE) reports 3.60 total nursing hours per resident day (national average: 3.89). RN hours are 0.50 per resident day (national average: 0.68). Nursing staff turnover is 21.3%.
How many beds does HERMITAGE HEALTHCARE (THE) have?
HERMITAGE HEALTHCARE (THE) has 101 certified beds with approximately 90 residents. The facility is located at 383 MILL STREET, WORCESTER, MA 01602.
Does HERMITAGE HEALTHCARE (THE) have any deficiencies on record?
Yes, HERMITAGE HEALTHCARE (THE) has 33 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has HERMITAGE HEALTHCARE (THE) received any fines or penalties?
No, HERMITAGE HEALTHCARE (THE) has no fines or penalties on record.
Who owns HERMITAGE HEALTHCARE (THE)?
HERMITAGE HEALTHCARE (THE) is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was HERMITAGE HEALTHCARE (THE) last inspected?
The most recent health inspection for HERMITAGE HEALTHCARE (THE) was on Aug 20, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for HERMITAGE HEALTHCARE (THE)?
HERMITAGE HEALTHCARE (THE) is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial