Whitinsville, MA

Blackstone Valley Health And Rehabilitation

3-star overall rating with 3-star inspections with 11 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

447 Hill Street, Whitinsville, MA

(508) 570-4908

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

123

Certified beds

Average residents

122

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1988-07-05

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.32

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

1.05

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.80

Nurse aide staffing · state 2.26 · national 2.35

Total nurse hours

3.17

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.37

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

2.93

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.22

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.36

CMS adjusted RN staffing hours

Adjusted total hours

3.53

CMS adjusted total nurse staffing hours

Case-mix index

1.23

Higher values indicate more complex resident acuity

RN turnover

75%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

48%

Annual nurse turnover · state 40% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,447

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

49.73

Composite VBP score used to determine payment impact.

Payment multiplier

1.0037

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

8.75

Baseline 22.98% · Performance 17.48% · Measure score 8.75 · Achievement 8.53 · Improvement 8.75

Healthcare-associated infections

4.85

Baseline 9.27% · Performance 6.98% · Measure score 4.85 · Achievement 2.85 · Improvement 4.85

Total nurse turnover

4.63

Baseline 98.41% · Performance 60.68% · Measure score 4.63 · Achievement 0.73 · Improvement 4.63

Adjusted total nurse staffing

1.67

Baseline 3.71 hours · Performance 3.55 hours · Measure score 1.67 · Achievement 1.67 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.51%	10.72% 0.8 pts worse	No Different than the National Rate · Eligible stays 162 · Observed rate 13.58% · Lower 95% interval 8.78%
Discharge to community	51.58%	50.57% 1 pts better	No Different than the National Rate · Eligible stays 142 · Observed rate 42.25% · Lower 95% interval 41.71%
Medicare spending per beneficiary	0.91	1.02 0.1 pts better
Drug regimen review with follow-up	96.83%	95.27% 1.6 pts better	Numerator 61 · Denominator 63
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 63
Discharge self-care score	44.19%	53.69% 9.5 pts worse	Numerator 19 · Denominator 43
Discharge mobility score	44.19%	50.94% 6.8 pts worse	Numerator 19 · Denominator 43
Pressure ulcers or injuries, new or worsened	3.17%	2.29% 0.9 pts worse	Numerator 2 · Denominator 63 · Adjusted rate 3.48%
Healthcare-associated infections requiring hospitalization	6.98%	7.12% 0.1 pts better	No Different than the National Rate · Eligible stays 87 · Observed rate 6.9% · Lower 95% interval 3.87%
Staff COVID-19 vaccination coverage	33.5%	8.2% 25.3 pts better	Numerator 68 · Denominator 203
Staff flu vaccination coverage	47.76%	42% 5.8 pts better	Numerator 96 · Denominator 201
Discharge function score	44.19%	56.45% 12.3 pts worse	Numerator 19 · Denominator 43
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to patient	95%	96.28% 1.3 pts worse	Numerator 19 · Denominator 20
Resident COVID-19 vaccinations up to date	29.63%	25.2% 4.4 pts better	Numerator 8 · Denominator 27

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	1.9 0.2 pts better	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.8 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.4	1.5 0.9 pts worse	1.8 0.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.5 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.2%	92.2% 7 pts better	93.4% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.9% · Q2 99.0% · Q3 100.0% · Q4 99.1% · 4Q avg 99.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.1%	94.8% 2.3 pts better	95.5% 1.6 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.1%
Percentage of long-stay residents experiencing one or more falls with major injury	2.5%	3.5% 1 pts better	3.3% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 3.0% · Q3 2.9% · Q4 2.8% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.3%	12.0% 11.7 pts better	11.4% 11.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.3% · Q4 0.0% · 4Q avg 0.3%
Percentage of long-stay residents who lose too much weight	4.0%	5.2% 1.2 pts better	5.4% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 6.3% · Q3 3.4% · Q4 2.2% · 4Q avg 4.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.5%	19.2% 4.3 pts worse	19.6% 3.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.2% · Q2 24.7% · Q3 23.6% · Q4 18.5% · 4Q avg 23.5%
Percentage of long-stay residents who received an antipsychotic medication	24.2%	22.5% 1.7 pts worse	16.7% 7.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 22.7% · Q3 23.7% · Q4 26.0% · 4Q avg 24.2% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	27.9%	17.7% 10.2 pts worse	16.3% 11.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.2% · Q2 27.7% · Q3 24.1% · Q4 31.8% · 4Q avg 27.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	33.3%	17.6% 15.7 pts worse	14.9% 18.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 41.1% · Q2 35.5% · Q3 23.8% · Q4 34.1% · 4Q avg 33.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.2%	1.0% 1.2 pts worse	1.0% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 3.7% · Q3 1.7% · Q4 0.9% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.0%	2.0% About the same	1.7% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 2.9% · Q4 2.9% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.4%	21.7% 3.7 pts worse	19.8% 5.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.6% · Q2 27.6% · Q3 17.5% · Q4 35.0% · 4Q avg 25.4%
Percentage of long-stay residents with pressure ulcers	4.3%	4.6% 0.3 pts better	5.1% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 5.9% · Q3 4.6% · Q4 2.4% · 4Q avg 4.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	92.2%	77.1% 15.1 pts better	81.7% 10.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 91.2% · Q2 92.5% · Q3 94.0% · Q4 91.1% · 4Q avg 92.2%
Percentage of short-stay residents who had an outpatient emergency department visit	8.6%	11.8% 3.2 pts better	12.0% 3.4 pts better	Short Stay · 20240701-20250630 · Adjusted 8.6% · Observed 9.5% · Expected 12.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.5%	1.3% 1.2 pts worse	1.6% 0.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 5.4% · Q3 1.8% · Q4 1.5% · 4Q avg 2.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	98.6%	77.7% 20.9 pts better	79.7% 18.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 98.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	24.1%	25.8% 1.7 pts better	23.9% 0.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.1% · Observed 26.2% · Expected 25.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-29 · Fire 2025-04-29

11 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-02-02 · Fire 2024-02-02

5 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-07-26 · Fire 2022-07-26

12 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-29

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-06-15

F · Potential for more than minimal harm 2025-04-29

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-06-15

F · Potential for more than minimal harm 2025-04-29

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-06-15

F · Potential for more than minimal harm 2022-07-26

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-08-10

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-04-29

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-04-29

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-04-29

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-04-29

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-04-29

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-04-29

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-04-29

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-04-29

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-04-29

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-04-29

F825 · Quality of Life and Care Deficiencies

Health

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-04-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-23

E · Potential for more than minimal harm 2024-02-02

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-02-02

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-02-02

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-02-02

F742 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-02-02

F868 · Administration Deficiencies

Health

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

Corrected 2024-03-01