Fall River, MA

Catholic Memorial Home

3-star overall rating with 2-star inspections with $84,061 in total fines with 10 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

2446 Highland Avenue, Fall River, MA

(508) 679-0011

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

300

Certified beds

Average residents

217

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Diocesan Health Facilities

Operator or chain grouping

Approved since

1990-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

5 facilities

Chain averages 4 overall / 3 health / 5 staffing / 3 quality stars

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

0.60

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

0.94

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.60

Nurse aide staffing · state 2.26 · national 2.35

Total nurse hours

4.14

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.54

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

3.86

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.45

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.68

CMS adjusted RN staffing hours

Adjusted total hours

4.72

CMS adjusted total nurse staffing hours

Case-mix index

1.20

Higher values indicate more complex resident acuity

RN turnover

25%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

28%

Annual nurse turnover · state 40% · national 46%

SNF VBP

Value-based purchasing

Program rank

282

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

Performance score

74.58

Composite VBP score used to determine payment impact.

Payment multiplier

1.0243

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

8.79

Baseline 16.71% · Performance 17.36% · Measure score 8.79 · Achievement 8.79 · Improvement 0

Healthcare-associated infections

8.61

Baseline 4.93% · Performance 5.26% · Measure score 8.61 · Achievement 8.61 · Improvement 0

Total nurse turnover

7.91

Baseline 24.88% · Performance 31.33% · Measure score 7.91 · Achievement 7.91 · Improvement 0

Adjusted total nurse staffing

4.51

Baseline 4.25 hours · Performance 4.36 hours · Measure score 4.51 · Achievement 4.51 · Improvement 0.24

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	8.26%	10.72% 2.5 pts better	No Different than the National Rate · Eligible stays 150 · Observed rate 4% · Lower 95% interval 5.74%
Discharge to community	51.03%	50.57% 0.5 pts better	No Different than the National Rate · Eligible stays 109 · Observed rate 45.87% · Lower 95% interval 44.11%
Medicare spending per beneficiary	0.87	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 94 · Denominator 94
Falls with major injury	2.13%	0.77% 1.4 pts worse	Numerator 2 · Denominator 94
Discharge self-care score	28.21%	53.69% 25.5 pts worse	Numerator 22 · Denominator 78
Discharge mobility score	23.08%	50.94% 27.9 pts worse	Numerator 18 · Denominator 78
Pressure ulcers or injuries, new or worsened	5.32%	2.29% 3 pts worse	Numerator 5 · Denominator 94 · Adjusted rate 4.4%
Healthcare-associated infections requiring hospitalization	5.26%	7.12% 1.9 pts better	No Different than the National Rate · Eligible stays 104 · Observed rate 1.92% · Lower 95% interval 2.47%
Staff COVID-19 vaccination coverage	13.83%	8.2% 5.6 pts better	Numerator 43 · Denominator 311
Staff flu vaccination coverage	50.69%	42% 8.7 pts better	Numerator 184 · Denominator 363
Discharge function score	33.33%	56.45% 23.1 pts worse	Numerator 26 · Denominator 78
Transfer of health information to provider	85.11%	95.95% 10.8 pts worse	Numerator 40 · Denominator 47
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	38.3%	25.2% 13.1 pts better	Numerator 18 · Denominator 47

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.0	1.9 0.9 pts better	1.9 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.6 · Expected 1.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.9	1.5 0.6 pts better	1.8 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.7 · Expected 1.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	92.4%	92.2% 0.2 pts better	93.4% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 92.4% · Q2 91.6% · Q3 92.7% · Q4 92.8% · 4Q avg 92.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.2%	94.8% 2.4 pts better	95.5% 1.7 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.2%
Percentage of long-stay residents experiencing one or more falls with major injury	1.5%	3.5% 2 pts better	3.3% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 2.0% · Q3 1.0% · Q4 1.4% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.4%	12.0% 7.6 pts better	11.4% 7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 4.6% · Q3 3.5% · Q4 4.0% · 4Q avg 4.4%
Percentage of long-stay residents who lose too much weight	5.3%	5.2% 0.1 pts worse	5.4% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 5.9% · Q3 4.2% · Q4 7.4% · 4Q avg 5.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.8%	19.2% 6.4 pts better	19.6% 6.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 12.4% · Q3 12.4% · Q4 14.2% · 4Q avg 12.8%
Percentage of long-stay residents who received an antipsychotic medication	24.3%	22.5% 1.8 pts worse	16.7% 7.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 21.7% · Q3 25.3% · Q4 26.7% · 4Q avg 24.3% · 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	28.8%	17.7% 11.1 pts worse	16.3% 12.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.7% · Q2 31.7% · Q3 28.6% · Q4 23.5% · 4Q avg 28.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	29.7%	17.6% 12.1 pts worse	14.9% 14.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.9% · Q2 26.2% · Q3 29.2% · Q4 30.5% · 4Q avg 29.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.1%	1.0% 0.1 pts worse	1.0% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.8% · Q3 1.1% · Q4 1.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.5%	2.0% 1.5 pts better	1.7% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.0% · Q3 0.5% · Q4 1.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	21.2%	21.7% 0.5 pts better	19.8% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.5% · Q2 18.7% · Q3 20.5% · Q4 23.0% · 4Q avg 21.2%
Percentage of long-stay residents with pressure ulcers	5.4%	4.6% 0.8 pts worse	5.1% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 5.0% · Q3 7.2% · Q4 6.1% · 4Q avg 5.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	57.3%	77.1% 19.8 pts worse	81.7% 24.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 51.6% · Q2 59.8% · Q3 62.5% · Q4 55.4% · 4Q avg 57.3%
Percentage of short-stay residents who had an outpatient emergency department visit	13.2%	11.8% 1.4 pts worse	12.0% 1.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 13.2% · Observed 11.6% · Expected 9.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	3.1%	1.3% 1.8 pts worse	1.6% 1.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 2.4% · Q3 4.2% · Q4 1.9% · 4Q avg 3.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	55.4%	77.7% 22.3 pts worse	79.7% 24.3 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 55.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	11.6%	25.8% 14.2 pts better	23.9% 12.3 pts better	Short Stay · 20240701-20250630 · Adjusted 11.6% · Observed 9.5% · Expected 19.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-17 · Fire 2025-04-17

10 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2024-03-26 · Fire 2024-03-26

8 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2022-06-29 · Fire 2022-06-29

24 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-17

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2025-05-09

D · Potential for more than minimal harm 2025-04-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-09

E · Potential for more than minimal harm 2024-03-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-17

D · Potential for more than minimal harm 2024-03-26

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-04-20

D · Potential for more than minimal harm 2024-03-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-04-05

C · Minimal harm 2022-06-29

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-07-13

Inspection history

Recent health citations

G · Actual harm 2025-10-14

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-11-14

G · Actual harm 2025-10-14

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 2025-11-14

E · Potential for more than minimal harm 2025-04-17

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-05-19

E · Potential for more than minimal harm 2025-04-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-19

D · Potential for more than minimal harm 2025-04-17

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-05-19

D · Potential for more than minimal harm 2025-04-17

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-05-19

D · Potential for more than minimal harm 2025-04-17

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-05-19

D · Potential for more than minimal harm 2025-04-17

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2025-05-19

D · Potential for more than minimal harm 2025-04-17

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 2025-05-19

D · Potential for more than minimal harm 2025-04-17

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-05-19

H · Actual harm 2024-03-26

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-04-12

H · Actual harm 2024-03-26

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-04-12

H · Actual harm 2024-03-26

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-04-12

E · Potential for more than minimal harm 2024-03-26

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-04-12

E · Potential for more than minimal harm 2024-03-26

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2024-04-12

E · Potential for more than minimal harm 2024-03-26

F761 · Pharmacy Service Deficiencies

Health

Corrected 2024-04-12

D · Potential for more than minimal harm 2024-03-26

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-04-12

D · Potential for more than minimal harm 2024-03-26

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-12

F · Potential for more than minimal harm 2022-06-29

F761 · Pharmacy Service Deficiencies

Health

Corrected 2022-08-19

E · Potential for more than minimal harm 2022-06-29

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2022-08-19

E · Potential for more than minimal harm 2022-06-29