Worcester, MA

Hermitage Healthcare (The)

3-star overall rating with 3-star inspections with 12 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

383 Mill Street, Worcester, MA

(508) 791-8131

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

101

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Next Step Healthcare

Operator or chain grouping

Approved since

1967-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

14 facilities

Chain averages 2 overall / 2 health / 2 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

0.50

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

0.96

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.13

Nurse aide staffing · state 2.26 · national 2.35

Total nurse hours

3.60

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.46

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

3.22

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.20

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.49

CMS adjusted RN staffing hours

Adjusted total hours

3.53

CMS adjusted total nurse staffing hours

Case-mix index

1.39

Higher values indicate more complex resident acuity

RN turnover

25%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

21%

Annual nurse turnover · state 40% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,823

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

Performance score

28.67

Composite VBP score used to determine payment impact.

Payment multiplier

0.9851

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.54

Baseline 21.82% · Performance 20.85% · Measure score 1.54 · Achievement 1.26 · Improvement 1.54

Healthcare-associated infections

1.19

Baseline 5.82% · Performance 7.48% · Measure score 1.19 · Achievement 1.19 · Improvement 0

Total nurse turnover

7.23

Baseline 31.67% · Performance 34.15% · Measure score 7.23 · Achievement 7.23 · Improvement 0

Adjusted total nurse staffing

1.52

Baseline 3.88 hours · Performance 3.51 hours · Measure score 1.52 · Achievement 1.52 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.82%	10.72% 0.1 pts worse	No Different than the National Rate · Eligible stays 60 · Observed rate 11.67% · Lower 95% interval 7.41%
Discharge to community	40.12%	50.57% 10.5 pts worse	No Different than the National Rate · Eligible stays 41 · Observed rate 24.39% · Lower 95% interval 28.36%
Medicare spending per beneficiary	0.74	1.02 0.3 pts better
Drug regimen review with follow-up	97.87%	95.27% 2.6 pts better	Numerator 46 · Denominator 47
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 47
Discharge self-care score	18.75%	53.69% 34.9 pts worse	Numerator 6 · Denominator 32
Discharge mobility score	25%	50.94% 25.9 pts worse	Numerator 8 · Denominator 32
Pressure ulcers or injuries, new or worsened	2.13%	2.29% 0.2 pts better	Numerator 1 · Denominator 47 · Adjusted rate 1.52%
Healthcare-associated infections requiring hospitalization	7.48%	7.12% 0.4 pts worse	No Different than the National Rate · Eligible stays 33 · Observed rate 9.09% · Lower 95% interval 4.28%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 83
Staff flu vaccination coverage	82.98%	42% 41 pts better	Numerator 117 · Denominator 141
Discharge function score	25%	56.45% 31.5 pts worse	Numerator 8 · Denominator 32
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.3	1.9 1.4 pts worse	1.9 1.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 2.6 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.1	1.5 0.6 pts worse	1.8 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.2 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.6%	92.2% 6.4 pts better	93.4% 5.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 95.5% · Q2 98.9% · Q3 100.0% · Q4 100.0% · 4Q avg 98.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	94.8% 5.2 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
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 3.4% · Q2 2.2% · Q3 2.2% · Q4 2.3% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.2%	12.0% 10.8 pts better	11.4% 10.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 1.2% · Q3 1.3% · Q4 0.0% · 4Q avg 1.2%
Percentage of long-stay residents who lose too much weight	5.5%	5.2% 0.3 pts worse	5.4% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 7.4% · Q3 5.9% · Q4 4.9% · 4Q avg 5.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	22.7%	19.2% 3.5 pts worse	19.6% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.2% · Q2 22.4% · Q3 25.6% · Q4 22.6% · 4Q avg 22.7%
Percentage of long-stay residents who received an antipsychotic medication	29.7%	22.5% 7.2 pts worse	16.7% 13 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.0% · Q2 27.1% · Q3 31.7% · Q4 30.2% · 4Q avg 29.7% · 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	12.5%	17.7% 5.2 pts better	16.3% 3.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.7% · Q2 4.0% · Q3 8.7% · Q4 17.6% · 4Q avg 12.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	11.4%	17.6% 6.2 pts better	14.9% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 9.9% · Q3 9.6% · Q4 12.3% · 4Q avg 11.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.0%	1.0% 1 pts worse	1.0% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 1.1% · Q3 2.6% · Q4 2.1% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.5%	2.0% 1.5 pts worse	1.7% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 2.4% · Q3 2.3% · Q4 6.0% · 4Q avg 3.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	28.3%	21.7% 6.6 pts worse	19.8% 8.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.5% · Q2 23.5% · Q3 33.8% · Q4 23.4% · 4Q avg 28.3%
Percentage of long-stay residents with pressure ulcers	2.4%	4.6% 2.2 pts better	5.1% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 2.8% · Q3 3.3% · Q4 0.0% · 4Q avg 2.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	68.5%	77.1% 8.6 pts worse	81.7% 13.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 77.8% · Q2 64.7% · Q3 67.5% · Q4 66.7% · 4Q avg 68.5%
Percentage of short-stay residents who had an outpatient emergency department visit	18.1%	11.8% 6.3 pts worse	12.0% 6.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 18.1% · Observed 23.7% · Expected 14.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.3% 1.3 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	70.6%	77.7% 7.1 pts worse	79.7% 9.1 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 70.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	20.0%	25.8% 5.8 pts better	23.9% 3.9 pts better	Short Stay · 20240701-20250630 · Adjusted 20.0% · Observed 26.3% · Expected 31.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-20 · Fire 2025-08-20

12 health deficiencies

Top issue: Resident Rights (4 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-06-04 · Fire 2024-06-04

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-01-19 · Fire 2023-01-19

17 health deficiencies

Top issue: Infection Control (7 deficiencies)

3 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-09-18

D · Potential for more than minimal harm 2025-08-20

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2025-08-29

D · Potential for more than minimal harm 2025-08-20

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-08-28

E · Potential for more than minimal harm 2024-06-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-07-20

E · Potential for more than minimal harm 2024-06-04

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-07-20

D · Potential for more than minimal harm 2024-06-04

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-07-20

D · Potential for more than minimal harm 2024-06-04

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-07-20

D · Potential for more than minimal harm 2024-06-04

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2024-07-20

F · Potential for more than minimal harm 2023-01-19

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-02-17

F · Potential for more than minimal harm 2023-01-19

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2023-02-17

F · Potential for more than minimal harm 2023-01-19

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-02-17

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-08-20

F835 · Administration Deficiencies

Health

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

Corrected 2025-09-22

E · Potential for more than minimal harm 2025-08-20

F838 · Administration Deficiencies

Health

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.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-20

F557 · Resident Rights Deficiencies

Health

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

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-20

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-20

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-20

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-20

F685 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-20

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-20

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-08-20

F942 · Resident Rights Deficiencies

Health

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

Corrected 2025-09-22

B · Minimal harm 2025-08-20

F628 · Resident Rights Deficiencies

Health

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

Corrected 2025-09-22

B · Minimal harm 2025-08-20

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-09-22

D · Potential for more than minimal harm 2024-06-04

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-06-21

D · Potential for more than minimal harm 2024-06-04

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-06-21

D · Potential for more than minimal harm 2024-06-04

F699 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-21

D · Potential for more than minimal harm 2024-06-04

F744 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-21

F · Potential for more than minimal harm 2023-01-19

F868 · Administration Deficiencies

Health

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

Corrected 2023-02-17

F · Potential for more than minimal harm 2023-01-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-02-17

F · Potential for more than minimal harm 2023-01-19

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2023-02-17

F · Potential for more than minimal harm 2023-01-19

F882 · Infection Control Deficiencies

Health

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

Corrected 2023-02-17

F · Potential for more than minimal harm 2023-01-19

F885 · Infection Control Deficiencies

Health

Report COVID19 data to residents and families.

Corrected 2023-02-17

F · Potential for more than minimal harm 2023-01-19

F886 · Infection Control Deficiencies

Health

Perform COVID19 testing on residents and staff.

Corrected 2023-02-17

E · Potential for more than minimal harm 2023-01-19

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-02-17

E · Potential for more than minimal harm 2023-01-19

F883 · Infection Control Deficiencies

Health

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

Corrected 2023-02-17

E · Potential for more than minimal harm 2023-01-19

F887 · Infection Control Deficiencies

Health

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.

Corrected 2023-02-17

D · Potential for more than minimal harm 2023-01-19

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 2023-02-17

D · Potential for more than minimal harm 2023-01-19

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 2023-02-17

D · Potential for more than minimal harm 2023-01-19

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-02-17

D · Potential for more than minimal harm 2023-01-19

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-02-17

D · Potential for more than minimal harm 2023-01-19

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 2023-02-17

D · Potential for more than minimal harm 2023-01-19

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 2023-02-17

D · Potential for more than minimal harm 2023-01-19

F770 · Administration Deficiencies

Health

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

Corrected 2023-02-17

D · Potential for more than minimal harm 2023-01-19

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 2023-02-17

Penalties and ownership