5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Worcester, MA
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
87 Briarwood Circle, Worcester, MA
(508) 853-6910
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
82
Certified beds
Average residents
79
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1970-01-07
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.50
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.14
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.42
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
4.07
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.65
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.66
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.31
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.51
CMS adjusted RN staffing hours
Adjusted total hours
4.15
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
577
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
67.17
Composite VBP score used to determine payment impact.
Payment multiplier
1.0208
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
8.22
Baseline 22.28% · Performance 17.70% · Measure score 8.22 · Achievement 8.05 · Improvement 8.22
Healthcare-associated infections
7.94
Baseline 7.33% · Performance 5.46% · Measure score 7.94 · Achievement 7.94 · Improvement 7.50
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
3.99
Baseline 2.91 hours · Performance 4.2 hours · Measure score 3.99 · Achievement 3.94 · Improvement 3.99
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.5% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 136 · Observed rate 11.03% · Lower 95% interval 7.75% |
| Discharge to community | 65.44% |
50.57%
14.9 pts better
|
Better than the National Rate · Eligible stays 124 · Observed rate 64.52% · Lower 95% interval 55.64% |
| Medicare spending per beneficiary | 0.61 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | 95.45% |
95.27%
0.2 pts better
|
Numerator 84 · Denominator 88 |
| Falls with major injury | 1.14% |
0.77%
0.4 pts worse
|
Numerator 1 · Denominator 88 |
| Discharge self-care score | 53.66% |
53.69%
About the same
|
Numerator 44 · Denominator 82 |
| Discharge mobility score | 58.54% |
50.94%
7.6 pts better
|
Numerator 48 · Denominator 82 |
| Pressure ulcers or injuries, new or worsened | 1.14% |
2.29%
1.2 pts better
|
Numerator 1 · Denominator 88 · Adjusted rate 1.26% |
| Healthcare-associated infections requiring hospitalization | 5.46% |
7.12%
1.7 pts better
|
No Different than the National Rate · Eligible stays 89 · Observed rate 1.12% · Lower 95% interval 2.99% |
| Staff COVID-19 vaccination coverage | 27.1% |
8.2%
18.9 pts better
|
Numerator 29 · Denominator 107 |
| Staff flu vaccination coverage | 81.01% |
42%
39 pts better
|
Numerator 192 · Denominator 237 |
| Discharge function score | 65.85% |
56.45%
9.4 pts better
|
Numerator 54 · Denominator 82 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 61 · Denominator 61 |
| Resident COVID-19 vaccinations up to date | 33.33% |
25.2%
8.1 pts better
|
Numerator 13 · Denominator 39 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.6 |
1.9
1.3 pts better
|
1.9
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.5
0.9 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
92.2%
7.4 pts better
|
93.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.5% · Q3 100.0% · Q4 100.0% · 4Q avg 99.6% |
| 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 | 3.1% |
3.5%
0.4 pts better
|
3.3%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.5% · Q3 3.2% · Q4 6.1% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.3% |
12.0%
10.7 pts better
|
11.4%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.7% · Q3 0.0% · Q4 1.6% · 4Q avg 1.3% |
| 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 1.8% · Q2 3.5% · Q3 5.7% · Q4 5.3% · 4Q avg 4.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.0% |
19.2%
12.2 pts better
|
19.6%
12.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 5.2% · Q3 5.5% · Q4 6.8% · 4Q avg 7.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.8% |
22.5%
10.7 pts better
|
16.7%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 16.1% · Q3 9.1% · Q4 8.6% · 4Q avg 11.8% · 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 | 20.1% |
17.7%
2.4 pts worse
|
16.3%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 27.9% · 4Q avg 20.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.6% |
17.6%
2 pts better
|
14.9%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.5% · Q2 15.1% · Q3 13.7% · Q4 9.1% · 4Q avg 15.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.9% |
1.0%
1.9 pts worse
|
1.0%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 1.4% · Q3 1.6% · Q4 3.2% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.8% |
2.0%
0.8 pts worse
|
1.7%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 1.5% · Q3 0.0% · Q4 4.7% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 36.1% |
21.7%
14.4 pts worse
|
19.8%
16.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.6% · Q2 30.1% · Q3 30.7% · Q4 44.2% · 4Q avg 36.1% |
| Percentage of long-stay residents with pressure ulcers | 4.8% |
4.6%
0.2 pts worse
|
5.1%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 5.8% · Q3 5.4% · Q4 3.7% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.8% |
77.1%
13.7 pts better
|
81.7%
9.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.7% · Q2 97.8% · Q3 87.8% · Q4 80.6% · 4Q avg 90.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.5% |
11.8%
1.3 pts better
|
12.0%
1.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.5% · Observed 9.7% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
1.3%
0.6 pts worse
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.9% · Q3 0.0% · Q4 1.6% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.2% |
77.7%
19.5 pts better
|
79.7%
17.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.9% |
25.8%
7.9 pts better
|
23.9%
6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.9% · Observed 14.5% · Expected 19.4% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Nutrition and Dietary (2 deficiencies)
9 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Top issue: Resident Assessment and Care Planning (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-01-29
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2026-01-29
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-01-29
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 2026-01-29
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-11-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-01
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-01
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2024-11-01
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2024-11-01
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2024-11-01
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2024-11-01
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-11-01
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 2024-11-01
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-12
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-12
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 2026-01-12
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 2026-01-12
Health
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected 2026-01-12
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-10-11
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-11
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-10-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-11
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-10-11
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-11
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-11
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-10-11
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-06-06
Penalties and ownership
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Nearby options
Worcester, MA
2-star overall rating with 3-star inspections with 10 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
Worcester, MA
2-star overall rating with 2-star inspections with $106,301 in total fines with 11 recent health deficiencies with 19 fire-safety deficiencies in the latest cycle
Worcester, MA
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Jump out