Cycle 1
Health 2025-12-22 · Fire 2025-12-22
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Worcester, MA
Lutheran Rehabilitation And Skilled Care Center
5-star overall rating with 5-star inspections
26 Harvard Street, Worcester, MA
(508) 754-8877
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
150
Certified beds
Average residents
103
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Ascentria Care Alliance
Operator or chain grouping
Approved since
1996-03-25
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 4 overall / 4 health / 4 staffing / 4 quality stars
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
Hours and turnover
RN hours / resident day
0.43
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.49
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.25
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
4.17
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.92
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.51
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.21
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.15
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.44
CMS adjusted RN staffing hours
Adjusted total hours
4.29
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
42%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,977
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41.88
Composite VBP score used to determine payment impact.
Payment multiplier
0.9948
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.90
Baseline 22.33% · Performance 19.46% · Measure score 4.90 · Achievement 4.24 · Improvement 4.90
Healthcare-associated infections
0.73
Baseline 7.43% · Performance 7.61% · Measure score 0.73 · Achievement 0.73 · Improvement 0
Total nurse turnover
6.76
Baseline 40.28% · Performance 36.04% · Measure score 6.76 · Achievement 6.76 · Improvement 2.25
Adjusted total nurse staffing
4.35
Baseline 3.57 hours · Performance 4.32 hours · Measure score 4.35 · Achievement 4.35 · Improvement 2.87
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.88% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 115 · Observed rate 12.17% · Lower 95% interval 7.65% |
| Discharge to community | 56.17% |
50.57%
5.6 pts better
|
No Different than the National Rate · Eligible stays 108 · Observed rate 46.3% · Lower 95% interval 44.65% |
| Medicare spending per beneficiary | 0.92 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 97.92% |
95.27%
2.7 pts better
|
Numerator 94 · Denominator 96 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 96 |
| Discharge self-care score | 72.06% |
53.69%
18.4 pts better
|
Numerator 49 · Denominator 68 |
| Discharge mobility score | 57.35% |
50.94%
6.4 pts better
|
Numerator 39 · Denominator 68 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 96 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.62% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 86 · Observed rate 10.47% · Lower 95% interval 4.68% |
| Staff COVID-19 vaccination coverage | 28.45% |
8.2%
20.2 pts better
|
Numerator 66 · Denominator 232 |
| Staff flu vaccination coverage | 52.36% |
42%
10.4 pts better
|
Numerator 122 · Denominator 233 |
| Discharge function score | 69.12% |
56.45%
12.7 pts better
|
Numerator 47 · Denominator 68 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 37 · Denominator 37 |
| Transfer of health information to patient | 97.5% |
96.28%
1.2 pts better
|
Numerator 39 · Denominator 40 |
| Resident COVID-19 vaccinations up to date | 28.85% |
25.2%
3.7 pts better
|
Numerator 15 · Denominator 52 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.9 |
1.9
1 pts better
|
1.9
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.9 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.5
0.5 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.1 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
92.2%
7.8 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 3.4% · Q3 2.2% · Q4 1.1% · 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 1.1% · Q4 0.0% · 4Q avg 0.3% |
| Percentage of long-stay residents who lose too much weight | 5.8% |
5.2%
0.6 pts worse
|
5.4%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 7.4% · Q3 9.0% · Q4 2.8% · 4Q avg 5.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.3% |
19.2%
2.1 pts worse
|
19.6%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 20.3% · Q3 21.2% · Q4 21.4% · 4Q avg 21.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.4% |
22.5%
4.1 pts better
|
16.7%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 20.6% · Q3 15.6% · Q4 18.6% · 4Q avg 18.4% · 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 | 12.6% |
17.7%
5.1 pts better
|
16.3%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 10.6% · Q3 15.3% · Q4 15.4% · 4Q avg 12.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.2% |
17.6%
7.4 pts better
|
14.9%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 6.9% · Q3 9.6% · Q4 16.0% · 4Q avg 10.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.0%
1 pts better
|
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% · 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 2.2% · Q2 3.5% · Q3 2.3% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.4% |
21.7%
4.7 pts worse
|
19.8%
6.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.7% · Q2 21.9% · Q3 29.3% · Q4 28.7% · 4Q avg 26.4% |
| Percentage of long-stay residents with pressure ulcers | 1.9% |
4.6%
2.7 pts better
|
5.1%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.1% · Q3 1.9% · Q4 1.0% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.2% |
77.1%
19.1 pts better
|
81.7%
14.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.2% · Q2 98.2% · Q3 93.8% · Q4 95.4% · 4Q avg 96.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.9% |
11.8%
2.1 pts worse
|
12.0%
1.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.9% · Observed 13.6% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.3%
0.1 pts worse
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.3% · Q3 1.4% · Q4 1.4% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.9% |
77.7%
17.2 pts better
|
79.7%
15.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.0% |
25.8%
2.8 pts better
|
23.9%
0.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.0% · Observed 23.9% · Expected 24.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-20 · Fire 2024-08-20
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-05-19 · Fire 2023-05-19
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
Penalties and ownership
What sits behind the stars
Ownership
Ascentria Care Alliance Inc
5% Or Greater Direct Ownership Interest · Organization
Bettigole, Michelle
Corporate Officer · Individual
Bovill, Angela
Operational/Managerial Control · Individual
Bovill, Angela
Corporate Director · Individual
Bovill, Angela
Corporate Officer · Individual
Browne, Tara
Corporate Officer · Individual
Gaylin, Karen
Corporate Director · Individual
Goodman, Ross
Corporate Director · Individual
Greimann, Garth
Corporate Director · Individual
Jenoure, Frederic
Corporate Director · Individual
Kinney, Jeff
Corporate Officer · Individual
Mayo, William
Corporate Director · Individual
Mitchell, Aimee
Corporate Officer · Individual
Russo, Nick
Corporate Officer · Individual
Wade, Jeanette
Corporate Officer · Individual
Nearby options
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#2
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2-star overall rating with 2-star inspections with 12 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle
#3
Christopher House Of Worcester
Worcester, MA
3-star overall rating with 3-star inspections with $8,512 in total fines with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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