Notre Dame Long Term Care Center ratings, inspections, staffing, and fines

1

How this home got 4 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

Health inspections

starting point

Everything starts from what state inspectors found on site. This is a ranking against other homes in Massachusetts.
Staffing

no change

Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
Quality measures

no change

Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
Overall

4 of 5

Matches the rating CMS publishes on Care Compare.

2

Where it sits among Massachusetts homes

Notre Dame Long Term Care Center carries 16 inspection points. That is fewer than 76% of Massachusetts's 339 rated homes.

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Massachusetts: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

5★ 0–6 pts
4★ 6–24 pts
3★ 24–41 pts
2★ 41–76 pts
1★ over 76 pts

Bars show every rated home in Massachusetts by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

14 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts

K 0 100 pts

L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts

H 0 35 pts

I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 11 4 pts

E 3 8 pts

F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts

B 0 0 pts

C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Pharmacy Service3E

E
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.
May 8, 2026 · Standard · F761 · Corrected May 27, 2026
D
Ensure that residents are free from significant medication errors.
May 8, 2026 · Standard · F760 · Corrected May 27, 2026
E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
December 15, 2023 · Standard · F755 · Corrected January 28, 2024

Resident Assessment and Care Planning3D

D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
May 8, 2026 · Standard · F656 · Corrected May 27, 2026
D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
November 20, 2024 · Complaint · F656 · Corrected December 31, 2024
D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
December 15, 2023 · Standard · F656 · Corrected January 28, 2024

Infection Control3E

D
Provide and implement an infection prevention and control program.
February 12, 2025 · Standard · F880 · Corrected March 28, 2025
E
Provide and implement an infection prevention and control program.
December 15, 2023 · Standard · F880 · Corrected January 28, 2024
D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
December 15, 2023 · Standard · F883 · Corrected January 28, 2024

Nutrition and Dietary2D

D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
February 12, 2025 · Standard · F810 · Corrected March 28, 2025
D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
December 15, 2023 · Standard · F805 · Corrected January 28, 2024

Nursing and Physician Services1D

D
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.
February 12, 2025 · Standard · F726 · Corrected March 28, 2025

Resident Rights1D

D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
December 15, 2023 · Standard · F578 · Corrected January 28, 2024

Quality of Life and Care1D

D
Provide safe and appropriate respiratory care for a resident when needed.
December 15, 2023 · Standard · F695 · Corrected January 28, 2024

Inspection history

2026-05-08
3 health deficiencies · 1 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2025-02-12
4 health deficiencies · 6 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2023-12-15
7 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 38 min of nursing staff time a day, 27 min of it from a registered nurse.

This home

3 h 38 min

Massachusetts average

3 h 56 min

U.S. average

3 h 54 min

Registered nurse
Licensed practical nurse
Nurse aide

Turnover: 39% of nursing staff and 59% of registered nurses left in the past year, along with 2 administrators.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

Measure	This home	State	U.S.
Number of hospitalizations per 1000 long-stay resident days0.9 pts better	0.9	1.8	1.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better	0.7	1.4	1.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.9 pts better	96.8%	92.9%	93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.3 pts better	95.8%	93.5%	95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts better	2.8%	3.4%	3.2%
Percentage of long-stay residents who have depressive symptoms13 pts better	4.4%	17.4%	13.5%
Percentage of long-stay residents who lose too much weight0.2 pts worse	5.2%	5.0%	5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6.9 pts better	12.6%	19.5%	19.5%
Percentage of long-stay residents who received an antipsychotic medication12.4 pts better	9.1%	21.5%	15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better	0.0%	0.1%	0.1%
Percentage of long-stay residents whose ability to walk independently worsened6.5 pts worse	20.4%	13.9%	12.7%
Percentage of long-stay residents whose need for help with daily activities has increased7.9 pts worse	23.7%	15.8%	13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better	0.5%	0.7%	0.7%
Percentage of long-stay residents with a urinary tract infection2.5 pts worse	4.2%	1.7%	1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.1 pts better	14.3%	20.4%	18.3%
Percentage of long-stay residents with pressure ulcers0.7 pts worse	4.9%	4.2%	4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.3 pts better	81.2%	78.9%	82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.5 pts better	9.3%	11.8%	11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better	1.1%	1.4%	1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine48.1 pts worse	30.0%	78.1%	80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission1 pts worse	26.7%	25.7%	23.4%

·

Who owns and runs it

64 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list

Name	Role	Share	Homes
Bain, Elaine	Managing Control - Governing Body · Individual	0%	1 facilities
Bain, Elaine	Corporate Director · Individual	0%	1 facilities
Bain, Elaine	Operational/Managerial Control · Individual	0%	1 facilities
Coan, Leonore	Managing Control - Governing Body · Individual	0%	1 facilities
Coan, Leonore	Corporate Director · Individual	0%	1 facilities
Coan, Leonore	Operational/Managerial Control · Individual	0%	1 facilities
Colaizzi, Maryann	Managing Control - Governing Body · Individual	0%	1 facilities
Colaizzi, Maryann	Corporate Director · Individual	0%	1 facilities
Colaizzi, Maryann	Operational/Managerial Control · Individual	0%	1 facilities
Colin, Kathleen	Managing Control - Governing Body · Individual	0%	1 facilities
Colin, Kathleen	Corporate Director · Individual	0%	1 facilities
Colin, Kathleen	Operational/Managerial Control · Individual	0%	1 facilities
Ferguson, Robert	Managing Control - Governing Body · Individual	0%	1 facilities
Ferguson, Robert	Corporate Director · Individual	0%	1 facilities
Ferguson, Robert	Operational/Managerial Control · Individual	0%	1 facilities
Hickey, Philip	Managing Control - Governing Body · Individual	0%	1 facilities
Hickey, Philip	Corporate Officer · Individual	0%	1 facilities
Hickey, Philip	Operational/Managerial Control · Individual	0%	1 facilities
Kozak, Kevin	Managing Control - Governing Body · Individual	0%	1 facilities
Kozak, Kevin	Corporate Director · Individual	0%	1 facilities
Kozak, Kevin	Operational/Managerial Control · Individual	0%	1 facilities
Mannila, John	Managing Control - Governing Body · Individual	0%	1 facilities
Mannila, John	Corporate Officer · Individual	0%	1 facilities
Mannila, John	Operational/Managerial Control · Individual	0%	1 facilities
Mcgovern, Kevin	Managing Control - Governing Body · Individual	0%	1 facilities
Mcgovern, Kevin	Corporate Director · Individual	0%	1 facilities
Mcgovern, Kevin	Operational/Managerial Control · Individual	0%	1 facilities
Murphy, Elizabeth	Managing Control - Governing Body · Individual	0%	2 facilities
Murphy, Elizabeth	Corporate Director · Individual	0%	2 facilities
Murphy, Elizabeth	Operational/Managerial Control · Individual	0%	2 facilities
Murphy, Jacqueline	Managing Control - Governing Body · Individual	0%	1 facilities
Murphy, Jacqueline	Corporate Director · Individual	0%	1 facilities
Murphy, Jacqueline	Operational/Managerial Control · Individual	0%	1 facilities
O'brien, Patricia	Managing Control - Governing Body · Individual	0%	1 facilities
O'brien, Patricia	Corporate Director · Individual	0%	1 facilities
O'brien, Patricia	Operational/Managerial Control · Individual	0%	1 facilities
O'connor, Tara	Managing Control - Governing Body · Individual	0%	1 facilities
O'connor, Tara	Corporate Director · Individual	0%	1 facilities
O'connor, Tara	Operational/Managerial Control · Individual	0%	1 facilities
Rivard, Brenda	Managing Control - Governing Body · Individual	0%	1 facilities
Rivard, Brenda	Corporate Director · Individual	0%	1 facilities
Rivard, Brenda	Operational/Managerial Control · Individual	0%	1 facilities
Roche, Mary	Managing Control - Governing Body · Individual	0%	1 facilities
Roche, Mary	Corporate Director · Individual	0%	1 facilities
Roche, Mary	Operational/Managerial Control · Individual	0%	1 facilities
Rocheleau, H	Managing Control - Governing Body · Individual	0%	1 facilities
Rocheleau, H	Corporate Director · Individual	0%	1 facilities
Rocheleau, H	Operational/Managerial Control · Individual	0%	1 facilities
Rossano, Bryan	Operational/Managerial Control · Individual	0%	2 facilities
Rossano, Bryan	Adp Of The SNF · Individual	0%	2 facilities
Toce, Patricia	Managing Control - Governing Body · Individual	0%	1 facilities
Toce, Patricia	Corporate Director · Individual	0%	1 facilities
Toce, Patricia	Operational/Managerial Control · Individual	0%	1 facilities
Torkornoo, Eric	Managing Control - Governing Body · Individual	0%	1 facilities
Torkornoo, Eric	Corporate Director · Individual	0%	1 facilities
Torkornoo, Eric	Operational/Managerial Control · Individual	0%	1 facilities
Totino, Stephen	Corporate Officer · Individual	0%	1 facilities
Totino, Stephen	Operational/Managerial Control · Individual	0%	1 facilities
Totino, Stephen	Adp Of The SNF · Individual	0%	1 facilities
Webb, Charles	Managing Control - Governing Body · Individual	0%	1 facilities
Webb, Charles	Corporate Director · Individual	0%	1 facilities
Webb, Charles	Operational/Managerial Control · Individual	0%	1 facilities
Zimmons, Erika	Operational/Managerial Control · Individual	0%	1 facilities
Zimmons, Erika	Adp Of The SNF · Individual	0%	1 facilities

·

Fire safety

10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Miscellaneous4F

F
Have simulated fire drills held at unexpected times.
February 12, 2025 · K712 · Corrected April 1, 2025
D
Provide a written emergency evacuation plan.
February 12, 2025 · K711 · Corrected April 1, 2025
D
Provide properly sized and located linen or trash receptacles.
February 12, 2025 · K754 · Corrected April 1, 2025
F
Have simulated fire drills held at unexpected times.
December 15, 2023 · K712 · Corrected February 2, 2024

Egress3F

D
Install emergency lighting that can last at least 1 1/2 hours.
May 8, 2026 · K291 · Corrected June 26, 2026
F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
February 12, 2025 · K211 · Corrected April 1, 2025
D
Install emergency lighting that can last at least 1 1/2 hours.
February 12, 2025 · K291 · Corrected April 1, 2025

Gas, Vacuum, and Electrical Systems2F

F
Have generator or other power source capable of supplying service within 10 seconds.
February 12, 2025 · K918 · Corrected April 1, 2025
F
Have generator or other power source capable of supplying service within 10 seconds.
December 15, 2023 · K918 · Corrected February 2, 2024

Emergency Preparedness1F

F
Implement emergency and standby power systems.
December 15, 2023 · E41 · Corrected February 2, 2024

·

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