Worcester, MA

Odd Fellows Home Of Massachusetts

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

104 Randolph Road, Worcester, MA

(508) 853-6687

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

Certified beds

Average residents

92

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1990-07-01

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

Hours and turnover

RN hours / resident day

0.63

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

2.04

Nurse aide staffing · state 2.26 · national 2.35

Total nurse hours

3.61

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.57

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

3.26

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.47

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.67

CMS adjusted RN staffing hours

Adjusted total hours

3.82

CMS adjusted total nurse staffing hours

Case-mix index

1.29

Higher values indicate more complex resident acuity

RN turnover

30%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

30%

Annual nurse turnover · state 40% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,943

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

Performance score

46.79

Composite VBP score used to determine payment impact.

Payment multiplier

1.0002

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

3.81

Baseline 38.33% · Performance 48.10% · Measure score 3.81 · Achievement 3.81 · Improvement 0

Adjusted total nurse staffing

5.55

Baseline 3.98 hours · Performance 4.66 hours · Measure score 5.55 · Achievement 5.55 · Improvement 3.24

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community Not Available
50.57%
Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary Not Available
1.02
Too few residents or stays to report publicly.
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 18 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 5 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 15.6%
8.2%
7.4 pts better
Numerator 17 · Denominator 109
Staff flu vaccination coverage 68.94%
42%
26.9 pts better
Numerator 91 · Denominator 132
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 10 · 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 1.4
1.9
0.5 pts better
1.9
0.5 pts better
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.0 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.4
1.5
0.9 pts worse
1.8
0.6 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.2 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 90.9%
92.2%
1.3 pts worse
93.4%
2.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 84.4% · Q2 85.4% · Q3 95.0% · Q4 98.9% · 4Q avg 90.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93.5%
94.8%
1.3 pts worse
95.5%
2 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.5%
Percentage of long-stay residents experiencing one or more falls with major injury 5.9%
3.5%
2.4 pts worse
3.3%
2.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 6.1% · Q3 6.2% · Q4 5.6% · 4Q avg 5.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
12.0%
12 pts better
11.4%
11.4 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 who lose too much weight 5.3%
5.2%
0.1 pts worse
5.4%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 4.2% · Q3 8.5% · Q4 7.2% · 4Q avg 5.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 18.6%
19.2%
0.6 pts better
19.6%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 21.6% · Q3 16.2% · Q4 16.7% · 4Q avg 18.6%
Percentage of long-stay residents who received an antipsychotic medication 34.8%
22.5%
12.3 pts worse
16.7%
18.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 36.7% · Q2 30.8% · Q3 36.5% · Q4 35.1% · 4Q avg 34.8% · 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 21.9%
17.7%
4.2 pts worse
16.3%
5.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 21.7% · Q3 28.7% · Q4 17.5% · 4Q avg 21.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 20.3%
17.6%
2.7 pts worse
14.9%
5.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 15.1% · Q2 21.2% · Q3 29.7% · Q4 16.2% · 4Q avg 20.3% · 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 1.2% · Q2 0.0% · Q3 1.2% · Q4 2.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 3.3%
2.0%
1.3 pts worse
1.7%
1.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.4% · Q3 5.2% · Q4 3.4% · 4Q avg 3.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 23.7%
21.7%
2 pts worse
19.8%
3.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 18.1% · Q2 21.9% · Q3 31.2% · Q4 24.5% · 4Q avg 23.7%
Percentage of long-stay residents with pressure ulcers 4.7%
4.6%
0.1 pts worse
5.1%
0.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 4.4% · Q3 4.4% · Q4 5.8% · 4Q avg 4.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 59.6%
77.1%
17.5 pts worse
81.7%
22.1 pts worse
Short Stay · 2024Q4-2025Q3 · Q2 25.9% · Q3 75.0% · Q4 96.6% · 4Q avg 59.6%
Percentage of short-stay residents who had an outpatient emergency department visit 11.4%
11.8%
0.4 pts better
12.0%
0.6 pts better
Short Stay · 20240701-20250630 · Adjusted 11.4% · Observed 13.6% · Expected 13.3% · 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 62.1%
77.7%
15.6 pts worse
79.7%
17.6 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 62.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 26.3%
25.8%
0.5 pts worse
23.9%
2.4 pts worse
Short Stay · 20240701-20250630 · Adjusted 26.3% · Observed 27.3% · Expected 24.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-10 · Fire 2024-12-10

11 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

19 fire-safety deficiencies

Top issue: Emergency Preparedness (7 deficiencies)

Cycle 2 Health 2023-10-06 · Fire 2023-10-06

11 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-03-31 · Fire 2022-03-31

14 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-12-10

E23 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for medical documentation.

Corrected 2025-01-30

F · Potential for more than minimal harm 2024-12-10

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2025-01-30

F · Potential for more than minimal harm 2024-12-10

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2025-01-30

F · Potential for more than minimal harm 2024-12-10

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2025-01-30

F · Potential for more than minimal harm 2024-12-10

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-01-30

F · Potential for more than minimal harm 2024-12-10

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-01-30

F · Potential for more than minimal harm 2024-12-10

E7 · Emergency Preparedness Deficiencies

Fire Safety

Address patient/client population and determine types of services needed.

Corrected 2025-01-30

F · Potential for more than minimal harm 2024-12-10

K254 · Egress Deficiencies

Fire Safety

Provide hallway or ground-level exits in all residents' rooms.

Corrected 2025-01-30

F · Potential for more than minimal harm 2024-12-10

K321 · Smoke Deficiencies

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 2025-01-30

F · Potential for more than minimal harm 2024-12-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-30

F · Potential for more than minimal harm 2024-12-10

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-01-30

E · Potential for more than minimal harm 2024-12-10

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2025-01-30

E · Potential for more than minimal harm 2024-12-10

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-01-30

E · Potential for more than minimal harm 2024-12-10

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-01-30

E · Potential for more than minimal harm 2024-12-10

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2025-01-30

D · Potential for more than minimal harm 2024-12-10

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-01-30

D · Potential for more than minimal harm 2024-12-10

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-01-30

D · Potential for more than minimal harm 2024-12-10

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-01-30

D · Potential for more than minimal harm 2024-12-10

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-01-30

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-12-10

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 2025-01-23

E · Potential for more than minimal harm 2024-12-10

F790 · Quality of Life and Care Deficiencies

Health

Provide routine and 24-hour emergency dental care for each resident.

Corrected 2025-01-23

D · Potential for more than minimal harm 2024-12-10

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 2025-01-23

D · Potential for more than minimal harm 2024-12-10

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-01-23

D · Potential for more than minimal harm 2024-12-10

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-01-23

D · Potential for more than minimal harm 2024-12-10

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2025-01-23

D · Potential for more than minimal harm 2024-12-10

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 2025-01-23

D · Potential for more than minimal harm 2024-12-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-23

D · Potential for more than minimal harm 2024-12-10

F909 · Environmental Deficiencies

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 2025-01-23

B · Minimal harm 2024-12-10

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-01-23

B · Minimal harm 2024-12-10

F868 · Administration Deficiencies

Health

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

Corrected 2025-01-23

G · Actual harm 2023-12-20

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 2024-01-19

D · Potential for more than minimal harm 2023-12-20

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 2024-01-19

D · Potential for more than minimal harm 2023-12-20

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-01-19

G · Actual harm 2023-10-06

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-11-17

G · Actual harm 2023-10-06

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-11-17

E · Potential for more than minimal harm 2023-10-06

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 2023-11-17

E · Potential for more than minimal harm 2023-10-06

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 2023-11-17

E · Potential for more than minimal harm 2023-10-06

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 2023-12-23

E · Potential for more than minimal harm 2023-10-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-11-17

D · Potential for more than minimal harm 2023-10-06

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 2023-11-17

D · Potential for more than minimal harm 2023-10-06

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 2023-11-17

D · Potential for more than minimal harm 2023-10-06

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 2023-11-17

D · Potential for more than minimal harm 2023-10-06

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-11-17

D · Potential for more than minimal harm 2023-10-06

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-12-23

E · Potential for more than minimal harm 2022-03-31

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 2022-04-15

D · Potential for more than minimal harm 2022-03-31

F551 · Resident Rights Deficiencies

Health

Give the resident's representative the ability to exercise the resident's rights.

Corrected 2022-04-15

D · Potential for more than minimal harm 2022-03-31

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2022-04-15

D · Potential for more than minimal harm 2022-03-31

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2022-04-15

D · Potential for more than minimal harm 2022-03-31

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2022-04-15

D · Potential for more than minimal harm 2022-03-31

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-04-15

D · Potential for more than minimal harm 2022-03-31

F690 · Quality of Life and Care Deficiencies

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 2022-04-15

D · Potential for more than minimal harm 2022-03-31

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2022-04-15

D · Potential for more than minimal harm 2022-03-31

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 2022-04-15

D · Potential for more than minimal harm 2022-03-31

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 2022-04-15

C · Minimal harm 2022-03-31

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2022-04-15

Penalties and ownership

What sits behind the stars

$106,301 2023-10-06

Fine

Fine · fine $106,301

Fine

$0 2023-10-06

Payment Denial

Payment Denial · denial start 2024-01-06 · 13 days

13 day denial

Ownership

Independent Order Of Odd Fellows Grand Lodge

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 1966-01-01
Independent Order Of Odd Fellows Grand Lodge

General Partnership Interest · Organization

0% 1 facilities 1966-01-01
Plant, Clarence

Corporate Officer · Individual

0% 1 facilities 1983-05-12
Plant, Clarence

W-2 Managing Employee · Individual

0% 1 facilities 2001-06-16

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