Worcester, MA

Parsons Hill Rehabilitation & Health Care Center

2-star overall rating with 2-star inspections with 13 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

1350 Main Street, Worcester, MA

(508) 791-4200

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

162

Certified beds

Average residents

150

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Athena Healthcare Systems

Operator or chain grouping

Approved since

1990-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

24 facilities

Chain averages 2 overall / 2 health / 3 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

0.41

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

0.89

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.85

Nurse aide staffing · state 2.26 · national 2.35

Total nurse hours

3.16

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.30

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

2.80

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.26

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.43

CMS adjusted RN staffing hours

Adjusted total hours

3.26

CMS adjusted total nurse staffing hours

Case-mix index

1.32

Higher values indicate more complex resident acuity

RN turnover

36%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

29%

Annual nurse turnover · state 40% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,645

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

Performance score

35.44

Composite VBP score used to determine payment impact.

Payment multiplier

0.9891

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.63

Baseline 20.76% · Performance 20.21% · Measure score 2.63 · Achievement 2.63 · Improvement 0.95

Healthcare-associated infections

Baseline 8.18% · Performance 8.22% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

Baseline 23.53% · Performance 24.21% · Measure score 10 · Achievement 10 · Improvement 0

Adjusted total nurse staffing

1.55

Baseline 3.50 hours · Performance 3.52 hours · Measure score 1.55 · Achievement 1.55 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.71%	10.72% 1 pts better	No Different than the National Rate · Eligible stays 64 · Observed rate 10.94% · Lower 95% interval 6.41%
Discharge to community	31.5%	50.57% 19.1 pts worse	Worse than the National Rate · Eligible stays 49 · Observed rate 16.33% · Lower 95% interval 20.48%
Medicare spending per beneficiary	0.93	1.02 0.1 pts better
Drug regimen review with follow-up	75.68%	95.27% 19.6 pts worse	Numerator 28 · Denominator 37
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 37
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 37 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	8.22%	7.12% 1.1 pts worse	No Different than the National Rate · Eligible stays 48 · Observed rate 12.5% · Lower 95% interval 4.5%
Staff COVID-19 vaccination coverage	12.44%	8.2% 4.2 pts better	Numerator 25 · Denominator 201
Staff flu vaccination coverage	25.77%	42% 16.2 pts worse	Numerator 50 · Denominator 194
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 15 · 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	1.5	1.9 0.4 pts better	1.9 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.4 · 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 0.8 · Expected 2.1 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.3%	92.2% 6.1 pts better	93.4% 4.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 96.3% · Q3 99.2% · Q4 99.3% · 4Q avg 98.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.1%	94.8% 0.3 pts better	95.5% 0.4 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.1%
Percentage of long-stay residents experiencing one or more falls with major injury	2.4%	3.5% 1.1 pts better	3.3% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.9% · Q3 2.3% · Q4 2.2% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.1%	12.0% 7.9 pts better	11.4% 7.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 5.8% · Q3 3.3% · Q4 5.6% · 4Q avg 4.1%
Percentage of long-stay residents who lose too much weight	4.9%	5.2% 0.3 pts better	5.4% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 7.0% · Q3 4.0% · Q4 5.3% · 4Q avg 4.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	35.0%	19.2% 15.8 pts worse	19.6% 15.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.1% · Q2 35.6% · Q3 36.5% · Q4 34.8% · 4Q avg 35.0%
Percentage of long-stay residents who received an antipsychotic medication	45.6%	22.5% 23.1 pts worse	16.7% 28.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 46.1% · Q2 44.3% · Q3 50.7% · Q4 41.8% · 4Q avg 45.6% · 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	8.8%	17.7% 8.9 pts better	16.3% 7.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 11.1% · Q3 4.1% · Q4 15.1% · 4Q avg 8.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	13.0%	17.6% 4.6 pts better	14.9% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.3% · Q2 13.7% · Q3 6.6% · Q4 13.3% · 4Q avg 13.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.2%	1.0% 0.8 pts better	1.0% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.6% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.6%	2.0% 1.4 pts better	1.7% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 0.8% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.3%	21.7% 4.4 pts better	19.8% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 20.2% · Q3 18.3% · Q4 13.3% · 4Q avg 17.3%
Percentage of long-stay residents with pressure ulcers	3.6%	4.6% 1 pts better	5.1% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.3% · Q3 5.0% · Q4 2.4% · 4Q avg 3.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	90.1%	77.1% 13 pts better	81.7% 8.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 91.0% · Q2 93.3% · Q3 89.5% · Q4 87.2% · 4Q avg 90.1%
Percentage of short-stay residents who had an outpatient emergency department visit	14.4%	11.8% 2.6 pts worse	12.0% 2.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.4% · Observed 18.5% · Expected 14.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.5%	1.3% 0.2 pts worse	1.6% 0.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 0.0% · Q3 0.0% · Q4 1.9% · 4Q avg 1.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	91.7%	77.7% 14 pts better	79.7% 12 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 91.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	11.4%	25.8% 14.4 pts better	23.9% 12.5 pts better	Short Stay · 20240701-20250630 · Adjusted 11.4% · Observed 11.1% · Expected 23.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-25 · Fire 2025-03-25

13 health deficiencies

Top issue: Resident Rights (5 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2024-01-23 · Fire 2024-01-23

18 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2022-07-11 · Fire 2022-07-11

17 health deficiencies

Top issue: Quality of Life and Care (6 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 2025-03-25

K133 · Construction Deficiencies

Fire Safety

Install a two-hour-resistant firewall separation.

Corrected 2025-04-17

F · Potential for more than minimal harm 2025-03-25

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2025-04-17

F · Potential for more than minimal harm 2025-03-25

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 2025-04-17

F · Potential for more than minimal harm 2025-03-25

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-04-17

D · Potential for more than minimal harm 2025-03-25

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-04-17

D · Potential for more than minimal harm 2025-03-25

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-04-17

D · Potential for more than minimal harm 2025-03-25

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-04-17

F · Potential for more than minimal harm 2024-01-23

K226 · Egress Deficiencies

Fire Safety

Have horizontal exits used in accordance with safety requirements.

Corrected 2024-02-09

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-08-19

F628 · Resident Rights Deficiencies

Health

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

Corrected 2025-09-05

D · Potential for more than minimal harm 2025-04-01

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 2025-04-25

E · Potential for more than minimal harm 2025-03-25

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 2025-04-25

E · Potential for more than minimal harm 2025-03-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-25

E · Potential for more than minimal harm 2025-03-25

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-03-25

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-03-25

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 2025-04-25

D · Potential for more than minimal harm 2025-03-25

F685 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-03-25

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-03-25

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-03-25

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-25

B · Minimal harm 2025-03-25

F582 · Resident Rights Deficiencies

Health

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

Corrected 2025-04-25

B · Minimal harm 2025-03-25

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-04-25

D · Potential for more than minimal harm 2024-07-23

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2024-08-14

D · Potential for more than minimal harm 2024-07-23

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 2024-08-14

F · Potential for more than minimal harm 2024-01-23

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2024-03-15

E · Potential for more than minimal harm 2024-01-23

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-03-15

E · Potential for more than minimal harm 2024-01-23

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 2024-03-15

E · Potential for more than minimal harm 2024-01-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-01-23

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 2024-03-15

D · Potential for more than minimal harm 2024-01-23

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-01-23

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-01-23

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 2024-03-15

D · Potential for more than minimal harm 2024-01-23

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-01-23

F685 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-01-23

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-01-23

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-01-23

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-01-23

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-01-23

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 2024-03-15

D · Potential for more than minimal harm 2024-01-23

F883 · Infection Control Deficiencies

Health

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

Corrected 2024-03-15

E · Potential for more than minimal harm 2023-04-19

F567 · Resident Rights Deficiencies

Health

Honor the resident's right to manage his or her financial affairs.

Corrected 2023-05-08

D · Potential for more than minimal harm 2023-04-19

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 2023-05-08

D · Potential for more than minimal harm 2023-04-19

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 2023-05-08