Cycle 1
Health 2025-08-13 · Fire 2025-08-13
3 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
New Bedford, MA
Sacred Heart Nursing Home
5-star overall rating with 4-star inspections with 3 recent health deficiencies
359 Summer Street, New Bedford, MA
(508) 996-6751
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
217
Certified beds
Average residents
119
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Diocesan Health Facilities
Operator or chain grouping
Approved since
1990-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 4 overall / 3 health / 5 staffing / 3 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
0.64
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.78
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.38
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
3.80
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.42
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.53
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.44
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.73
CMS adjusted RN staffing hours
Adjusted total hours
4.33
CMS adjusted total nurse staffing hours
Case-mix index
1.20
Higher values indicate more complex resident acuity
RN turnover
17%
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
610
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
66.57
Composite VBP score used to determine payment impact.
Payment multiplier
1.0204
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.61
Baseline 18.50% · Performance 18.37% · Measure score 6.61 · Achievement 6.61 · Improvement 0.35
Healthcare-associated infections
6.39
Baseline 6.45% · Performance 5.92% · Measure score 6.39 · Achievement 6.39 · Improvement 3.13
Total nurse turnover
8.36
Baseline 31.50% · Performance 29.50% · Measure score 8.36 · Achievement 8.36 · Improvement 2.51
Adjusted total nurse staffing
5.26
Baseline 4.06 hours · Performance 4.58 hours · Measure score 5.26 · Achievement 5.26 · Improvement 2.49
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.71% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 89 · Observed rate 10.11% · Lower 95% interval 7.31% |
| Discharge to community | 50.16% |
50.57%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 51 · Observed rate 45.1% · Lower 95% interval 40.61% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 73.13% |
95.27%
22.1 pts worse
|
Numerator 49 · Denominator 67 |
| Falls with major injury | 1.49% |
0.77%
0.7 pts worse
|
Numerator 1 · Denominator 67 |
| Discharge self-care score | 44.23% |
53.69%
9.5 pts worse
|
Numerator 23 · Denominator 52 |
| Discharge mobility score | 38.46% |
50.94%
12.5 pts worse
|
Numerator 20 · Denominator 52 |
| Pressure ulcers or injuries, new or worsened | 1.49% |
2.29%
0.8 pts better
|
Numerator 1 · Denominator 67 · Adjusted rate 1.39% |
| Healthcare-associated infections requiring hospitalization | 5.92% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 54 · Observed rate 1.85% · Lower 95% interval 3.26% |
| Staff COVID-19 vaccination coverage | 38.59% |
8.2%
30.4 pts better
|
Numerator 71 · Denominator 184 |
| Staff flu vaccination coverage | 49.53% |
42%
7.5 pts better
|
Numerator 105 · Denominator 212 |
| Discharge function score | 48.08% |
56.45%
8.4 pts worse
|
Numerator 25 · Denominator 52 |
| Transfer of health information to provider | 96.88% |
95.95%
0.9 pts better
|
Numerator 31 · Denominator 32 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 46.51% |
25.2%
21.3 pts better
|
Numerator 20 · Denominator 43 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.6 |
1.9
0.7 pts worse
|
1.9
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 1.9 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.5
0.4 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.9 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.9% |
92.2%
5.7 pts better
|
93.4%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.2% · Q2 98.1% · Q3 98.2% · Q4 99.1% · 4Q avg 97.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.2% |
94.8%
3.4 pts better
|
95.5%
2.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.8% |
3.5%
0.7 pts better
|
3.3%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.7% · Q3 1.8% · Q4 2.7% · 4Q avg 2.8% · 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 0.0% · Q4 1.1% · 4Q avg 0.3% |
| 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 6.5% · Q2 4.2% · Q3 6.8% · Q4 3.9% · 4Q avg 5.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.7% |
19.2%
5.5 pts better
|
19.6%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 13.1% · Q3 14.8% · Q4 12.6% · 4Q avg 13.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.1% |
22.5%
4.4 pts better
|
16.7%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 17.9% · Q3 20.0% · Q4 16.0% · 4Q avg 18.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.2% |
0.1%
0.1 pts worse
|
0.1%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% |
| Percentage of long-stay residents whose ability to walk independently worsened | 16.7% |
17.7%
1 pts better
|
16.3%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.7% · Q2 16.9% · Q3 18.7% · Q4 7.5% · 4Q avg 16.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 27.5% |
17.6%
9.9 pts worse
|
14.9%
12.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.7% · Q2 24.0% · Q3 23.6% · Q4 21.1% · 4Q avg 27.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
1.0%
0.2 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.0% · Q3 1.6% · Q4 1.4% · 4Q avg 1.2% · 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 2.9% · Q3 3.7% · Q4 0.0% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.3% |
21.7%
0.6 pts worse
|
19.8%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.9% · Q2 22.1% · Q3 20.9% · Q4 18.3% · 4Q avg 22.3% |
| 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 1.6% · Q2 1.0% · Q3 3.3% · Q4 1.5% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 78.5% |
77.1%
1.4 pts better
|
81.7%
3.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 77.1% · Q2 72.5% · Q3 73.8% · Q4 92.5% · 4Q avg 78.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.1% |
11.8%
4.7 pts better
|
12.0%
4.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.1% · Observed 6.8% · Expected 10.8% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.0% |
77.7%
10.3 pts better
|
79.7%
8.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.9% |
25.8%
4.1 pts worse
|
23.9%
6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.9% · Observed 27.4% · Expected 21.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-25 · Fire 2024-06-25
9 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-03-31 · Fire 2023-03-31
7 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-08-13
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 2025-09-17
D · Potential for more than minimal harm
2025-08-13
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-09-17
D · Potential for more than minimal harm
2025-08-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-17
E · Potential for more than minimal harm
2024-06-25
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 2024-07-24
E · Potential for more than minimal harm
2024-06-25
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2024-07-24
E · Potential for more than minimal harm
2024-06-25
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-07-24
D · Potential for more than minimal harm
2024-06-25
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 2024-07-24
D · Potential for more than minimal harm
2024-06-25
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-07-24
D · Potential for more than minimal harm
2024-06-25
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-07-24
D · Potential for more than minimal harm
2024-06-25
F699 · Quality of Life and Care Deficiencies
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-07-24
D · Potential for more than minimal harm
2024-04-16
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 2024-03-26
D · Potential for more than minimal harm
2024-04-16
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-03-26
E · Potential for more than minimal harm
2023-03-31
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 2023-05-05
E · Potential for more than minimal harm
2023-03-31
F712 · Nursing and Physician Services Deficiencies
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2023-05-05
E · Potential for more than minimal harm
2023-03-31
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-05-05
D · Potential for more than minimal harm
2023-03-31
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 2023-05-05
D · Potential for more than minimal harm
2023-03-31
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2023-05-05
D · Potential for more than minimal harm
2023-03-31
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-05-05
D · Potential for more than minimal harm
2023-03-31
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-05-05
Penalties and ownership
What sits behind the stars
Ownership
Da Cunha, Edgar
Corporate Officer · Individual
Davis, Jennifer
W-2 Managing Employee · Individual
Diocesan Health Facilities
Operational/Managerial Control · Organization
Kiley, Kevin
Corporate Director · Individual
Long, Joanne
Corporate Director · Individual
Mello, Curtis
Contracted Managing Employee · Individual
Mitchell, Laura
Operational/Managerial Control · Individual
Oliveira, John
Corporate Director · Individual
Roque, Joanne
Operational/Managerial Control · Individual
Roque, Joanne
Corporate Director · Individual
Saunders, Richard
Corporate Director · Individual
Smith, Walter
Corporate Director · Individual
Wilson, Richard
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Brandon Woods of New Bedford
New Bedford, MA
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $464,490 in total fines with 46 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#2
Royal Of Fairhaven Nursing Center
Fairhaven, MA
3-star overall rating with 3-star inspections with $8,648 in total fines with 4 recent health deficiencies
#3
Vantage Health & Rehab Of New Bedford
New Bedford, MA
1-star overall rating with 2-star inspections with $9,318 in total fines with 9 recent health deficiencies
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