Cycle 1
Health 2024-08-06 · Fire 2024-08-06
8 health deficiencies
Top issue: Resident Rights (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Worcester, MA
St Francis Rehabilitation & Nursing Center
3-star overall rating with 2-star inspections with $19,175 in total fines with 8 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
101 Plantation Street, Worcester, MA
(508) 755-8605
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
137
Certified beds
Average residents
112
Average occupied residents
Ownership
For-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
0.72
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.22
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.15
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
4.10
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.95
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.63
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.45
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.26
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.62
CMS adjusted RN staffing hours
Adjusted total hours
3.53
CMS adjusted total nurse staffing hours
Case-mix index
1.59
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
489
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
68.99
Composite VBP score used to determine payment impact.
Payment multiplier
1.0218
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
9.02
Baseline 18.65% · Performance 17.25% · Measure score 9.02 · Achievement 9.02 · Improvement 8.12
Healthcare-associated infections
10
Baseline 6.27% · Performance 4.59% · Measure score 10 · Achievement 10 · Improvement 9
Total nurse turnover
6.06
Baseline 38.14% · Performance 38.93% · Measure score 6.06 · Achievement 6.06 · Improvement 0
Adjusted total nurse staffing
2.52
Baseline 3.62 hours · Performance 3.80 hours · Measure score 2.52 · Achievement 2.52 · Improvement 0.33
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.58% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 197 · Observed rate 13.2% · Lower 95% interval 7.87% |
| Discharge to community | 53.31% |
50.57%
2.7 pts better
|
No Different than the National Rate · Eligible stays 206 · Observed rate 41.26% · Lower 95% interval 45.2% |
| Medicare spending per beneficiary | 0.88 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 127 · Denominator 127 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 127 |
| Discharge self-care score | 38.96% |
53.69%
14.7 pts worse
|
Numerator 30 · Denominator 77 |
| Discharge mobility score | 51.95% |
50.94%
1 pts better
|
Numerator 40 · Denominator 77 |
| Pressure ulcers or injuries, new or worsened | 0.79% |
2.29%
1.5 pts better
|
Numerator 1 · Denominator 127 · Adjusted rate 0.56% |
| Healthcare-associated infections requiring hospitalization | 4.59% |
7.12%
2.5 pts better
|
No Different than the National Rate · Eligible stays 117 · Observed rate 1.71% · Lower 95% interval 2.87% |
| Staff COVID-19 vaccination coverage | 5.33% |
8.2%
2.9 pts worse
|
Numerator 8 · Denominator 150 |
| Staff flu vaccination coverage | 58.62% |
42%
16.6 pts better
|
Numerator 102 · Denominator 174 |
| Discharge function score | 54.55% |
56.45%
1.9 pts worse
|
Numerator 42 · Denominator 77 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 53 · Denominator 53 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 34 · Denominator 34 |
| Resident COVID-19 vaccinations up to date | 20.69% |
25.2%
4.5 pts worse
|
Numerator 12 · Denominator 58 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.9
0.6 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.5 · Expected 2.2 · 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 0.6 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.0% |
92.2%
4.8 pts better
|
93.4%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.0% · Q2 99.0% · Q3 95.8% · Q4 95.1% · 4Q avg 97.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.5% |
94.8%
0.7 pts better
|
95.5%
About the same
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.5% |
3.5%
About the same
|
3.3%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.9% · Q3 4.2% · Q4 2.9% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 14.1% |
12.0%
2.1 pts worse
|
11.4%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 4.7% · Q3 16.9% · Q4 31.8% · 4Q avg 14.1% |
| Percentage of long-stay residents who lose too much weight | 3.8% |
5.2%
1.4 pts better
|
5.4%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 3.5% · Q3 2.6% · Q4 6.7% · 4Q avg 3.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.0% |
19.2%
3.2 pts better
|
19.6%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 15.9% · Q3 17.3% · Q4 15.2% · 4Q avg 16.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.3% |
22.5%
4.2 pts better
|
16.7%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 11.9% · Q3 19.0% · Q4 19.4% · 4Q avg 18.3% · 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 | 9.1% |
17.7%
8.6 pts better
|
16.3%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 7.0% · Q3 16.5% · Q4 6.0% · 4Q avg 9.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.8% |
17.6%
12.8 pts better
|
14.9%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 3.5% · Q3 7.9% · Q4 4.5% · 4Q avg 4.8% · 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 0.9% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
2.0%
1 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 2.2% · Q4 1.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 7.7% |
21.7%
14 pts better
|
19.8%
12.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 4.8% · Q3 9.9% · Q4 6.7% · 4Q avg 7.7% |
| Percentage of long-stay residents with pressure ulcers | 1.7% |
4.6%
2.9 pts better
|
5.1%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.8% · Q3 1.5% · Q4 3.8% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 82.0% |
77.1%
4.9 pts better
|
81.7%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.9% · Q2 83.9% · Q3 74.6% · Q4 76.9% · 4Q avg 82.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.2% |
11.8%
3.6 pts better
|
12.0%
3.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.2% · Observed 9.7% · Expected 13.2% · 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% · Q4 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 | 85.5% |
77.7%
7.8 pts better
|
79.7%
5.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 85.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.4% |
25.8%
4.4 pts better
|
23.9%
2.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.4% · Observed 29.2% · Expected 32.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-04-11 · Fire 2023-04-11
9 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-06-22 · Fire 2021-06-22
7 health deficiencies
Top issue: Resident Assessment and Care Planning (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
2024-08-06
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-09-30
F · Potential for more than minimal harm
2024-08-06
K379 · Smoke Deficiencies
Fire Safety
Have proper openings in smoke barrier doors.
Corrected 2024-09-30
E · Potential for more than minimal harm
2024-08-06
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-30
D · Potential for more than minimal harm
2024-08-06
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 2024-09-30
D · Potential for more than minimal harm
2024-08-06
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-09-30
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-08-05
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 2025-08-22
D · Potential for more than minimal harm
2024-08-06
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 2024-08-24
D · Potential for more than minimal harm
2024-08-06
F572 · Resident Rights Deficiencies
Health
Give residents a notice of rights, rules, services and charges.
Corrected 2024-08-24
D · Potential for more than minimal harm
2024-08-06
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 2024-08-24
D · Potential for more than minimal harm
2024-08-06
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 2024-08-24
D · Potential for more than minimal harm
2024-08-06
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 2024-08-24
D · Potential for more than minimal harm
2024-08-06
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-24
D · Potential for more than minimal harm
2024-08-06
F887 · Infection Control Deficiencies
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2024-08-24
G · Actual harm
2024-04-25
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 2024-04-10
G · Actual harm
2023-09-12
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-09-25
G · Actual harm
2023-09-12
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 2023-09-25
G · Actual harm
2023-09-12
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-09-25
D · Potential for more than minimal harm
2023-09-12
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 2023-09-25
E · Potential for more than minimal harm
2023-04-11
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-05-01
E · Potential for more than minimal harm
2023-04-11
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 2023-05-01
E · Potential for more than minimal harm
2023-04-11
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-05-11
E · Potential for more than minimal harm
2023-04-11
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-05-01
D · Potential for more than minimal harm
2023-04-11
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 2023-05-01
D · Potential for more than minimal harm
2023-04-11
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2023-05-01
D · Potential for more than minimal harm
2023-04-11
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2023-05-01
D · Potential for more than minimal harm
2023-04-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-01
F · Potential for more than minimal harm
2021-06-22
F801 · Nutrition and Dietary Deficiencies
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2021-07-09
E · Potential for more than minimal harm
2021-06-22
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 2021-07-09
D · Potential for more than minimal harm
2021-06-22
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 2021-07-09
Penalties and ownership
What sits behind the stars
$10,527
2024-04-25
Fine
Fine · fine $10,527
Fine
$8,648
2023-09-12
Fine
Fine · fine $8,648
Fine
Ownership
Bentley Health Group LLC
5% Or Greater Direct Ownership Interest · Organization
Raso, Steven
5% Or Greater Indirect Ownership Interest · Individual
Raso, Steven
Corporate Officer · Individual
Rossano, Bryan
W-2 Managing Employee · Individual
Wellington Healthcare LLC
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Vantage at Worcester LLC
Worcester, MA
1-star overall rating with 1-star inspections with $122,646 in total fines with 11 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Blaire House Of Worcester
Worcester, MA
3-star overall rating with 3-star inspections with $13,095 in total fines with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Worcester Rehabilitation & Health Care Center
Worcester, MA
2-star overall rating with 2-star inspections with $81,776 in total fines with 10 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
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