9 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
New Bedford, MA
1-star overall rating with 2-star inspections with $9,318 in total fines with 9 recent health deficiencies
200 Hawthorn Street, New Bedford, MA
(508) 997-9314
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
80
Certified beds
Average residents
67
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Vantage Care
Operator or chain grouping
Approved since
1990-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 2 overall / 3 health / 2 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
RN hours / resident day
0.30
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.32
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.31
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
3.93
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.62
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.47
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.19
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.28
CMS adjusted RN staffing hours
Adjusted total hours
3.65
CMS adjusted total nurse staffing hours
Case-mix index
1.47
Higher values indicate more complex resident acuity
RN turnover
63%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
67%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Program rank
9,531
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23.38
Composite VBP score used to determine payment impact.
Payment multiplier
0.9831
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.11
Baseline 22.69% · Performance 20.64% · Measure score 3.11 · Achievement 1.7 · Improvement 3.11
Healthcare-associated infections
1.50
Baseline 7.46% · Performance 7.39% · Measure score 1.50 · Achievement 1.50 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
2.40
Baseline 3.19 hours · Performance 3.76 hours · Measure score 2.40 · Achievement 2.40 · Improvement 1.72
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.36% |
10.72%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 131 · Observed rate 14.5% · Lower 95% interval 9.02% |
| Discharge to community | 51.55% |
50.57%
1 pts better
|
No Different than the National Rate · Eligible stays 123 · Observed rate 45.53% · Lower 95% interval 42.71% |
| Medicare spending per beneficiary | 1.02 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 82.48% |
95.27%
12.8 pts worse
|
Numerator 113 · Denominator 137 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 137 |
| Discharge self-care score | 37.63% |
53.69%
16.1 pts worse
|
Numerator 35 · Denominator 93 |
| Discharge mobility score | 45.16% |
50.94%
5.8 pts worse
|
Numerator 42 · Denominator 93 |
| Pressure ulcers or injuries, new or worsened | 3.65% |
2.29%
1.4 pts worse
|
Numerator 5 · Denominator 137 · Adjusted rate 4.07% |
| Healthcare-associated infections requiring hospitalization | 7.39% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 80 · Observed rate 7.5% · Lower 95% interval 4.53% |
| Staff COVID-19 vaccination coverage | 1.96% |
8.2%
6.2 pts worse
|
Numerator 2 · Denominator 102 |
| Staff flu vaccination coverage | 70.8% |
42%
28.8 pts better
|
Numerator 80 · Denominator 113 |
| Discharge function score | 49.46% |
56.45%
7 pts worse
|
Numerator 46 · Denominator 93 |
| Transfer of health information to provider | 97.22% |
95.95%
1.3 pts better
|
Numerator 35 · Denominator 36 |
| Transfer of health information to patient | 97.26% |
96.28%
1 pts better
|
Numerator 71 · Denominator 73 |
| Resident COVID-19 vaccinations up to date | 9.41% |
25.2%
15.8 pts worse
|
Numerator 8 · Denominator 85 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
1.9
0.4 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.0 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
1.5
0.3 pts worse
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.5 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.1% |
92.2%
3.9 pts better
|
93.4%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 90.3% · Q2 96.6% · Q3 98.2% · Q4 100.0% · 4Q avg 96.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.4% |
94.8%
3.6 pts better
|
95.5%
2.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.7% |
3.5%
1.2 pts worse
|
3.3%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 3.4% · Q3 5.5% · Q4 7.0% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.8% |
12.0%
6.2 pts better
|
11.4%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 4.1% · Q4 19.1% · 4Q avg 5.8% |
| Percentage of long-stay residents who lose too much weight | 5.6% |
5.2%
0.4 pts worse
|
5.4%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 2.5% · Q3 7.3% · Q4 5.0% · 4Q avg 5.6% |
| 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 15.9% · Q2 9.8% · Q3 14.6% · Q4 14.3% · 4Q avg 13.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.4% |
22.5%
6.1 pts better
|
16.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 12.5% · Q3 21.6% · Q4 18.9% · 4Q avg 16.4% · 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 | 7.4% |
17.7%
10.3 pts better
|
16.3%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 4.5% · Q3 10.6% · Q4 7.7% · 4Q avg 7.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.8% |
17.6%
10.8 pts better
|
14.9%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 0.0% · Q3 13.5% · Q4 5.1% · 4Q avg 6.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
1.0%
0.4 pts better
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 1.1% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.1% |
2.0%
1.1 pts worse
|
1.7%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.8% · Q3 3.6% · Q4 5.5% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 33.0% |
21.7%
11.3 pts worse
|
19.8%
13.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.4% · Q2 31.3% · Q3 34.5% · Q4 28.7% · 4Q avg 33.0% |
| Percentage of long-stay residents with pressure ulcers | 5.3% |
4.6%
0.7 pts worse
|
5.1%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 5.3% · Q3 4.7% · Q4 5.5% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 63.0% |
77.1%
14.1 pts worse
|
81.7%
18.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 21.3% · Q2 52.1% · Q3 80.4% · Q4 96.8% · 4Q avg 63.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.5% |
11.8%
2.3 pts better
|
12.0%
2.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.5% · Observed 9.5% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.3%
0.4 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 49.5% |
77.7%
28.2 pts worse
|
79.7%
30.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 49.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.8% |
25.8%
2 pts worse
|
23.9%
3.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.8% · Observed 27.6% · Expected 23.6% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-01-30
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-12-21
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 2024-01-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-15
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-03-26
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2025-03-26
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-26
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-03-26
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-03-26
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-03-26
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-03-26
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-03-26
Health
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.
Corrected 2025-03-26
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-03-04
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-04
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-01-11
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-11-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-02
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-02-01
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-02-01
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-02-01
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 2024-02-01
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-02-01
Health
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.
Corrected 2024-02-01
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-05-06
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-05-06
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 2022-05-06
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-05-06
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2022-05-06
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-05-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-05-06
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 2022-05-06
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-05-06
Health
Provide and implement an infection prevention and control program.
Corrected 2022-05-06
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2022-05-06
Penalties and ownership
Fine · fine $9,318
Fine
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
W-2 Managing Employee · Individual
Contracted Managing Employee · Individual
Corporate Officer · Individual
Nearby options
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
South Dartmouth, MA
2-star overall rating with 2-star inspections with $36,586 in total fines with 9 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
New Bedford, MA
5-star overall rating with 4-star inspections with 3 recent health deficiencies
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