NOTRE DAME LONG TERM CARE CENTER Nursing Home


NOTRE DAME LONG TERM CARE CENTER (CCN: 225577) is a Non profit - Corporation facility located in WORCESTER, MA (01605). The facility has an overall rating of 3/5, health inspection rating of 3/5, and a staffing rating of 3/5. It offers 123 certified beds and maintains an average of 116. residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 4.18203 total hours per resident per day. It has been certified since June 12, 1993 and the last listed health inspection was on December 15, 2023, The facility is located in Worcester county and provides senior and nursing home care.

NOTRE DAME LONG TERM CARE CENTER Summary


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Provider Name: NOTRE DAME LONG TERM CARE CENTER

Address: 559 PLANTATION STREET, WORCESTER, MA 01605

Phone: (508) 852-3011

County: Worcester (170)

Ownership Type: Non profit - Corporation

Certified Beds: 123

Average Residents Per Day: 116. ()

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: NOTRE DAME HEALTH CARE CENTER,INC

First Approved Date: June 12, 1993

Affiliated Entity: ()

Retirement Community: N, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Both

Sprinkler System Status: Yes

Overall Rating: 3 ()

Health Inspection Rating: 3 ()

QM Rating: 4 ()

Long Stay QM Rating: 5 ()

Short Stay QM Rating: 4 ()

Staffing Rating: 3 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 2.78513, LPN Staff Hours Per Day: 1.0129, RN Staff Hours Per Day: 0.3839, Licensed Staff Hours Per Day: 1.3969

Total Nurse Staff Hours Per Day, per resident: 4.18203

Weekend Nurse Staff Hours: 3.83940, Weekend RN Staff Hours: 0.3032

PT Staff Hours Per Day, per resident: 0.0442

Nurse Staff Turnover: 44.7, Nurse Turnover Note:

RN Turnover: 52.9, RN Turnover Note:

Admin Left Number: 0, Admin Turnover Note:

Case Mix Nurse Aide Hours Per Day, per resident: 2.2849, Case Mix LPN Hours Per Day: 0.6621, Case Mix RN Hours Per Day: 0.2888

Adjusted Nurse Aide Hours Per Day, per resident: 2.48321, Adjusted LPN Hours Per Day: 1.1289, Adjusted RN Hours Per Day: 0.5009

Total Adjusted Nurse Hours Per Day, per resident: 4.07361

Adjusted Weekend Nurse Hours Per Day, per resident: 3.73986

Health Survey Dates and Scores: Cycle 1: 2023-12-15 (Score: 36), Cycle 2: 2022-05-31 (Score: 80), Cycle 3: 2020-01-31 (Score: 16)

Total Weighted Health Score: 47.333

Reported Incidents: 0, Substantiated Complaints: 2

Infection Control Citations: 0

Fines and Penalties: Number of Fines: 2, Total Fines in Dollars: 75166.00, Payment Denials Number: 0, Total Penalties Number: 2

Location and GPS: 559 PLANTATION STREET,WORCESTER,MA,01605 (42.2889, -71.761)

Process Date: 2024-03-01


Health Inspection Citations Details

Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2023-12-15

Type: Health, Deficiency: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2024-01-28

Citation on 2023-12-15

Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2024-01-28

Citation on 2023-12-15

Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2024-01-28

Citation on 2023-12-15

Type: Health, Deficiency: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2024-01-28

Citation on 2023-12-15

Type: Health, Deficiency: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2024-01-28

Citation on 2023-12-15

Type: Health, Deficiency: Provide and implement an infection prevention and control program.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2024-01-28

Citation on 2023-12-15

Type: Health, Deficiency: Develop and implement policies and procedures for flu and pneumonia vaccinations.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2024-01-28

Citation on 2022-09-08

Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.

Corrected: Past Non-Compliance on 2022-08-26

Citation on 2022-09-08

Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.

Corrected: Past Non-Compliance on 2022-08-26

Citation on 2022-03-15

Type: Health, Deficiency: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-05-16

Citation on 2022-05-31

Type: Health, Deficiency: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-07-18

Citation on 2022-05-31

Type: Health, Deficiency: Reasonably accommodate the needs and preferences of each resident.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-07-18

Citation on 2022-05-31

Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-07-18

Citation on 2022-05-31

Type: Health, Deficiency: Ensure that residents are free from significant medication errors.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-07-18

Citation on 2022-05-31

Type: Health, Deficiency: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-07-18

Citation on 2020-01-31

Type: Health, Deficiency: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-03-09

Citation on 2020-01-31

Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-03-09

Citation on 2020-01-31

Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-03-09

Citation on 2020-01-31

Type: Health, Deficiency: Provide and implement an infection prevention and control program.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-03-09


Fire Safety Citations Details

Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2023-12-20

Type: Fire Safety, Tag: 0041, Version: New

Description: Implement emergency and standby power systems.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2024-02-02

Citation on 2023-12-20

Type: Fire Safety, Tag: 0712, Version: New

Description: Have simulated fire drills held at unexpected times.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2024-02-02

Citation on 2023-12-20

Type: Fire Safety, Tag: 0918, Version: New

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

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2024-02-02