Hermitage Healthcare (the)

Inspection Results

Nursing Homes Massachusetts Worcester Hermitage Healthcare (the)

Hermitage Healthcare (the) has been cited for a total of 79 deficiencies since we began saving each survey. We believe it is worthwhile to show how things are and were. Some improve and some get worse. Rather than a snapshot, we take s longer view than most. A longer view, we believe, paints a better and more worthwhile picture. We start from them most recent and go back as you scroll down.

Tip: Surveys happen throughout the year and you may want to check with the location or here to see if more recent data is available for Hermitage Healthcare (the).

Since we bagan longer term (multi year tracking, numbers will naturally be higher than 3 (or so surverys).
There are 367 nursing homes in Massachusetts with a total of 22,497 deficiencies resulting in an average of 61.30 deficiencies per nursing home.

The following table describes how deficiencies are scored. An easy way to remember the severity of a deficiency's scope is that the further along in the alphabet (A through L) the scope value is, the more severe the deficiency is.
Additionally, A through F means no actual harm has happened.

Table describing the severity and scope of deficiencies

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Deficiency Cited, Scope, survery date, stems from a complaint, and Date of Correction

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

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

Provide activities to meet all resident's needs.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

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

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

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

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

Provide timely, quality laboratory services/tests to meet the needs of residents.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

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

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

Implement a program that monitors antibiotic use.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

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

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

Report COVID19 data to residents and families.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

Perform COVID19 testing on residents and staff.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

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.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

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

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

Provide activities to meet all resident's needs.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

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

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

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

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

Provide timely, quality laboratory services/tests to meet the needs of residents.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

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

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

Implement a program that monitors antibiotic use.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

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

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

Report COVID19 data to residents and families.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

Perform COVID19 testing on residents and staff.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-01-19

Corrected:

2023-02-17

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

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-14

Corrected:

2021-05-14

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

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-14

Corrected:

2021-05-14

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-14

Corrected:

2021-05-14

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-14

Corrected:

2021-05-14

Ensure each resident receives an accurate assessment.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-14

Corrected:

2021-05-14

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-14

Corrected:

2021-05-14

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-14

Corrected:

2021-05-14

Provide timely, quality laboratory services/tests to meet the needs of residents.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-14

Corrected:

2021-05-14

Provide or obtain dental services for each resident.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-14

Corrected:

2021-05-14

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-14

Corrected:

2021-05-14

Perform COVID19 testing on residents and staff.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-14

Corrected:

2021-05-14

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

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-14

Corrected:

2021-05-14

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

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-14

Corrected:

2021-05-14

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-14

Corrected:

2021-05-14

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-14

Corrected:

2021-05-14

Ensure each resident receives an accurate assessment.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-14

Corrected:

2021-05-14

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-14

Corrected:

2021-05-14

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-14

Corrected:

2021-05-14

Provide timely, quality laboratory services/tests to meet the needs of residents.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-14

Corrected:

2021-05-14

Provide or obtain dental services for each resident.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-14

Corrected:

2021-05-14

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-14

Corrected:

2021-05-14

Perform COVID19 testing on residents and staff.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-14

Corrected:

2021-05-14

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-02-26

Corrected:

2021-03-12

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

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-02-26

Corrected:

2021-03-12

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-02-26

Corrected:

2021-03-12

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

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-02-26

Corrected:

2021-03-12

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-07-09

Corrected:

2020-08-21

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

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-02

Corrected:

2019-05-16

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

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-02

Corrected:

2019-05-16

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-02

Corrected:

2019-05-16

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

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-02

Corrected:

2019-05-16

Provide activities to meet all resident's needs.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-02

Corrected:

2019-05-16

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-02

Corrected:

2019-05-16

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-02

Corrected:

2019-05-16

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

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-02

Corrected:

2019-05-16

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-02

Corrected:

2019-05-16

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

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-02

Corrected:

2019-05-16

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

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-02

Corrected:

2019-05-16

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-02

Corrected:

2019-05-16

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

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-02

Corrected:

2019-05-16

Provide activities to meet all resident's needs.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-02

Corrected:

2019-05-16

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-02

Corrected:

2019-05-16

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-02

Corrected:

2019-05-16

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

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-02

Corrected:

2019-05-16

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-04-02

Corrected:

2019-05-16

Learn more about Hermitage Healthcare (the) at the following resources

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Hermitage Healthcare (the)

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