SNF
HERMITAGE HEALTHCARE (THE)
CCN: 225009 · WORCESTER, MA 01602 · Worcester County
Overview
- Address
- 383 MILL STREET, WORCESTER, MA 01602
- Phone
- 5087918131
- Certified beds
- 101
- Avg daily residents
- 90 (89% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1967-01-01
- Setting
- Urban
3 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.60 | 3.93 | 3.53 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.50 | 0.69 | 0.49 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.96 | 0.87 | 0.95 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.13 | 2.37 | 2.10 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.46 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.01 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.22
hrs / resident / day
RN (weekend)
0.20
hrs / resident / day
Total nurse (adjusted, weekend)
3.16
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
21.3%
annual
RN turnover
25.0%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.39
higher acuity than avg
Case-Mix Index Ratio
1.01
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-08-20 | 12 | 12 | 0 | 48 | 1 | 48 |
| Cycle 2/3 (prior) | 2024-06-04 | 4 | 4 | 0 | 16 | 1 | 16 |
Total weighted health score
40.0
lower is better
Deficiencies (33)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
2 A/B/C No actual harm — minor
31 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2025-08-20 | 2025-09-22 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-08-20 | 2025-09-22 |
| 0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | B | 2025-08-20 | 2025-09-22 |
| 0641 | Ensure each resident receives an accurate assessment. | B | 2025-08-20 | 2025-09-22 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-08-20 | 2025-09-22 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-08-20 | 2025-09-22 |
| 0685 | Assist a resident in gaining access to vision and hearing services. | D | 2025-08-20 | 2025-09-22 |
| 0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2025-08-20 | 2025-09-22 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-08-20 | 2025-09-22 |
| 0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | 2025-08-20 | 2025-09-22 |
| 0838 | 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. | E | 2025-08-20 | 2025-09-22 |
| 0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | 2025-08-20 | 2025-09-22 |
| 0584 | 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. | D | 2024-06-04 | 2024-06-21 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-06-04 | 2024-06-21 |
| 0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2024-06-04 | 2024-06-21 |
| 0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2024-06-04 | 2024-06-21 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-01-19 | 2023-02-17 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2023-01-19 | 2023-02-17 |
| 0679 | Provide activities to meet all resident's needs. | E | 2023-01-19 | 2023-02-17 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-01-19 | 2023-02-17 |
| 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2023-01-19 | 2023-02-17 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2023-01-19 | 2023-02-17 |
| 0758 | 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. | D | 2023-01-19 | 2023-02-17 |
| 0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2023-01-19 | 2023-02-17 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-01-19 | 2023-02-17 |
| 0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2023-01-19 | 2023-02-17 |
| 0880 | Provide and implement an infection prevention and control program. | F | 2023-01-19 | 2023-02-17 |
| 0881 | Implement a program that monitors antibiotic use. | F | 2023-01-19 | 2023-02-17 |
| 0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2023-01-19 | 2023-02-17 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2023-01-19 | 2023-02-17 |
| 0885 | Report COVID19 data to residents and families. | F | 2023-01-19 | 2023-02-17 |
| 0886 | Perform COVID19 testing on residents and staff. | F | 2023-01-19 | 2023-02-17 |
| 0887 | 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. | E | 2023-01-19 | 2023-02-17 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 3.0% Medicaid 52.5% Other 44.5%
Operating performance
Operating Margin
2.5%
Total Margin
2.8%
Occupancy Rate
90.4%
Cost per Resident Day
$22
Revenue & costs
Net Patient Revenue
$10.8M
Total Costs
$722K
Net Income
$305K
Balance sheet
Total Assets
$5.8M
Total Liabilities
$4.4M
Fund Balance
$1.3M
Current Ratio
0.37
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: NEXT STEP HEALTHCARE
- Chain ID
371- Facilities in chain
- 14
- Legal business name
- 383 MILL STREET OPERATOR LLC
Chain-average star ratings (for peer context)
Overall
1.9
Health
1.9
Staffing
2.1
QM
2.6
Owner / manager organizations (2)
| Organization | Role | Association |
|---|---|---|
| NEXT STEP HEALTHCARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 09/01/2017 |
| NEXT STEP HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2017 |
Owner / manager individuals (4)
| Name | Role | Association |
|---|---|---|
| STEPHAN, WILLIAM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 09/03/2017 |
| KSHEERSAGAR, PANKAJ | OPERATIONAL/MANAGERIAL CONTROL | since 03/10/2025 |
| WARD, KIMBERLY | OPERATIONAL/MANAGERIAL CONTROL | since 01/27/2022 |
| DELL'ANNO, DAMIAN | CORPORATE OFFICER | since 09/01/2017 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $22 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.37 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 52.5% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 3.0% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $305,123 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $10,814,244 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 90.4% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 2.5% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $5,765,869 | metrics.total_assets |
| Cost Report | Total Costs ($) | $722,432 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $1,338,413 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $4,427,456 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 2.8% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.94698 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.09527 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.49087 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.53312 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.16426 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 89.7 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.87291 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.37237 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.68804 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.93331 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.46680 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 1.9 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 1.9 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 2.6 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.1 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 371 | Chain ID |
| Provider Information | Chain Name | NEXT STEP HEALTHCARE | Chain Name |
| Provider Information | City/Town | WORCESTER | City/Town |
| Provider Information | CMS Certification Number (CCN) | 225009 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Worcester | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1967-01-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 42.2622 | Latitude |
| Provider Information | Legal Business Name | 383 MILL STREET OPERATOR LLC | Legal Business Name |
| Provider Information | Location | 383 MILL STREET,WORCESTER,MA,01602 | Location |
| Provider Information | Long-Stay QM Rating | 3 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -71.851 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 101 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 14 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.39340 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.01143 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 3 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 383 MILL STREET | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | HERMITAGE HEALTHCARE (THE) | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 170 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 2 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 48 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 12 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-08-20 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 48 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 12 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 4 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-06-04 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 16 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 0 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 16 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 4 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.19906 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 25.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.46481 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.96473 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.13455 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.00867 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.50008 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.59936 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 2 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | MA | State |
| Provider Information | Telephone Number | 5087918131 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.22358 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 21.3 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 40.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 01602 | ZIP Code |