ST MARY HEALTH CARE CENTER
39 QUEEN STREET, WORCESTER, MA 01610 · CCN 225305
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 172
- Avg residents/day
- 115.7
- Phone
- 5087534791
Inspection history vs Massachusetts & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Massachusetts avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-12-18 | 12 | 8.9 | 9.5 | +3.1 worse |
| 2 | 2023-10-17 | 8 | 10.0 | 9.8 | -2.0 better |
| 3 | 2022-03-03 | 13 | 12.7 | 9.3 | +0.3 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 1 |
| Resident rights | 2 |
| Pharmacy service | 1 |
| Administration | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.55 | 33.3% |
| RN staffing (reported) | 0.51 | 27.3% |
| Total nurse staffing (adjusted) | 4.05 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- COVENANT HEALTH
- Facilities in chain
- 11
- Chain avg overall
- 3.40 / 5
Inspection citations (33)1 actual harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-10-29 · Health · corrected 2025-11-25
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-10-29 · Health · corrected 2025-11-25
Actual harm
- EF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2025-06-23 · Health · corrected 2025-06-20
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2024-12-18 · Health · corrected 2025-01-20
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-12-18 · Health · corrected 2025-01-20
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-18 · Health · corrected 2025-01-20
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2024-12-18 · Health · corrected 2025-01-20
Potential for minimal harm
- DF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.2024-12-18 · Health · corrected 2025-01-20
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-18 · Health · corrected 2025-01-20
Potential for more than minimal harm
- DF0772Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.2024-12-18 · Health · corrected 2025-01-20
Potential for more than minimal harm
- DF0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.2024-12-18 · Health · corrected 2025-01-20
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-12-18 · Health · corrected 2025-01-20
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-10-17 · Health · corrected 2023-11-30
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-10-17 · Health · corrected 2023-11-30
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-10-17 · Health · corrected 2023-11-30
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-10-17 · Health · corrected 2023-11-30
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2023-10-17 · Health · corrected 2023-11-30
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-10-17 · Health · corrected 2023-11-30
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2023-10-17 · Health · corrected 2023-11-30
Potential for minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-10-17 · Health · corrected 2023-11-30
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2022-03-03 · Health · corrected 2022-03-25
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-03-03 · Health · corrected 2022-03-25
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-03-03 · Health · corrected 2022-03-25
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-03-03 · Health · corrected 2022-03-25
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-03-03 · Health · corrected 2022-03-25
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2022-03-03 · Health · corrected 2022-03-25
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-03-03 · Health · corrected 2022-03-25
Potential for more than minimal harm
- DF0758Implement 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.2022-03-03 · Health · corrected 2022-03-25
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-03-03 · Health · corrected 2022-03-25
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-03-03 · Health · corrected 2022-03-25
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-03-03 · Health · corrected 2022-03-25
Potential for more than minimal harm
- EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-03-03 · Health · corrected 2022-03-25
Potential for more than minimal harm
- DF0887Educate 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.2022-03-03 · Health · corrected 2022-03-25
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| COVENANT HEALTH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 1998-06-01 |
| DOTY, RONALD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-11-12 |
| DOTY, RONALD | Individual | CORPORATE OFFICER | — | 2020-11-12 |
Other facilities in WORCESTER
| Name | Overall | Beds |
|---|---|---|
| WEST SIDE HOUSE LTC FACILITY | ★★★★★ | 91 |
| Jewish Healthcare Center | ★★★★★ | 141 |
| Knollwood Nursing Center | ★★★★★ | 82 |
| LUTHERAN REHABILITATION AND SKILLED CARE CENTER | ★★★★★ | 150 |
| HOLY TRINITY EASTERN ORTHODOX N & R CENTER | ★★★★★ | 113 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.