Hermitage Rehabilitation Center (the)
383 Mill Street, Worcester, MA 01602


Hermitage Rehabilitation Center (the) is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 225009. The address is 383 Mill Street, Worcester, MA 01602. The zip code is 01602. The phone number is 5087918131.


Hermitage Rehabilitation Center (the) · 383 Mill Street, Worcester, MA 01602

Federal Provider Number 225009
Provider Name HERMITAGE REHABILITATION CENTER (THE)
Address 383 MILL STREET
WORCESTER, MA 01602
Phone Number 5087918131
SSA County Code 170
County Name Worcester
Ownership Type For profit - Corporation
Certified Beds 101
Certified Beds Residents 95
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name GGNSC WORCESTER LLC
Date First Approved to Provide Medicare Medicaid Services 01/01/1967
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 2
Health Inspection Rating 2
Quality Measure Rating 2
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.19421
Reported LPN Staffing Hours per Resident per Day 0.72053
Reported RN Staffing Hours per Resident per Day 0.50316
Reported Licensed Staffing Hours per Resident per Day 1.22368
Reported Total Nurse Staffing Hours per Resident per Day 3.4179
Reported Physical Therapist Staffing Hours per Resident Per Day 0.03316
Expected CNA Staffing Hours per Resident per Day 2.51569
Expected LPN Staffing Hours per Resident per Day 0.55197
Expected RN Staffing Hours per Resident per Day 0.80795
Expected Total Nurse Staffing Hours per Resident per Day 3.87561
Adjusted CNA Staffing Hours per Resident per Day 2.14014
Adjusted LPN Staffing Hours per Resident per Day 1.08347
Adjusted RN Staffing Hours per Resident per Day 0.46533
Adjusted Total Nurse Staffing Hours per Resident per Day 3.55485
Cycle 1 Total Number of Health Deficiencies 9
Cycle 1 Number of Standard Health Deficiencies 8
Cycle 1 Number of Complaint Health Deficiencies 1
Cycle 1 Health Deficiency Score 48
Cycle 1 Standard Survey Health Date 09/16/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 48
Cycle 2 Total Number of Health Deficiencies 4
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Health Deficiency Score 40
Cycle 2 Standard Health Survey Date 06/12/2015
Cycle 2 Number of Health Revisits 2
Cycle 2 Health Revisit Score 20
Cycle 2 Total Health Score 60
Cycle 3 Total Number of Health Deficiencies 8
Cycle 3 Number of Standard Health Deficiencies 8
Cycle 3 Health Deficiency Score 40
Cycle 3 Standard Health Survey Date 06/10/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 40
Total Weighted Health Survey Score 50.667
Number of Facility Reported Incidents 1
Number of Substantiated Complaints 3
Number of Fines 1
Total Amount of Fines in Dollars $20703.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Hermitage Rehabilitation Center (the)

Owner Name Role Association Date
CHAVIS, TINA (Individual) OFFICER since 08/15/2006
DRUMM MERGER CO (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/15/2006
DRUMM MERGER CO (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/15/2006
FILLMORE CAPITAL PARTNERS, LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 03/15/2006
FILLMORE STRATEGIC INVESTORS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/15/2006
FILLMORE STRATEGIC INVESTORS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/15/2006
FILLMORE STRATEGIC MANAGEMENT, LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 03/15/2006
FINN, NICHOLAS (Individual) OFFICER since 11/03/2009
GGNSC EQUITY HOLDINGS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 03/15/2006
GGNSC HOLDINGS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/15/2006
GGNSC HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/15/2006
GOLDEN GATE NATIONAL SENIOR CARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/15/2006
HELM, PAUL (Individual) OFFICER since 01/02/2012
JASINSKI, DAVID (Individual) MANAGING EMPLOYEE since 02/09/2014
JOSEPH, LARRY (Individual) OFFICER since 08/15/2006
KARICHER, MICHAEL (Individual) OFFICER since 01/02/2012
RASMUSSEN-JONES, HOLLY (Individual) OFFICER since 08/15/2006
ROGERS, STACEY (Individual) OFFICER since 04/19/2012
SALAMONE, SALVATORE (Individual) OFFICER since 01/15/2007
SWARTZ, GREGORY (Individual) OFFICER since 08/15/2006
TRUITT, ANN (Individual) OFFICER since 08/15/2006
VARDELL, KATHLEEN (Individual) DIRECTOR since 08/01/2012
VARDELL, KATHLEEN (Individual) OFFICER since 08/01/2012
WASHINGTON STATE INVESTMENT BOARD (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/15/2006
WASHINGTON STATE INVESTMENT BOARD (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/15/2006
WILLIAMS, ROBERTA (Individual) OFFICER since 08/15/2006

street_number: 383
route: Mill Street (Mill St)
neighborhood, political: Webster Square
locality, political: Worcester
admin_level_2, political: Worcester County
admin_level_1, political: Massachusetts (MA)
country, political: United States (US)
postal_code: 01602
postal_code_suffix: 2414
types : street_address
latitude: 42.2614884
longitude: -71.8507069
latlng: (42.2614884, -71.8507069)


Worcester · Nursing Home

Christopher House of Worcester 10 Mary Scano Drive, Worcester, MA 01605
West Side House Ltc Facility 35 Fruit Street, Worcester, MA 01609
Odd Fellows Home of Massachusetts 104 Randolph Road, Worcester, MA 01606
Meadowood 3205 Skippack Pike Po Box 670, Worcester, PA 19490
Wingate At Worcester 59 Acton Street, Worcester, MA 01604
St Mary Health Care Center 39 Queen Street, Worcester, MA 01610
Blaire House of Worcester 116 Houghton Street, Worcester, MA 01604
Holy Trinity Eastern Orthodox N & R Center 300 Barber Avenue, Worcester, MA 01606
Lutheran Rehabilitation & Skilled Care Center 26 Harvard Street, Worcester, MA 01609
Knollwood Nursing Center 87 Briarwood Circle, Worcester, MA 01606
Jewish Healthcare Center 629 Salisbury Street, Worcester, MA 01609
St Francis Rehabilitation & Nursing Center 101 Plantation Street, Worcester, MA 01604
Parsons Hill Rehabilitation & Health Care Center 1350 Main Street, Worcester, MA 01603
Notre Dame Long Term Care Center 559 Plantation Street, Worcester, MA 01605
Worcester Health Center 25 Oriol Drive, Worcester, MA 01605
Worcester Rehabilitation & Health Care Center 119 Providence Street, Worcester, MA 01604
Royal Spring Valley Center 81 Chatham Street, Worcester, MA 01609
Beaumont At University Campus 378 Plantation Street, Worcester, MA 01605

MA · Nursing Home

Masconomet Healthcare Center 123 High Street, Topsfield, MA 01983
Loomis House Nursing Center 298 Jarvis Avenue, Holyoke, MA 01040
Duxbury House Nursing Home 298 Kings Town Way, Duxbury, MA 02332
Life Care Center of Attleboro 969 Park Street, Attleboro, MA 02703
Taunton Nursing Home 350 Norton Avenue, Taunton, MA 02780
Blaire House of Tewksbury 10 Erlin Terrace, Tewksbury, MA 01876
John Adams Healthcare Center 211 Franklin Street, Quincy, MA 02169
Care One At Newton 2101 Washington Street, Newton, MA 02462
Park Place Rehabilitation & Skilled Care Center 113 Central Aveune, Hyde Park, MA 02136
Gardner Rehabilitation and Nursing Center 59 Eastwood Circle, Gardner, MA 01440
Wingate At Norton 184 Mansfield Avenue, Norton, MA 02766
Life Care Center of Leominster 370 West Street, Leominster, MA 01453
Harborview Center for Nursing & Rehabilitation (th 1 Chief Justice Cushing Highway, Cohasset, MA 02025
Leonard Florence Center for Living 165 Captain's Row, Chelsea, MA 02150
Palmer Healthcare Center 250 Shearer Street, Palmer, MA 01069
Chapin Center 200 Kendall Street, Springfield, MA 01104
Wingate At Needham Rehab & Skilled Nurs Res 589 Highland Avenue, Needham, MA 02194
Sea View Convalescent and Nursing Home 50 Mansion Drive, Rowley, MA 01969
Woodbriar Health Center 90 West Street, Wilmington, MA 01887
Brush Hill Care Center 1200 Brush Hill Road, Milton, MA 02186
Fairview Commons Nursing & Rehabilitation Center Christian Hill Road, Great Barrington, MA 01230
Buckley-greenfield Healthcare Center 95 Laurel Street, Greenfield, MA 01301
Briarwood Rehabilitation & Healthcare Center 150 Lincoln Street, Needham, MA 02492
Cape Regency Rehabilitation & Health Care Center 120 S Main Street, Centerville, MA 02632
Lighthouse Nursing Care Center 204 Proctor Avenue, Revere, MA 02151
Marie Esther Health Center Inc 720 Boston Post Road, Marlborough, MA 01752
Royal of Fairhaven Nursing Center 184 Main Street, Fairhaven, MA 02719
Heritage Hall East 464 Main Street P O Box 348, Agawam, MA 01001
Kindred Nursing & Rehabilitation-harborlights 804 East 7th Street, Boston, MA 02127
Hillcrest Commons Nursing & Rehabilitation Center 169 Valentine Road, Pittsfield, MA 01201
Bourne Manor Extended Care Facility 146 Mac Arthur Boulevard, Bourne, MA 02532
Commons Residence At Orchard Cove 1 Del Pond Drive, Canton, MA 02021
Life Care Center of Stoneham 25 Woodland Road, Stoneham, MA 02180
Life Care Center of West Bridgewater 765 West Center Street, West Bridgewater, MA 02379
Holden Rehabilitation & Nursing Center 32 Mayo Road, Holden, MA 01520
Northwood Rehabilitation & Healthcare Center 1010 Varnum Avenue, Lowell, MA 01854
Continuing Care At Brooksby Village 400 Brooksby Village Drive, Peabody, MA 01960
Savoy Nursing & Rehab Ctr 670 County Street, New Bedford, MA 02740
Heritage Hall West 61 Cooper St, Agawam, MA 01001
Elmhurst Rehabilitation Center 743 Main Street, Melrose, MA 02176