Hermitage Healthcare (the)

Name: Hermitage Healthcare (the)
Address: 383 MILL STREET, Worcester, MA, 01602, US
Telephone: 5087918131

383 Mill Street, Worcester, MA 01602 · Worcester County · 101 certified beds · avg 89 residents/day · certified since Jan 1, 1967

Part of chain: NEXT STEP HEALTHCARE (14 facilities, chain avg rating 1.7★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.43

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (33)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Aug 20, 2025	E · Potential for harm, repeated	The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Aug 20, 2025	E · Potential for harm, repeated	The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies.
Aug 20, 2025	D · Potential for harm, one-off	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings.
Aug 20, 2025	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Aug 20, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Aug 20, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Aug 20, 2025	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Aug 20, 2025	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Aug 20, 2025	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Aug 20, 2025	D · Potential for harm, one-off	The facility did not educate its staff on residents' rights and the facility's responsibilities toward residents. Staff can only respect rights they've been taught about.
Aug 20, 2025	B · Minimal risk, repeated	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Aug 20, 2025	B · Minimal risk, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jun 4, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jun 4, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jun 4, 2024	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Jun 4, 2024	D · Potential for harm, one-off	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.
Jan 19, 2023	F · Potential for harm, facility-wide	The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.
Jan 19, 2023	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 19, 2023	F · Potential for harm, facility-wide	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Jan 19, 2023	F · Potential for harm, facility-wide	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program.
Jan 19, 2023	F · Potential for harm, facility-wide	The facility did not report COVID-19 data to residents and their families as required. Facilities must keep residents and families informed about COVID-19 cases.
Jan 19, 2023	F · Potential for harm, facility-wide	The facility did not perform required COVID-19 testing on residents and staff.
Jan 19, 2023	E · Potential for harm, repeated	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Jan 19, 2023	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Jan 19, 2023	E · Potential for harm, repeated	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Jan 19, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jan 19, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jan 19, 2023	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jan 19, 2023	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Jan 19, 2023	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jan 19, 2023	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Jan 19, 2023	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs.
Jan 19, 2023	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 12).

Year	Citations	Worst severity that year
2023	17	F
2024	4	D
2025	12	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Massachusetts avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.43	3.89	3.95	bottom 28% in Massachusetts; bottom 33% in the U.S.
Registered Nurse hours	0.49	0.65	0.69	bottom 29% in Massachusetts; bottom 36% in the U.S.
Weekend total nurse staffing	3.09	3.51	3.50	bottom 29% in Massachusetts; bottom 36% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.23	0.46	0.48	bottom 13% in Massachusetts; bottom 17% in the U.S.
Total nursing staff turnover (%)	21.0	38.2	45.8	top 6% in Massachusetts; top 3% in the U.S.
RN turnover (%)	16.7	42.6	42.9	top 7% in Massachusetts; top 9% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.74, RN 0.53, weekend 3.37. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 1/5 · long-stay residents: 2/5 · short-stay residents: 1/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Dell'anno, Damian	Individual	Indirect Ownership Interest	NOT APPLICABLE	09/01/2017
Next Step Healthcare LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	09/01/2017
Dell'anno, Damian	Individual	Corporate Officer	NOT APPLICABLE	09/01/2017
Ksheersagar, Pankaj	Individual	Operational/Managerial Control	NOT APPLICABLE	03/10/2025
Ksheersagar, Pankaj	Individual	ADP of the SNF	NOT APPLICABLE	03/10/2025
Next Step Healthcare LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2017
Next Step Healthcare LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/29/2025
Stephan, William	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	11/10/2025
Ward, Kimberly	Individual	Operational/Managerial Control	NOT APPLICABLE	01/27/2022
Ward, Kimberly	Individual	ADP of the SNF	NOT APPLICABLE	01/27/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What were the findings behind this administration citation, and what has leadership changed since?"
"How do you decide you have enough staff and resources for your resident population, including nights and weekends?"
"How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
"How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Parsons Hill Rehabilitation & Health Care Center	1.4 mi	Worcester, MA	★★☆☆☆	2/5
St Mary Health Care Center	1.9 mi	Worcester, MA	★★☆☆☆	2/5
West Side House LTC Facility	2.1 mi	Worcester, MA	★★★★★	5/5
Jewish Healthcare Center	2.4 mi	Worcester, MA	★★★★☆	4/5
Lutheran Rehabilitation and Skilled Care Center	2.6 mi	Worcester, MA	★★★★★	5/5
Worcester Rehabilitation & Health Care Center	3.2 mi	Worcester, MA	★☆☆☆☆	1/5
Vantage at Worcester LLC	3.4 mi	Worcester, MA	★☆☆☆☆	1/5
St Francis Rehabilitation & Nursing Center	3.5 mi	Worcester, MA	★★★★☆	3/5
Blaire House of Worcester	3.5 mi	Worcester, MA	★★★☆☆	3/5
Holy Trinity Eastern Orthodox N & R Center	3.6 mi	Worcester, MA	★★★★★	5/5
Odd Fellows Home of Massachusetts	3.7 mi	Worcester, MA	★★☆☆☆	3/5
Christopher House of Worcester	3.8 mi	Worcester, MA	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Worcester →

Facility data as of CMS processing date 2026-08-01. CCN 225009.

The Care File

Visit checklist — Hermitage Healthcare (the)

383 Mill Street, Worcester, MA 01602 · 5087918131

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "What were the findings behind this administration citation, and what has leadership changed since?"
☐ "How do you decide you have enough staff and resources for your resident population, including nights and weekends?"
☐ "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
☐ "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 225009 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)