Notre Dame Long Term Care Center
559 Plantation Street, Worcester, MA 01605 · Worcester County · 123 certified beds · avg 120 residents/day · certified since Jun 12, 1993
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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 (14)
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 |
|---|---|---|
| May 8, 2026 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| May 8, 2026 | 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. |
| May 8, 2026 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Feb 12, 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. |
| Feb 12, 2025 | D · Potential for harm, one-off | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. |
| Feb 12, 2025 | D · Potential for harm, one-off | 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. |
| Nov 20, 2024 | 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. · from a complaint |
| Dec 15, 2023 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Dec 15, 2023 | E · Potential for harm, repeated | 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. |
| Dec 15, 2023 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Dec 15, 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. |
| Dec 15, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Dec 15, 2023 | D · Potential for harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Dec 15, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 0 | E |
| 2024 | 1 | 0 | D |
| 2025 | 3 | 0 | D |
| 2026 | 3 | 0 | 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) | 3.88 | 3.89 | 3.95 | top 40% in Massachusetts; top 45% in the U.S. |
| Registered Nurse hours | 0.50 | 0.65 | 0.69 | bottom 31% in Massachusetts; bottom 38% in the U.S. |
| Weekend total nurse staffing | 3.74 | 3.51 | 3.50 | top 27% in Massachusetts; top 32% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.30 | 0.46 | 0.48 | bottom 27% in Massachusetts; bottom 32% in the U.S. |
| Total nursing staff turnover (%) | 36.3 | 38.2 | 45.8 | top 46% in Massachusetts; top 27% in the U.S. |
| RN turnover (%) | 50.0 | 42.6 | 42.9 | bottom 37% in Massachusetts; bottom 39% 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 3.44, RN 0.44, weekend 3.30. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bain, Elaine | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2025 |
| Bain, Elaine | Individual | Corporate Director | NOT APPLICABLE | 09/01/2025 |
| Bain, Elaine | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2025 |
| Coan, Leonore | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/01/2024 |
| Coan, Leonore | Individual | Corporate Director | NOT APPLICABLE | 11/01/2024 |
| Coan, Leonore | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2024 |
| Colaizzi, Maryann | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2025 |
| Colaizzi, Maryann | Individual | Corporate Director | NOT APPLICABLE | 09/01/2025 |
| Colaizzi, Maryann | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2025 |
| Colin, Kathleen | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/04/2022 |
| Colin, Kathleen | Individual | Corporate Director | NOT APPLICABLE | 10/04/2022 |
| Colin, Kathleen | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/04/2022 |
| Ferguson, Robert | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2025 |
| Ferguson, Robert | Individual | Corporate Director | NOT APPLICABLE | 09/01/2025 |
| Ferguson, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2025 |
| Hickey, Philip | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/28/2024 |
| Hickey, Philip | Individual | Corporate Officer | NOT APPLICABLE | 05/28/2024 |
| Hickey, Philip | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/28/2024 |
| Kozak, Kevin | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/18/2018 |
| Kozak, Kevin | Individual | Corporate Director | NOT APPLICABLE | 09/18/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "What adaptive eating equipment do you provide, and how do you decide who needs help at meals?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "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 | Flags |
|---|---|---|---|---|---|
| Regalcare at Worcester | 0.6 mi | Worcester, MA | ★★☆☆☆ | 3/5 | |
| Christopher House of Worcester | 1.4 mi | Worcester, MA | ★★★☆☆ | 3/5 | |
| Holy Trinity Eastern Orthodox N & R Center | 1.9 mi | Worcester, MA | ★★★★★ | 5/5 | |
| Odd Fellows Home of Massachusetts | 2.0 mi | Worcester, MA | ★★☆☆☆ | 3/5 | |
| Knollwood Nursing Center | 2.1 mi | Worcester, MA | ★★★★☆ | 4/5 | |
| Lutheran Rehabilitation and Skilled Care Center | 2.4 mi | Worcester, MA | ★★★★★ | 5/5 | |
| St Francis Rehabilitation & Nursing Center | 2.4 mi | Worcester, MA | ★★★★☆ | 3/5 | |
| West Side House LTC Facility | 2.9 mi | Worcester, MA | ★★★★★ | 5/5 | |
| Vantage at Worcester LLC | 2.9 mi | Worcester, MA | ★☆☆☆☆ | 1/5 | |
| Shrewsbury Rehabilitation and Nursing at Southgate | 3.0 mi | Shrewsbury, MA | ★★★★☆ | 3/5 | |
| Blaire House of Worcester | 3.0 mi | Worcester, MA | ★★★☆☆ | 3/5 | |
| Worcester Rehabilitation & Health Care Center | 3.3 mi | Worcester, MA | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 225577.