Notre Dame Long Term Care Center
NOTRE DAME LONG TERM CARE CENTER in WORCESTER, MA — inspection on February 12, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of the Resident's Activities of Daily Life (ADL) care plan, revised 6/3/24, included an intervention for eating of .Black Silverware .during meals.
Review of the Nutritional Risk Assessment, dated 12/4/24, indicated that the Resident required an intervention of black handled utensils.
Review of the Resident's Nutrition Care Plan, revised 12/4/24, included an intervention of adaptive equipment with meals.
Review of the most recent Minimum Data Set (MDS) Assessment, dated 12/6/24, indicated that the Resident was severely cognitively impaired as evidenced by a Brief Interview for Mental Status (BIMS) score of 3 out of 15 possible points.
Review of the Resident's Occupational Therapy (OT) Discharge Summary, dated 12/27/24, indicated:
- .instructed patient and primary caregivers in use of adaptive utensils in order to preserve current level of function .
225577
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 225577 B.
Wing 02/12/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Notre Dame Long Term Care Center 559 Plantation Street Worcester, MA 01605