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
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.