D

WACHUSETT MANOR

32 HOSPITAL HILL ROAD, GARDNER, MA 01440
Score: 40 / 100

Wachusett Manor faces challenges in its CMS ratings, earning a D grade with a score of 40/100. The facility ranks in the 35th percentile among Massachusetts nursing homes, suggesting significant room for improvement.

Staffing levels are a potential concern at Wachusett Manor, with 3.42 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent CMS inspections identified 42 deficiencies at Wachusett Manor, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.42 3.8 Below Average
Registered Nurses (RN) 0.42 0.7 Below Average
Licensed Practical Nurses (LPN) 0.95 0.7 Above Average
Certified Nursing Assistants (CNA) 2.05 2.4 Below Average
Weekend Total Nursing 3.04 3.8 Below Average
Weekend RN Hours 0.37 0.7 Below Average

🔍 Inspection & Deficiency History

42
Total Deficiencies
Sep 25, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 38 Moderate 🔴 3 Serious
View recent deficiencies (5 shown)
  • Tag 0628 Severity E
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    Sep 25, 2025 · Resident Rights Deficiencies
  • Tag 0580 Severity D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    Sep 25, 2025 · Resident Rights Deficiencies
  • Tag 0585 Severity D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt e
    Sep 25, 2025 · Resident Rights Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Sep 25, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Sep 25, 2025 · Infection Control Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 4.6% 4.5% Average
Falls with major injury 0.6% 3.0% Better
On antipsychotic medication 26.0% 14.5% Worse
Urinary tract infections 1.6% 2.5% Better
ADL decline (daily activities) 18.7% 14.0% Worse
Excessive weight loss 4.6% 7.5% Better
New/worsened incontinence 14.4% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $26,756

How This Grade Was Calculated

This facility's grade of D is based on a score of 40 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -2 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
96
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Sep 25, 2025
Deficiencies (Cycle 1)
7