D

POPE NURSING HOME

140 WEBB STREET, WEYMOUTH, MA 02188
Score: 48 / 100

Pope Nursing Home faces challenges in its CMS ratings, earning a D grade with a score of 48/100. The facility ranks in the 43th percentile among Massachusetts nursing homes, suggesting significant room for improvement.

Staffing at Pope Nursing Home is near the national average, with 3.81 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 23 deficiencies at Pope Nursing Home. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.81 3.8 Average
Registered Nurses (RN) 0.50 0.7 Below Average
Licensed Practical Nurses (LPN) 0.94 0.7 Above Average
Certified Nursing Assistants (CNA) 2.37 2.4 Average
Weekend Total Nursing 3.41 3.8 Below Average
Weekend RN Hours 0.41 0.7 Below Average

🔍 Inspection & Deficiency History

23
Total Deficiencies
Apr 21, 2025
Most Recent Inspection
🟠 23 Moderate
View recent deficiencies (5 shown)
  • Tag 0801 Severity F
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qu
    Apr 21, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0838 Severity F
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day ope
    Apr 21, 2025 · Administration Deficiencies
  • Tag 0694 Severity E
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    Apr 21, 2025 · Quality of Life and Care Deficiencies
  • Tag 0726 Severity E
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    Apr 21, 2025 · Nursing and Physician Services Deficiencies
  • Tag 0727 Severity E
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    Apr 21, 2025 · Nursing and Physician Services 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 7.6% 4.5% Worse
Falls with major injury 7.3% 3.0% Worse
On antipsychotic medication 29.3% 14.5% Worse
Urinary tract infections 4.2% 2.5% Worse
ADL decline (daily activities) 31.0% 14.0% Worse
Excessive weight loss 4.2% 7.5% Better
New/worsened incontinence 15.6% 45.0% Better

How This Grade Was Calculated

This facility's grade of D is based on a score of 48 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)

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

Facility Details

Ownership
For profit - Corporation
Certified Beds
49
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 21, 2025
Deficiencies (Cycle 1)
14