3 nursing homes cut from Medicaid rolls

Designation could lead to closing of facilities

THE BAKER ADMINISTRATION sent initial termination notices on Monday to three of the state’s 360 private nursing homes for failing to comply with MassHealth standards and for a “historic record of poor performance.”

The three facilities were Town and Country in Lowell, Hermitage Healthcare in Worcester, and Wareham Healthcare.

A press release put out by MassHealth, the state’s Medicaid program, said the three facilities had inadequate staffing ratios, failed to adhere to basic infection control practices, and in some instances refused support offered by the state in dealing with COVID-19 outbreaks and critical staffing shortages.

The three facilities have not had abnormally high COVID-19 cases and deaths. Wareham has had fewer than 10 COVID-19 cases and zero deaths. Town and Country and Hermitage each had more than 30 cases but only 10 and 12 deaths, respectively.

Overall, nursing homes have been very hard hit by COVID-19, accounting for more than 65 percent of all deaths from the virus.

Each facility was audited four times in the last several months. Hermitage and Wareham each failed once, while Town and Country failed three times and came close a fourth time.

In the first round of audits, 132, or 347 percent, of the 360 facilities failed. By the third and fourth audits, 6 percent, or roughly 21 of the facilities, were deemed not in adherence.

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Bruce Mohl

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About Bruce Mohl

Bruce Mohl is the editor of CommonWealth magazine. Bruce came to CommonWealth from the Boston Globe, where he spent nearly 30 years in a wide variety of positions covering business and politics. He covered the Massachusetts State House and served as the Globe’s State House bureau chief in the late 1980s. He also reported for the Globe’s Spotlight Team, winning a Loeb award in 1992 for coverage of conflicts of interest in the state’s pension system. He served as the Globe’s political editor in 1994 and went on to cover consumer issues for the newspaper. At CommonWealth, Bruce helped launch the magazine’s website and has written about a wide range of issues with a special focus on politics, tax policy, energy, and gambling. Bruce is a graduate of Ohio Wesleyan University and the Fletcher School of Law and Diplomacy at Tufts University. He lives in Dorchester.

About Bruce Mohl

Bruce Mohl is the editor of CommonWealth magazine. Bruce came to CommonWealth from the Boston Globe, where he spent nearly 30 years in a wide variety of positions covering business and politics. He covered the Massachusetts State House and served as the Globe’s State House bureau chief in the late 1980s. He also reported for the Globe’s Spotlight Team, winning a Loeb award in 1992 for coverage of conflicts of interest in the state’s pension system. He served as the Globe’s political editor in 1994 and went on to cover consumer issues for the newspaper. At CommonWealth, Bruce helped launch the magazine’s website and has written about a wide range of issues with a special focus on politics, tax policy, energy, and gambling. Bruce is a graduate of Ohio Wesleyan University and the Fletcher School of Law and Diplomacy at Tufts University. He lives in Dorchester.

Past performance may have had as much to do with the termination notices as the facilities’ more recent performance. Hermitage and Wareham, for example, were both listed among a small group of nursing homes that had.chronic low quality and low occupancy in a state task force report released at the end of January.

State officials said the three facilities will have a right to a hearing on the termination. Next Step Healthcare, the parent of Wareham Healthcare, said in a statement that it plans to appeal. Residents of the facilities can call MassHealth at 800-841-2900 for information.