Average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Hellenic Nursing & Rehabilitation Center during CMS and state inspections, most recent first.
Failure to assist with facial hair removal: A resident with CKD, AFib, DM2, and dementia was assessed as needing supervision to partial/moderate assistance for self-care, and the care plan and personal hygiene card directed supervision to assist of 1 for grooming. The resident said he/she wanted facial hair removed but needed a razor and help, yet surveyors repeatedly observed long chin hair over several days. Staff said CNAs normally shave residents during morning care with permission, the resident was not known to refuse care, and the chart did not document any refusal of ADL care.
Failure to Follow Up on Significant Weight Loss and RD Nutrition Order: A resident with dysphagia, dementia, and failure to thrive had a 21.7% weight loss in one month, but the RD did not assess the change until over 11 weeks later. The RD recommended increasing Glucerna from BID to TID, yet the record did not show the order was implemented, and staff reported the resident was still receiving Glucerna BID.
A facility failed to maintain proper communication with a dialysis center for a resident with end-stage renal disease, as required by their agreement. Despite the resident's need for thrice-weekly dialysis, the facility did not complete necessary communication forms for nearly a year. Interviews with staff confirmed the lack of documentation, and the dialysis nurse noted that forms were only completed if unusual events occurred.
The facility failed to properly label and store food in accordance with professional standards, risking foodborne illness. Surveyors found unlabeled food items in the main kitchen and nourishment kitchenettes, and a dirty refrigerator on the third floor. The FSM acknowledged the failure to follow labeling policies and the need for proper sanitation.
A facility failed to provide complete informed consent for a resident receiving Bupropion, a psychotropic medication. The consent form did not specify the administered dose, benefits, or correct dose range, which should have included the total daily dose of 225 mg. The resident, with dementia and bipolar disorder, had a Health Care Proxy activated, and the discrepancies were confirmed by staff during a review.
A resident with a Stage 4 pressure ulcer did not receive the recommended antibiotic treatment because the facility failed to notify the Physician/Practitioner of the Wound Consultant's recommendation. The resident's records showed no administration of the antibiotic, and interviews revealed that the recommendation was not communicated to the necessary medical staff.
The facility failed to maintain a homelike environment in the C Unit Lounge, which was used to store resident equipment like wheelchairs and mattresses. Observations and interviews revealed that the lounge, intended for resident activities, was cluttered with unused equipment, making it unwelcoming. Staff and residents confirmed the lounge's use as a storage area to keep resident rooms less cluttered.
The facility failed to develop timely baseline care plans for two residents, one with a high fall risk and another with severe cognitive impairment. The first resident did not receive a fall care plan within 48 hours of admission, resulting in a fall 20 days later. The second resident's representative was not provided with a care plan summary or involved in goal-setting discussions, despite the resident's cognitive impairment. Staff interviews confirmed the requirement for timely care plans, but an urgent issue delayed the process for the second resident.
The facility failed to develop comprehensive care plans for two residents, one with dementia and behavioral disturbances and another with PTSD. The care plans did not address specific needs such as cognitive impairment, behavioral symptoms, and trauma-informed care, leading to deficiencies in meeting the residents' individual needs.
The facility failed to adhere to physician orders and document care for two residents. One resident did not have blood sugar levels documented as ordered, lacked a physician's order for catheter care, and had an improperly scheduled voiding trial. Another resident's continuous glucose monitoring sensor was not changed every 14 days as recommended, and there was no physician's order for this change.
A resident with Alzheimer's and language barriers was not provided adequate communication support in a facility. Despite a care plan for translation services, staff were unaware of resources, relying on gestures and family for communication. A Greek-speaking physician was available only for medical issues, and a translation binder was outdated, leading to a deficiency in person-centered care.
A resident with dementia was not provided with adequate activities to meet their needs, as outlined in their care plan. Despite being severely cognitively impaired, the resident's activity participation was limited to TV/radio and family visits, with little engagement in structured activities. Observations and staff interviews confirmed the lack of staff engagement, even when group activities were available.
The facility failed to conduct quarterly smoking evaluations for two residents with cognitive impairments and diagnoses of bipolar disorder and anxiety. Despite being observed smoking under supervision, their assessments were not completed as required by the facility's policy, leading to a deficiency in ensuring residents were free from accident hazards.
A facility failed to monitor adverse consequences of anticoagulant medication for a resident with atrial fibrillation and hypertension. Despite receiving Rivaroxaban as ordered, the resident's medical record lacked documentation of monitoring for adverse effects, contrary to the facility's protocol. Staff interviews confirmed the necessity of such monitoring, highlighting a lapse in protocol adherence.
A facility failed to limit the use of a PRN antipsychotic medication for a resident with Alzheimer's disease to 14 days, as required by their policy. The medication, Quetiapine, was ordered indefinitely without re-evaluation or documented rationale for extended use. Interviews with staff confirmed the oversight, highlighting a lapse in adherence to the facility's guidelines for antipsychotic medication management.
Failure to Assist with Facial Hair Removal
Penalty
Summary
The facility failed to ensure nursing staff provided assistance with activities of daily living for one resident, specifically with the removal of facial hair. The resident was admitted in March 2022 with diagnoses including chronic kidney disease stage 4, atrial fibrillation, type 2 diabetes mellitus, and dementia. The most recent MDS dated 7/23/25 showed a BIMS score of 14 out of 15, indicating intact cognition, and indicated the resident required supervision or touching assistance to partial or moderate assistance for self-care activities. The resident told the surveyor on 8/26/25 that he/she normally does not have facial hair and wanted it removed but needed a razor and assistance. The surveyor observed the resident on multiple occasions between 8/26/25 and 8/28/25 with long chin hair, approximately an inch long. The resident's ADL care plan, last revised 8/26/25, directed grooming with supervision to assist of 1, and the personal hygiene care card also indicated continued supervision to assist of 1 for personal hygiene tasks. Staff interviews confirmed that CNAs normally shave residents during morning care with permission, that the resident was not known to refuse care, and that refusals should be documented in the medical record. The DON stated facial hair should be removed with the resident's permission during routine care, and review of the resident's nursing progress notes did not indicate any refusal of ADL care.
Failure to Follow Up on Significant Weight Loss and Implement RD Nutrition Recommendation
Penalty
Summary
The facility failed to follow up on a significant weight loss and failed to implement a nutrition intervention recommended by the Registered Dietitian for one resident. The resident was admitted with diagnoses including dysphagia, adult failure to thrive, and dementia, and the MDS indicated the resident required setup assistance for meals, had triggered for non-prescribed weight loss, and was on a mechanically altered diet. The facility policy stated that any weight change of 5% or more since the last weight assessment should be retaken the next day for confirmation and, if verified, nursing should immediately notify the dietitian in writing. The resident’s recorded weights showed a loss from 129.0 lbs. to 106.0 lbs., a 23-lb. decrease and a 21.7% weight loss in one month. The RD did not assess the significant weight loss until over 11 weeks after it was documented. The RD’s nutritional assessment recommended increasing Glucerna from twice daily to three times daily, but the medical record did not show that the increase was implemented. During interviews, staff stated the resident was receiving Glucerna twice daily, and the RD said the resident should have been assessed much sooner and was not sure why the recommendation for Glucerna three times daily was never implemented.
Failure in Dialysis Communication for a Resident
Penalty
Summary
The facility failed to ensure proper communication between the nursing facility and the dialysis center for a resident with end-stage renal disease and diabetes mellitus. The resident, who was cognitively intact, required dialysis treatments three times a week. However, the facility did not complete the necessary dialysis communication forms from October 2023 through August 2024, as evidenced by the absence of these forms in the dialysis communication book. This lack of documentation was confirmed during interviews with the Unit Manager and Nurse #2, who acknowledged that the forms were not completed as required. The facility's Long Term Care Facility Outpatient Dialysis Services Agreement outlined the need for appropriate medical and administrative information to accompany residents during transfers to the dialysis center. Despite this requirement, the facility did not maintain ongoing communication with the dialysis center, as noted by the dialysis nurse, who stated that communication forms were not regularly completed unless something unusual occurred with the resident. This deficiency highlights a failure to adhere to professional standards of practice for dialysis care and services.
Deficiencies in Food Storage and Labeling Practices
Penalty
Summary
The facility failed to adhere to professional standards of practice for food safety and sanitation, which could potentially lead to the spread of foodborne illness among residents. During an inspection, surveyors observed that food items in two refrigerators in the main kitchen were not properly labeled with use-by dates. Specifically, a large package of American cheese and a bowl of egg salad in Refrigerator #1, and a container of feta cheese and a bag of parmesan cheese in Refrigerator #2, were found without appropriate labeling. The Food Service Manager (FSM) acknowledged that the kitchen staff did not follow the facility's policy requiring food items to be labeled with an opened and use-by date. In addition to the main kitchen, the facility's nourishment kitchenettes on the second and third floors also exhibited deficiencies in food labeling and storage. Surveyors found multiple food items, including apple juice, applesauce, and various take-out containers, without resident names or use-by dates in the second-floor kitchenette. Similarly, the third-floor kitchenette contained unlabeled items such as hot sauce, chicken noodle soup, and fast-food items. The FSM confirmed that these items should have been labeled with the resident's name and use-by date, and any unlabeled items should be discarded. Furthermore, the third-floor kitchenette refrigerator was found to be dirty, with spills and splashes of liquid substances on the shelves and sides. Containers of food were placed on top of these spills, indicating a lack of proper sanitation practices. The FSM stated that the dietary aides were responsible for cleaning the kitchenette and refrigerator before restocking snacks and beverages. The facility's Dietary Morning Checklist also outlined the need for checking and discarding expired items, as well as ensuring proper labeling and dating of resident food, which was not adhered to in this instance.
Incomplete Informed Consent for Psychotropic Medication
Penalty
Summary
The facility failed to ensure that residents and/or their representatives were fully informed in advance and given the necessary information to make healthcare decisions regarding psychotropic medications. Specifically, for one resident, the facility did not provide complete information on the consent form for Bupropion, a psychotropic medication. The consent form lacked details about the dose administered, the benefits of the medication, and the correct dose range, which should have included the total daily dose of 225 mg that the resident was receiving. The resident involved was admitted with diagnoses including dementia with behavioral disturbance and bipolar disorder. Despite being cognitively intact, as indicated by a BIMS score of 13 out of 15, the resident's Health Care Proxy was activated. The psychotropic consent form, signed by the Health Care Proxy, failed to accurately reflect the medication's dose and benefits, and the dose range was incorrectly listed as 0-200 mg instead of up to 225 mg. This oversight was confirmed during an interview with the Unit Manager and a nurse, who acknowledged the discrepancies in the consent documentation.
Failure to Notify Physician of Antibiotic Recommendation
Penalty
Summary
The facility failed to notify the Physician/Practitioner of a change in treatment for a resident with a Stage 4 pressure ulcer. The Wound Consultant recommended the initiation of the antibiotic Augmentin, but this recommendation was not communicated to the Physician/Practitioner. As a result, the resident did not receive the prescribed antibiotic treatment. The resident was admitted with a Stage 4 pressure ulcer on the right calf, and the Wound Consultant's evaluation indicated the need for Augmentin 875 mg twice daily for seven days. The review of the resident's Medication Administration Record (MAR) and Treatment Administration Record (TAR) showed no indication that the antibiotic was administered. Interviews with the Unit Manager, Infection Control Nurse, and the Wound Consultant confirmed that the recommendation was not communicated to the Physician/Practitioner. The Physician and their Practitioner were unaware of the recommendation, and Nurse #7, who conducted wound rounds with the Wound Consultant, did not recall the recommendation. The Infection Control Nurse stated that all recommendations should be communicated to the Physician/Practitioner.
Improper Use of Resident Lounge as Storage Area
Penalty
Summary
The facility failed to maintain a clean, safe, comfortable, and homelike environment for residents in one of its nursing units, specifically the C Unit Lounge. Observations made by surveyors over several days revealed that the lounge was being used to store various resident wheeled positioning devices, such as standard wheelchairs, high back wheelchairs, Broda chairs, mattresses, rolling walkers, and leg rests. These items were consistently observed in the lounge at different times of the day, indicating that the space was being used as a storage area rather than a resident activity or relaxation area. Interviews with residents, a resident representative, and facility staff confirmed the inappropriate use of the C Unit Lounge. A resident expressed that the lounge felt more like a storage room and was not welcoming or inviting. A resident representative echoed this sentiment, noting the room's heavy occupation by equipment. Facility staff, including an Activities Assistant, a CNA, a nurse, and the Maintenance Director, acknowledged that the lounge was used to store equipment not currently in use to keep resident rooms less cluttered. The Administrator admitted that while wheelchairs were stored in the lounge when not in use, unassigned equipment and mattresses should not have been stored there.
Failure to Develop Timely Baseline Care Plans for Residents
Penalty
Summary
The facility failed to develop a baseline or comprehensive care plan within 48 hours of admission for two residents, leading to deficiencies in providing effective and person-centered care. For one resident, who was legally blind and had epilepsy, the facility did not establish a baseline care plan related to falls, despite the resident being assessed as a high fall risk with a score of 19. This oversight resulted in the resident experiencing a fall 20 days after admission, with the care plan for falls only being established on the day of the incident. For another resident with dementia and behavioral disorders, the facility did not provide the resident or their representative with a summary of the baseline care plan within the required timeframe. The resident was severely cognitively impaired, and the representative reported not having discussed the resident's goals or plan of care with the facility since admission. Despite a family member being present daily, the facility did not initiate a meeting to establish the resident's goals or treatment plan, and the representative was not included in the baseline care plan meeting. Interviews with facility staff confirmed that baseline care plans should be developed within 48 hours of admission, and a summary should be provided to the resident or their representative. However, in the case of the second resident, the social worker admitted that the baseline care plan meeting had not occurred as initially reported due to an urgent issue at the facility, and the representative was not contacted until several days after admission.
Failure to Develop Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to develop and implement comprehensive person-centered care plans for two residents, leading to deficiencies in addressing their specific needs. Resident #35, who was admitted with diagnoses of dementia with behavioral disturbance and psychotic disorder with delusions, did not have a care plan that addressed their impaired cognition and behavioral disturbances. Despite the resident's cognitive impairment and behavioral symptoms being triggered in the Minimum Data Set (MDS) assessment, the care plan only focused on the use of psychotropic medications without addressing the resident's specific cognitive and behavioral needs. Resident #35's care plan lacked specific interventions for managing the resident's dementia-related behaviors, such as agitation, yelling, and refusal of medication. The care plan did not include target behaviors for monitoring or strategies to address the resident's cognitive loss and behavioral symptoms. Progress notes indicated ongoing issues with agitation and confusion, yet these were not adequately reflected in the care plan, highlighting a gap in the facility's approach to managing the resident's condition. Similarly, Resident #52, who was admitted with diagnoses including dementia, anxiety disorder, major depressive disorder, and chronic PTSD, did not have a trauma-informed care plan. The facility's policy required a specific plan of care for residents with a history of trauma, but this was not completed for Resident #52. The social worker and unit manager acknowledged the absence of a care plan addressing PTSD triggers, indicating a failure to provide appropriate care for the resident's mental health needs.
Deficiencies in Adherence to Physician Orders and Documentation
Penalty
Summary
The facility failed to provide care in accordance with professional standards of practice for two residents. For Resident #35, the facility did not ensure that fingerstick blood sugar levels were obtained at the times specified by the physician's order. Although the fingersticks were performed daily, the values were not documented on the Medication Administration Records (MAR) as required. Additionally, the facility did not have a physician's order for the care and maintenance of the resident's catheter drainage bag, nor was there documentation of the bag being changed, despite the resident having a history of urinary tract infections. Furthermore, the facility did not implement a voiding trial for Resident #35 as ordered by the physician. The voiding trial was scheduled for a specific date, but there was no documentation that it was attempted on that date, nor was there communication with the physician to reschedule it. Instead, the trial was conducted on a different date without a corresponding physician's order, and the resident's catheter was reinserted after the trial failed. For Resident #63, the facility did not have complete physician's orders for the management of a continuous glucose monitoring sensor. The orders did not include instructions to change the device every 14 days as recommended by the manufacturer. The medical record lacked documentation that the sensor was changed according to these guidelines, and the unit manager confirmed the absence of a necessary physician's order for the sensor change.
Failure to Provide Language Support for Non-English Speaking Resident
Penalty
Summary
The facility failed to provide necessary care and services to maintain the highest practicable well-being for a resident who primarily speaks Albanian and Greek. The resident, diagnosed with Alzheimer's disease, major depressive disorder, and adjustment disorder, was admitted in May 2019. Despite the care plan indicating the need for a language translator, the facility did not implement effective communication strategies, leaving the resident unable to communicate effectively with staff who did not speak Albanian or Greek. Observations and interviews revealed that staff were unaware of available resources to assist in communication, such as a language translation service or communication book. The resident's health care proxy and staff confirmed the absence of these resources, and staff resorted to using hand gestures or relying on family members for translation. A Greek-speaking physician was available for medical translations, but not for non-medical communication needs. The surveyor's inspection of the nursing station and surrounding areas found no communication aids or information about translation services. A binder labeled for Greek translation was discovered, but it contained outdated information, with most listed translators no longer working at the facility. This lack of accessible communication resources and staff awareness contributed to the deficiency in providing person-centered care for the resident.
Failure to Provide Adequate Activities for Resident with Dementia
Penalty
Summary
The facility failed to provide an ongoing program of individual and group activities tailored to meet the interests and support the well-being of a resident diagnosed with dementia and behavioral disorders. The resident, who was admitted in August 2024, was severely cognitively impaired, as indicated by a BIMS score of 0 out of 15. Despite the care plan interventions that included encouraging participation in daily activities and providing 1:1 visits if unable to attend group events, the resident's activity participation record showed limited engagement, primarily involving TV/radio and family visits, with minimal involvement in structured activities. Observations by surveyors over several days revealed that the resident often remained in their room without staff engagement, even when group activities were occurring nearby. Interviews with staff and the resident's representative confirmed that the resident was not being actively engaged in activities, contrary to the care plan's goals. The Activities Director acknowledged the lack of recorded participation in activities, despite the resident's care plan indicating a need for routine involvement in activities to meet their emotional, intellectual, physical, and social needs.
Failure to Conduct Quarterly Smoking Evaluations
Penalty
Summary
The facility failed to ensure that residents were free from accident hazards by not completing quarterly smoking evaluations for two residents. Resident #32, who was admitted in June 2020 with diagnoses including bipolar disorder and anxiety, was observed smoking in the designated area with staff supervision. The resident's last smoking and safety assessment was conducted on 12/18/23, and no further assessments were recorded after this date, despite the facility's policy requiring quarterly evaluations. Similarly, Resident #62, admitted in March 2021 with similar diagnoses, was also observed smoking under supervision. The resident's medical record showed smoking and safety assessments were conducted on 1/20/23, 6/16/23, 4/1/24, and 7/1/24, but missed the required quarterly assessments in 4/2023, 9/2023, 12/2023, and 3/2024. During an interview, Unit Manager #2 acknowledged that some assessments were missed and not completed quarterly for these residents.
Failure to Monitor Anticoagulant Adverse Effects
Penalty
Summary
The facility failed to monitor adverse consequences of anticoagulant medications for a resident with atrial fibrillation and hypertension. The resident was admitted in January 2024 and was receiving Rivaroxaban, an anticoagulant medication, as per the physician's orders. However, the medical record did not indicate any monitoring for adverse consequences of the medication, which is a requirement according to the facility's Anticoagulation-Clinical Protocol. Interviews with various staff members, including nurses and the Staff Development Coordinator, confirmed that residents on anticoagulant medications should be monitored for adverse consequences every shift. Despite this, there was no order in place for such monitoring for the resident in question, indicating a lapse in adherence to the facility's policy and protocol for managing anticoagulant therapy.
Failure to Limit PRN Antipsychotic Medication Use
Penalty
Summary
The facility failed to ensure that a resident's drug regimen was free from unnecessary psychotropic medications. Specifically, the facility did not limit the use of an as-needed antipsychotic medication, Quetiapine, to 14 days or provide a documented clinical rationale and duration for extending its use beyond this period. The facility's policy on antipsychotic medication use, revised in July 2022, mandates that PRN orders for such medications should not be renewed beyond 14 days without a healthcare practitioner's evaluation and documentation of the rationale for continued use. The resident in question was admitted with a diagnosis of Alzheimer's disease and had a physician's order for Quetiapine to be administered as needed for breakthrough aggression and agitation. However, the order was listed as indefinite, and there was no evidence in the medical record that the medication was re-evaluated after 14 days. Interviews with the Unit Manager and Staff Development Coordinator confirmed that the order should have been limited to 14 days, and the physician should have re-evaluated the medication thereafter.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 1,007 citations issued within 25 miles in the last 12 months — including the 5 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Canton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Foremost At Sharon Llc | 2.8 mi | ★★★★★ | 4 | 0 |
| New England Sinai Hospital Transitional Care Unit | 3 mi | — | 0 | 0 |
| Norwood Healthcare | 3.5 mi | ★★★★★ | 21 | 2 |
| Charlwell House Health And Rehabilitation | 3.6 mi | ★★★★★ | 0 | 0 |
| Victoria Haven Nursing Facility | 3.6 mi | ★★★★★ | 27 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Hellenic Nursing & Rehabilitation Center.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.