Above average — CMS composite of the measures below.
The next survey window likely opens around December 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 Holy Trinity Eastern Orthodox N & R Center during CMS and state inspections, most recent first.
Failure to Provide Fingernail Care During ADL Assistance: A resident with cerebral infarction, hemiplegia, and DM2 was dependent on staff for personal hygiene and grooming, yet the right-hand fingernails were observed long, untrimmed, and curling toward the skin. CNA staff said they completed ADL care but did not notice the nails needed care, and both an RN and UM confirmed the nails were overdue to be cut. The resident said he/she did not remember when the nails were last trimmed and did not like them long.
A facility failed to submit a Level II PASRR evaluation for a resident who showed increased behavioral and psychiatric symptoms, including delusions and hallucinations, after being diagnosed with new mental health conditions. Despite policy requirements, the social worker was unaware of the need to resubmit the Level I PASRR following these changes, leading to the oversight.
A facility failed to develop a care plan for a resident using bilateral wedge cushions for positioning due to a stroke. Observations showed the resident with cushions in bed, but no physician's order or care plan was documented. Staff interviews confirmed the use of cushions, but the therapy department's recommendation was not documented, highlighting a lapse in care planning.
Failure to Provide Fingernail Care During ADL Assistance
Penalty
Summary
The facility failed to provide adequate assistance with ADLs for one resident who was dependent on staff for personal hygiene and grooming, specifically fingernail care. The resident was admitted with diagnoses including cerebral infarction, hemiplegia affecting the right dominant side, and type 2 diabetes mellitus. The MDS indicated the resident was cognitively intact, usually able to understand others and make self understood, had no behaviors or refusals of care, and was dependent on staff for personal hygiene. The ADL care plan identified a self-care performance deficit and dependence on staff for personal hygiene. During observation, the resident was seated in a wheelchair wearing a brace on the right hand, and the fingernails on the right hand were long, untrimmed, and the index fingernail was curling toward the skin. The resident said he/she did not remember when the nails were last trimmed and did not like them long. CNA #1 stated she had completed ADL care but had not noticed the nails needed care, said the nails were too long and sharp, and was unsure when nail care had last been completed. Nurse #1 and the UM both observed that the nails were too long and overdue to be cut, and neither had been told the resident refused nail care. The DON stated CNAs are responsible for nail care and that nails should be monitored and cut monthly.
Failure to Update PASRR Evaluation for Resident with New Mental Health Diagnoses
Penalty
Summary
The facility failed to ensure that a Level II Preadmission Screening and Resident Review (PASRR) evaluation was submitted for a resident who demonstrated an increase in behavioral, psychiatric, and mood-related symptoms. The resident, admitted in August 2023, had diagnoses of anxiety and depression. A previous Level I PASRR screen from another facility in April 2022 indicated a history of mood disorder and severe anxiety but did not meet the criteria for a serious mental illness (SMI), thus not requiring a Level II evaluation at that time. However, the resident later exhibited increased behaviors, including yelling, delusions, and hallucinations, which led to changes in their care plan and an increase in antipsychotic medication. Despite these changes, the facility did not update or resubmit the Level I PASRR for a more in-depth Level II evaluation when new mental health diagnoses of visual hallucinations and delusional disorder were identified in October 2023. The facility's policy required social services to coordinate evaluations and notify the appropriate state authorities after significant changes in a resident's mental condition. However, the social worker responsible for reviewing PASRR evaluations was unaware of the requirement to resubmit a Level I PASRR after a change in condition until May 2024, resulting in the oversight for this resident.
Failure to Develop Care Plan for Positioning Aids
Penalty
Summary
The facility failed to develop a care plan for the use of bilateral wedge cushions for a resident with a history of cerebral infarction and spastic hemiplegia affecting the right side. The resident was observed on multiple occasions with large wedge cushions placed on either side of their upper body while in bed. However, there was no physician's order or care plan documented for the use of these positioning aids, and no documentation was found regarding when or who recommended their use. Interviews with facility staff, including a nurse, a CNA, and the unit manager, confirmed that the resident used the wedge cushions for positioning due to their stroke. The unit manager acknowledged that the therapy department had recommended the use of the cushions, but a care plan had not been developed. The director of rehabilitation was unable to find any documentation of an evaluation by the therapy department for the use of the cushions, nor any physician's order or care plan, indicating a lapse in the facility's documentation and care planning processes.
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 373 citations issued within 25 miles in the last 12 months — 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 Worcester
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Odd Fellows Home Of Massachusetts | 0.1 mi | ★★★★★ | 10 | 0 |
| Regalcare At Worcester | 1.5 mi | ★★★★★ | 0 | 0 |
| Lutheran Rehabilitation And Skilled Care Center | 1.7 mi | ★★★★★ | 0 | 0 |
| Christopher House Of Worcester | 1.8 mi | ★★★★★ | 9 | 0 |
| Notre Dame Long Term Care Center | 1.9 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Holy Trinity Eastern Orthodox N & R 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.