Above average — CMS composite of the measures below.
A standard survey is most likely before around September 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 Oakdale Rehabilitation & Skilled Nursing Center during CMS and state inspections, most recent first.
A resident with a Foley catheter was repeatedly observed without a privacy bag covering the drainage bag, contrary to physician orders and best practices for dignity. The resident, who was cognitively intact, reported not being offered a leg bag, and staff interviews confirmed that required privacy measures were not implemented.
A resident with dysphagia and a physician order for nectar thickened liquids was repeatedly served thin, regular consistency beverages at meals, contrary to the prescribed diet and speech therapy recommendations. Staff confirmed the error, and the resident was placed at risk for swallowing complications due to the facility's failure to follow the care plan.
Two residents received oxygen therapy without appropriate physician orders specifying use and liter flow, despite documented need and observed administration. Staff and care plans indicated oxygen dependence, but required orders were missing, and staff were unaware of the deficiency until it was identified.
Surveyors found that dietary staff did not consistently label and date food items as required, and staff with facial hair were observed preparing and serving food without proper beard coverings. These actions were not in accordance with facility policies for food safety and sanitation.
Staff failed to follow Enhanced Barrier Precautions for a resident with a surgical wound and Foley catheter, as multiple CNAs provided high-contact care without wearing required PPE such as gowns and gloves, despite clear signage. Interviews revealed staff were unaware of the need for PPE during these activities, even though education on EBP had been provided.
Failure to Maintain Resident Dignity with Foley Catheter Privacy Measures
Penalty
Summary
A resident with a diagnosis of malignant neoplasm of the prostate and an indwelling Foley catheter was observed on multiple occasions without the catheter drainage bag being covered by a privacy bag, as required by physician orders. The resident was cognitively intact and expressed that staff had not offered a leg bag, which he desired. Observations by surveyors and facility staff confirmed that the Foley catheter drainage bag was not in a privacy bag during ambulation and while the resident was seated in his room. The resident did not have a leg bag, despite physician orders specifying its use when out of bed. Interviews with the Rehab Director, Unit Manager, and DON confirmed that the Foley catheter should have been in a privacy bag and that a leg bag should have been provided for the resident's dignity and mobility. The DON acknowledged that staff failed to change the resident's Foley catheter drainage bag to the facility's specific urinary drainage and privacy bag as ordered. These actions and inactions resulted in a failure to maintain the resident's dignity and comply with physician orders regarding catheter care.
Failure to Provide Prescribed Thickened Liquids for Resident with Dysphagia
Penalty
Summary
The facility failed to provide appropriate care and nutrition services for a resident with dysphagia and a history of cerebral infarction, who was prescribed a ground texture diet with nectar thickened liquids. Despite clear physician orders and a speech language pathology assessment specifying the need for nectar thickened beverages, the resident was observed receiving thin, regular consistency beverages, including cranberry juice and hot tea, during both breakfast and lunch. The unit manager confirmed that the beverages provided were not thickened as ordered, and the speech language pathologist explained that thin liquids posed a risk for the resident, as they could lead to coughing and aspiration due to the resident's swallowing difficulties. The deficiency was identified through observation, interview, and record review, which showed that the facility did not follow the resident's plan of care regarding dietary modifications. The failure to provide thickened liquids as ordered placed the resident at risk for swallowing complications, as noted by both the unit manager and the speech language pathologist. The facility's policy required adherence to therapeutic diet orders, but this was not followed in the resident's case.
Failure to Obtain and Follow Physician Orders for Oxygen Therapy
Penalty
Summary
The facility failed to provide respiratory care and services in accordance with professional standards of practice for two residents who required oxygen therapy. For one resident with diagnoses including COPD and acute respiratory failure with hypoxia, there was no physician order specifying the use or liter flow of oxygen, despite the resident being observed using oxygen and having a care plan indicating oxygen dependence. The resident was also found with the oxygen concentrator turned off while the nasal cannula remained in place, and staff were unaware of the lack of physician orders or the oxygen being turned off. For another resident with COPD, CHF, obstructive sleep apnea, and obesity hypoventilation syndrome, there were no active physician orders for the use of intermittent or PRN oxygen, even though the resident was observed using oxygen during the day and documentation indicated intermittent oxygen use over several weeks. The resident's medical record included progress notes and nursing documentation referencing oxygen use, but no corresponding physician orders for daytime or PRN oxygen administration or prescribed liter flow were present. Interviews with nursing staff and unit managers confirmed that both residents were receiving oxygen therapy without the required physician orders, and staff acknowledged that such orders should have been in place. The facility's own policy and professional guidelines require verification and review of physician orders for oxygen administration, which was not followed in these cases.
Failure to Follow Food Labeling and Sanitation Standards in Dietary Services
Penalty
Summary
Surveyors identified that the facility failed to adhere to professional standards for food safety and sanitation. Specifically, multiple food items in both the stand-up and walk-in refrigerators were observed to be covered but not labeled or dated, including green peppers, salad dressings, tuna salad, ham salad, cooked meat, prepared salads, fruit cups, and seafood. Additionally, sandwiches were labeled but not dated. Facility policy requires all food items to be clearly labeled and dated, and staff confirmed during interviews that these procedures were not followed. Further observations revealed that dietary staff did not consistently wear required beard coverings while preparing and serving food, as mandated by facility policy. On several occasions, staff with visible facial hair were seen preparing and handling food without appropriate beard coverings, or with coverings that did not fully cover their beards. The Food Service Director acknowledged during interviews that staff should have been wearing beard coverings in accordance with policy, but this was not consistently practiced.
Failure to Adhere to Enhanced Barrier Precautions During High-Contact Care
Penalty
Summary
Facility staff failed to implement infection control practices in accordance with professional standards for a resident who was admitted with a surgical abdominal wound and an indwelling Foley catheter, both of which required Enhanced Barrier Precautions (EBP). Despite a sign posted outside the resident's room indicating the need for EBP, staff members were observed not wearing the required personal protective equipment (PPE), such as gowns and gloves, during high-contact care activities. Specifically, a CNA was seen assisting the resident with ambulation and handling the Foley catheter drainage bag without an isolation gown, and two other staff members entered and exited the resident's room without donning any PPE while providing direct care. Interviews with the involved staff revealed a lack of awareness regarding the resident's EBP status and the necessity of wearing PPE during high-contact care. One CNA stated she was unaware of the EBP requirement, while another, who was new and in training, also did not know she needed to wear a gown during care activities. The Infection Preventionist/Staff Development Coordinator confirmed that staff had been educated on EBP, but acknowledged that the staff did not adhere to the posted precautions.
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 356 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 West Boylston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sterling Village | 1 mi | ★★★★★ | 4 | 0 |
| Holden Rehabilitation & Nursing Center | 4.5 mi | ★★★★★ | 0 | 0 |
| Knollwood Nursing Center | 5.4 mi | ★★★★★ | 9 | 0 |
| Odd Fellows Home Of Massachusetts | 6.6 mi | ★★★★★ | 10 | 0 |
| Holy Trinity Eastern Orthodox N & R Center | 6.7 mi | ★★★★★ | 2 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Oakdale Rehabilitation & Skilled Nursing 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.