Above average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Overlook Masonic Health Center during CMS and state inspections, most recent first.
Two residents receiving oxygen therapy did not have their oxygen concentrator filters cleaned as required by physician orders and manufacturer guidelines. Despite documentation indicating that cleaning was completed, surveyors observed thick dust on the filters, and staff interviews revealed a lack of understanding and failure to perform the task. This resulted in a deficiency in respiratory care and equipment maintenance.
A resident with severe cognitive impairment and a diagnosis of psychosis was prescribed Clozapine, but the facility failed to complete required AIMS assessments to monitor for movement-related side effects. Despite a pharmacist's recommendation and facility policy mandating AIMS every six months, no assessment was documented for ten months. Staff interviews confirmed the lapse and revealed the absence of a tracking system for AIMS testing.
A resident with a history of hemiplegia and hemiparesis received PRN Methocarbamol more frequently than ordered, with the medication administered twice daily instead of once daily as prescribed. MAR review and staff interviews confirmed that the medication was given outside the physician's parameters, resulting in a significant medication error.
A nurse failed to perform hand hygiene between glove changes while providing wound care to a resident on Enhanced Barrier Precautions (EBP) for a Stage Two Pressure Injury. Despite facility policy requiring hand hygiene before handling dressings and after glove removal, the nurse changed gloves multiple times without cleansing hands, as observed by surveyors. The nurse later acknowledged the lapse, and the Infection Preventionist confirmed that proper hand hygiene was expected during such procedures.
Failure to Maintain Oxygen Concentrator Filters per Physician Orders and Manufacturer Guidelines
Penalty
Summary
The facility failed to provide safe and appropriate respiratory care by not maintaining oxygen concentrator filters according to physician orders and manufacturer guidelines for two residents with COPD. Both residents were receiving oxygen therapy as ordered, and their care plans included interventions for regular cleaning of the oxygen concentrator and its filters. Physician orders specified that the outside of the oxygen concentrator should be cleaned and the filter rinsed with warm water every Wednesday during the evening shift. Despite these orders, surveyor observations on multiple occasions found that the oxygen concentrator filters for both residents were coated in thick gray dust, indicating that the required cleaning had not been performed. Medication Administration Records showed that evening shift nurses had signed off on the cleaning tasks, but the physical condition of the filters contradicted these records. Interviews with nursing staff revealed a lack of awareness regarding the importance and procedure for cleaning the filters, with staff admitting uncertainty about why the task was necessary and acknowledging that the cleaning had not been completed as required. Further interviews with the unit manager and infection preventionist confirmed that the cleaning was not done as ordered and that the filters were visibly dirty. The failure to maintain the oxygen concentrator filters as per policy, physician orders, and manufacturer instructions was directly observed and acknowledged by staff, resulting in a deficiency related to the provision of respiratory care and equipment maintenance.
Failure to Monitor for Adverse Effects of Antipsychotic Medication
Penalty
Summary
The facility failed to monitor and document adverse consequences of an antipsychotic medication, Clozapine, for one resident. According to facility policy, residents on psychotropic drugs must be monitored for effectiveness and side effects, with the Abnormal Involuntary Movement Scale (AIMS) assessment required at initiation of therapy and at least every six months thereafter. The resident in question, who was severely cognitively impaired and diagnosed with psychosis and delusional disorder, had been receiving Clozapine as prescribed since November of the previous year. The last documented AIMS assessment for this resident was completed in July, with no subsequent AIMS performed for the following ten months, despite ongoing administration of Clozapine. A pharmacist's monthly medication review in December specifically recommended that an AIMS assessment be completed immediately and then every six months. However, there was no evidence in the medical record that this recommendation was acted upon, nor was there documentation of a current AIMS assessment after the initial one. Interviews with facility staff, including the Unit Manager, Staff Development Coordinator, and Director of Nursing, confirmed that the AIMS assessment was overdue and that there was no current system in place for tracking AIMS testing. Staff acknowledged that recommendations from the pharmacy were received and should have been addressed, but the required monitoring was not completed as per policy and professional standards.
Significant Medication Error Due to Incorrect PRN Methocarbamol Administration
Penalty
Summary
A deficiency occurred when the facility failed to ensure that a resident was free from significant medication errors. Specifically, the resident, who had a history of hemiplegia and hemiparesis following a cerebral infarction, had physician orders for Methocarbamol 500 mg to be administered as needed (PRN) once daily for muscle spasm, and a separate order for Methocarbamol 500 mg to be given twice daily for pain/spasm. Review of the Medication Administration Records (MAR) revealed that the PRN Methocarbamol was administered more frequently than ordered, with doses given twice daily on multiple dates, rather than the prescribed once daily. Interviews with the Unit Manager and Director of Nursing confirmed that the PRN Methocarbamol was administered outside the parameters of the physician's orders, resulting in a significant medication error. The error was identified through record review and staff interviews, which indicated that the medication was given too close to the scheduled doses, contrary to the physician's instructions.
Failure to Perform Hand Hygiene During Wound Care on EBP Resident
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program for one resident who was on Enhanced Barrier Precautions (EBP) due to a Stage Two Pressure Injury on the left ischium. According to the facility's own hand hygiene policy, staff are required to perform hand hygiene before handling dressings, after contact with a resident's skin, and after removing gloves, with the use of alcohol-based hand rub (ABHR) or soap and water. During a wound care observation, the nurse responsible for the resident's care donned a gown and gloves, entered the room, and prepared the work surface and supplies. However, the nurse did not perform hand hygiene between glove changes at multiple points during the wound care procedure, specifically after removing soiled gloves and before donning new gloves, despite handling the resident's wound and dressing supplies. The nurse acknowledged after the observation that she did not cleanse her hands between glove changes and recognized that this failure could contribute to the spread of germs. The Infection Preventionist confirmed that all staff were educated on hand hygiene and that the nurse should have cleaned her hands between glove changes to prevent the transmission of organisms. The deficiency was identified through direct observation, interviews, and review of facility policies and the resident's care plan and physician orders, all of which emphasized the importance of hand hygiene in infection control, especially for residents on EBP.
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 250 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 Charlton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Southbridge Rehabilitation & Health Care Center | 5.5 mi | ★★★★★ | 8 | 0 |
| Meadows Of Central Massachusetts (the) | 5.7 mi | ★★★★★ | 4 | 0 |
| Life Care Center Of Auburn | 6.3 mi | ★★★★★ | 1 | 0 |
| Brookside Rehabilitation And Healthcare Center | 7.7 mi | ★★★★★ | 1 | 0 |
| Webster Manor Rehabilitation & Health Care Center | 8.7 mi | ★★★★★ | 3 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Overlook Masonic Health 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.