Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Regalcare At Worcester during CMS and state inspections, most recent first.
A resident with end stage renal disease, diabetes, and a Stage IV sacral pressure injury did not receive the physician-ordered Collagenase wound care upon admission. Instead, nursing staff provided only normal saline and a dry protective dressing, failing to follow the hospital discharge orders and facility protocol. This lapse was due to staff not referencing the discharge summary and assuming the correct care was in place.
A resident dependent on hemodialysis missed a scheduled treatment due to transportation and communication failures between facility staff and the dialysis center. The resident went four days without dialysis, and when finally transported for treatment, was found to be unstable and required hospital transfer. The deficiency was caused by delayed physician orders, unclear responsibility for arranging transportation, and lack of adherence to facility policy.
The facility did not ensure privacy for residents during Resident Council meetings, as staff frequently used the designated meeting space as a passageway, interrupting the sessions. Multiple residents and the Activities Director confirmed that privacy was not consistently maintained, with staff entering the area during meetings despite residents' wishes for confidentiality.
Surveyors found that two units had multiple resident rooms and common areas with environmental deficiencies, including damaged walls, exposed wiring, broken fixtures, and missing outlet covers. Maintenance logs showed no documented requests for these repairs, and residents reported ongoing frustration with unresolved issues. The facility had no quality improvement project in place to address these environmental concerns prior to the survey.
Surveyors observed multiple residents smoking outside of designated areas, such as on sidewalks and driveways, and discarding cigarette butts on the ground instead of in covered receptacles. Staff supervising the smoking areas did not intervene or direct residents to use the proper disposal containers. The facility lacked clear signage to indicate designated smoking areas, and cigarette refuse was found scattered around the property, contrary to facility policy.
A resident with a gastrostomy tube did not have the total amount of enteral formula administered documented as ordered by the physician, and weekly weight monitoring was not performed as recommended. The resident experienced significant weight loss over a one-month period, and the facility's records did not show compliance with required monitoring and documentation practices.
A nurse mixed a resident's prescribed oral medications into a cup of coffee and left it with a CNA, instructing the CNA to ensure the resident consumed it, rather than remaining present to observe administration as required by policy. The resident, who was severely cognitively impaired and unable to self-administer medications, consumed the coffee without the nurse present, and the CNA confirmed the nurse did not return to supervise. Facility leadership acknowledged that only licensed nurses should administer medications and that staff must remain with residents during administration.
A resident with dementia and muscle weakness, who was cognitively intact and experiencing oral pain, did not receive timely follow-up dental care after a recommended appointment was canceled and not rescheduled. Documentation indicated the need for extractions and a deep cleaning, but the facility failed to ensure the resident saw a dentist as required by policy.
Staff did not follow Enhanced Barrier Precautions by failing to wear gowns, as required, while providing high contact care to a resident with an indwelling urinary catheter. Despite clear signage and available PPE, CNAs only wore gloves during care activities such as transferring, and one CNA was unsure of the signage's meaning. Nursing and infection control staff confirmed that both gowns and gloves were required for this resident.
A resident with multiple chronic conditions and a documented need for corrective lenses was not accurately coded on the MDS assessment as using eyeglasses. Despite an optometry evaluation and direct observation of eyeglasses in the resident's room, the MDS indicated no use of corrective lenses. Interviews confirmed the resident wore glasses, and staff later acknowledged the coding error.
Failure to Implement Physician-Ordered Wound Care for Pressure Injury
Penalty
Summary
The facility failed to ensure that a resident with a Stage IV sacral pressure injury received appropriate and adequate wound care as ordered by the physician upon admission. The hospital discharge summary specified daily application of Collagenase ointment for the wound, but this order was not transcribed or implemented by nursing staff. Instead, the resident received only normal saline wash and a dry protective dressing (DPD) for several days following admission. Nursing staff did not reference the hospital discharge summary when obtaining wound care orders, and the physician assumed the hospital's wound care orders were being followed. The Director of Nursing confirmed that the facility's protocol was to follow hospital discharge wound care orders until the wound nurse practitioner could assess the resident, but this did not occur. The resident had significant medical conditions, including end stage renal disease requiring dialysis, diabetes mellitus, and a Stage IV sacral pressure injury. Documentation showed that the wound was present and measured upon admission, but the prescribed treatment was not provided. The failure to implement the correct wound care orders resulted from a lack of communication and adherence to protocol by nursing staff, as well as an assumption by the physician that the appropriate care was being given.
Failure to Ensure Timely Dialysis Due to Transportation and Communication Errors
Penalty
Summary
A deficiency occurred when a resident with end stage renal disease (ESRD), who required hemodialysis three times a week, missed a scheduled dialysis session due to a transportation issue and miscommunication between the facility and the dialysis center. The resident was admitted with orders to continue dialysis on specific days, but the nursing staff did not obtain the physician's order for dialysis and transportation until several days after admission. As a result, the resident went four days without receiving dialysis, and attempts to reschedule the missed session were unsuccessful due to lack of available openings at the dialysis center. The resident was transported to the dialysis center on a day when no appointment was scheduled, resulting in a return to the facility without treatment. The lack of clear responsibility for booking transportation, with confusion between nursing staff and the resident's family, contributed to the missed treatment. When the resident finally arrived for the next scheduled dialysis session, they were found to be unstable, confused, and lethargic, necessitating transfer to the hospital emergency department. The facility's own policy required nursing staff to arrange transportation and ensure care according to recognized standards, which was not followed in this case.
Failure to Provide Privacy During Resident Council Meetings
Penalty
Summary
The facility failed to provide adequate privacy for residents during Resident Council meetings, as required by resident rights policies. Specifically, the meeting space reserved for these gatherings was not private, with staff frequently using the area as a passageway to access other parts of the building during the meetings. This lack of privacy was confirmed by 10 out of 15 residents in attendance, who reported that staff regularly cut through the space while meetings were in progress. The Resident Council President also noted that privacy during meetings was uncommon, indicating this was the first time in a long period that the group had experienced a private session. The Activities Director, responsible for organizing Resident Council meetings, acknowledged that in the previous year, meetings had been interrupted by staff walking through the hallway approximately four times. The Director further stated that staff should not have been present during these meetings, as residents desired privacy, which had not been consistently respected. The meeting space itself was observed to be divided by a hallway with double doors at each end, but this arrangement did not prevent staff from passing through during council meetings.
Failure to Maintain Safe and Homelike Environment in Resident Units
Penalty
Summary
Surveyors identified that the facility failed to maintain a safe, clean, comfortable, and homelike environment on two out of four resident units. On Unit 2, eight out of 22 resident rooms and the activity room were found with issues such as gouges in the walls, nonfunctional or missing nightlight covers, holes and scrapes in doors and walls, clogged sinks, dented heating vents, and exposed wiring. On Unit 4, all 19 resident rooms had similar deficiencies, including gouges and holes in walls, torn wallpaper, missing or exposed electrical outlet covers, missing floor tiles, and holes from door handles. These environmental issues were directly observed by surveyors during their walkthroughs. Interviews with the Unit Manager revealed that maintenance issues are supposed to be documented in a log book accessible to all staff, and the Maintenance Director is expected to review these logs during daily rounds. However, a review of the maintenance log books for the affected units showed no documented requests for repairs related to the observed deficiencies in the past 90 days. The Maintenance Director confirmed awareness of some issues but indicated that materials needed to be ordered for repairs. Despite the process in place for reporting and addressing maintenance concerns, the lack of documentation and follow-up resulted in ongoing environmental problems. During a Resident Council Group interview, the majority of residents expressed ongoing frustration with the facility environment, citing persistent issues such as holes in walls, broken heating vents, and bathrooms needing repairs. Residents reported that these problems had not been addressed despite being present for some time. The facility administration acknowledged that renovation and remodeling projects were only partially complete and that there had been no quality improvement project focused on environmental repairs for the affected units prior to the survey.
Failure to Maintain Safe and Sanitary Smoking Environment
Penalty
Summary
The facility failed to maintain a safe and sanitary smoking environment for residents, staff, and visitors by not ensuring that proper signage was visible to designate resident smoking areas, not ensuring residents were smoking only in designated areas, and not ensuring safe disposal of cigarette materials. Observations by surveyors revealed that multiple residents were smoking on facility sidewalks and driveways, as well as in the circular driveway and covered porch near the main entrance, rather than in clearly designated smoking areas. Cigarette butts and related trash were found scattered on the ground, in landscaped areas, and around shrubbery and mulch, rather than being disposed of in the provided covered receptacles. Several residents were observed discarding cigarettes on the ground, and staff supervising the smoking areas did not intervene or direct residents to use the appropriate receptacles. Interviews with the Administrator confirmed that the facility considered both the covered porch and sidewalk areas as designated smoking areas, but there was a lack of clear signage to indicate this. The Administrator acknowledged that residents should be using the cigarette receptacles and that staff should be directing them accordingly, but stated that the area was difficult to keep clean due to frequent resident smoking. The facility's policy required safe smoking practices, use of designated areas, and proper disposal of cigarette materials, but these procedures were not consistently followed or enforced.
Failure to Document Enteral Feeding and Monitor Weights for Tube-Fed Resident
Penalty
Summary
The facility failed to provide necessary care and services related to enteral feeding for one resident with a gastrostomy tube. Specifically, the facility did not document the total amount of enteral formula administered during the day shift as ordered by the physician. The resident was prescribed a specific enteral feeding regimen, including Jevity 1.2 cal at a set rate and volume, with instructions to record the total amount infused each day. However, review of the Medication Administration Record (MAR) for March and April did not show any documentation of the total enteral formula administered, as required by the physician's order. Additionally, the facility did not perform weekly weight monitoring for the resident as recommended by the dietician and outlined in facility policy. The resident, who was admitted with diagnoses including traumatic brain injury, acute respiratory failure, dysphagia, and gastrostomy status, experienced a significant weight loss of 11.1% over a one-month period. The weight record showed that weekly weights were not obtained for four weeks as required for residents at high nutritional risk, and this was confirmed by the dietician during an interview.
Medications Left Unattended and Administered by Unauthorized Staff
Penalty
Summary
A deficiency occurred when a nurse failed to ensure the secure and proper administration of medications to a resident with severe cognitive impairment. The nurse prepared the resident's medications by mixing them into a cup of coffee and then handed the cup to a certified nurse aide (CNA), instructing the CNA to ensure the resident consumed the coffee containing the medications. The nurse then left the dining room, leaving the medications unattended with the CNA and the resident, rather than remaining present to directly observe the administration as required by facility policy. The resident involved had a history of dementia, major depressive disorder, anxiety disorder, gastroesophageal reflux disease, and unspecified blepharitis, and was assessed as severely cognitively impaired. The resident's care plan included orders for multiple oral medications, some of which were to be crushed and could be mixed with fluids. Facility policy required that staff remain with residents until all medications are taken, especially for those unable to self-administer, and that only licensed nurses administer medications. Observations and interviews confirmed that the nurse did not stay with the resident during medication administration and left the responsibility to a CNA, who is not authorized to administer medications. The nurse was not in direct line of sight when the resident consumed the coffee containing the medications, and the CNA confirmed that the nurse did not return to supervise or remove the cup. The Assistant Director of Nursing acknowledged that the nurse should have remained with the resident to ensure proper administration and that CNAs are not permitted to administer medications.
Failure to Provide Timely Dental Follow-Up
Penalty
Summary
The facility failed to provide routine dental services for one resident by not scheduling a follow-up dental appointment in a timely manner. The resident, who was cognitively intact and had a history of dementia and muscle weakness, had an activated healthcare proxy and signed consent for dental services. Documentation showed that the resident required extractions and a deep cleaning, and needed to see a dentist for a treatment plan for decay. Despite these recommendations, a dental appointment was canceled and not rescheduled, resulting in a delay in dental care. Interviews confirmed that the resident experienced ongoing oral pain and had not seen the dentist for an extended period. The unit manager acknowledged that the dental care recommendations were not followed up on as required, and that the missed appointment should have been rescheduled. The facility's policy required assistance with dental appointments and timely follow-up, which was not provided in this case.
Failure to Follow Enhanced Barrier Precautions During High Contact Care
Penalty
Summary
Facility staff failed to adhere to infection control standards by not following Enhanced Barrier Precautions (EBP) for a resident with an indwelling urinary catheter. According to facility policy, EBP requires staff to wear gowns and gloves during high contact care activities for residents with indwelling medical devices, such as catheters, to reduce the transmission of multidrug-resistant organisms (MDROs). The policy and signage outside the resident's room clearly indicated the need for gown and glove use during activities like dressing, bathing, transferring, and device care. On the observed date, two certified nurse aides (CNAs) donned gloves but did not wear gowns while providing high contact care, including transferring the resident with a mechanical lift. The signage indicating EBP requirements was present and visible outside the room, and a storage bin with appropriate PPE was available. Despite these measures, the CNAs entered the room and performed care without the required gowns. One CNA later stated she was unsure of the meaning of the signage or to which resident it applied. Interviews with nursing and infection control staff confirmed that the resident was on EBP due to the presence of an indwelling catheter and that staff should have worn both gowns and gloves during care. The involved CNA had completed orientation and received education on hand hygiene, PPE donning, and EBP prior to the incident. The resident was cognitively intact, aware of their catheter, and reported occasional leakage. The failure to follow EBP was directly observed and acknowledged by facility leadership.
Failure to Accurately Code Corrective Lens Use on MDS Assessment
Penalty
Summary
The facility failed to accurately code a Minimum Data Set (MDS) assessment for one resident, resulting in an omission regarding the use of corrective lenses. Record review showed that the resident was admitted with multiple diagnoses, including chronic systolic heart failure, chronic kidney disease, type 2 diabetes mellitus, and cerebrovascular disease. An optometry evaluation documented that the resident had cataracts and had been dispensed glasses. However, the MDS assessment indicated that the resident did not use corrective lenses, despite evidence to the contrary. During interviews, the resident confirmed wearing eyeglasses, and the surveyor observed two pairs of eyeglasses on the resident's nightstand. The Corporate MDS Nurse initially was unaware of the resident's use of eyeglasses but later acknowledged that the resident did wear them and that the MDS had been coded incorrectly. The failure to accurately code the use of corrective lenses was identified through record review, resident interview, and staff interview.
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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.
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Nursing homes near Worcester
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Notre Dame Long Term Care Center | 0.6 mi | ★★★★★ | 0 | 0 |
| Holy Trinity Eastern Orthodox N & R Center | 1.5 mi | ★★★★★ | 2 | 0 |
| Odd Fellows Home Of Massachusetts | 1.5 mi | ★★★★★ | 10 | 0 |
| Knollwood Nursing Center | 1.5 mi | ★★★★★ | 9 | 0 |
| Christopher House Of Worcester | 1.6 mi | ★★★★★ | 9 | 0 |
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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.