Above average — CMS composite of the measures below.
The next survey window likely opens 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 Sterling Village during CMS and state inspections, most recent first.
Indwelling catheter care was not provided as ordered for three residents. Surveyors observed catheter drainage bags touching the floor or a floor mat, and staff confirmed this was not appropriate. In one case, a resident ordered to have an 18 FR catheter with a 10 cc balloon had a 14 FR catheter in place, and in another case a resident ordered to have a 16 FR catheter with a 10 cc balloon had a 16 FR catheter with a 5 cc balloon. The DON and UM acknowledged the catheter sizes and bag placement were not consistent with the physician orders and infection control expectations.
A facility failed to keep enteral feeding equipment clean for two residents. Surveyors observed dried brown splatter on one resident’s feeding pump and on another resident’s feeding pump, pole, and nearby bed rail on multiple observations, and the same soiling remained when the UM and surveyor rechecked the items. The UM stated nursing staff were responsible for cleaning spills on medical equipment, and the DON said resident equipment should be cleaned when visibly soiled.
Failure to provide ADL care for a resident dependent on staff for hygiene, including shaving. The resident had severe cognitive impairment, right-sided hemiparesis/weakness, and was observed on multiple occasions with facial hair on the upper lip, chin, and jawline. The resident stated he/she wanted to be shaved but had not been offered assistance, and CNA and DON both confirmed shaving should be offered daily with morning care.
The facility failed to ensure a safe environment for three residents, leading to increased risks of aspiration, adverse reactions, and burn injuries. A resident with dysphagia was served non-pureed food and left unsupervised, another was given an allergen and lacked necessary eating supervision, and a third was not provided with a sip lid for hot liquids, despite a history of burns.
A resident with hypertension did not receive Losartan Potassium as ordered, despite having SBP readings above the threshold for holding the medication. The facility's staff failed to administer the medication on multiple occasions and did not document any reason for this omission, leading to a significant medication error.
The facility did not develop an infection prevention and control policy in line with national standards for COVID-19. The policy lacked procedures for continued testing every 48 hours during an outbreak and did not include testing for residents not newly admitted or staff exposed to COVID-19. Interviews revealed a misunderstanding of outbreak testing requirements, leading to inadequate testing measures.
A facility failed to accurately code the MDS Assessment for a resident who was discharged home against medical advice. Despite documentation indicating the resident's discharge home with medications and VNA services, the MDS inaccurately recorded the discharge as to a short-term hospital. This error was confirmed by the MDS Nurse.
Indwelling Catheter Care Not Provided as Ordered
Penalty
Summary
The facility failed to provide appropriate care for residents with indwelling urinary catheters by not following ordered catheter specifications and by allowing drainage bags to contact contaminated surfaces. The report identified three affected residents out of six applicable residents with catheters in a sample of 28 residents. Facility policies stated that a physician’s order must include catheter size, balloon size, and frequency of change, and that catheter tubing, bag, or spigot should not touch the floor. For one resident with diagnoses including obstructive and reflux uropathy, the physician ordered an 18 FR suprapubic catheter with a 10 cc balloon and monthly changes. The resident’s care plan also listed a 16 FR, 10 cc catheter changed monthly. The TAR showed a catheter change on 12/7/25 to an 18 FR 10 cc catheter, but on 12/18/25 the surveyor and UM observed the drainage bag lying on the floor and the catheter size was 14 FR 10 cc. The UM stated the bag should not be on the floor and that the catheter should have been 18 FR 10 cc as ordered. For another resident with obstructive and reflux uropathy, the physician ordered a urinary catheter drainage bag with a Foley privacy bag in place and a 24 FR 10 cc suprapubic catheter change as needed. The surveyor observed the drainage bag touching the floor on one occasion and later secured to the opposite side of the bed but laying on the resident’s floor mat. The DON stated the bag should not have been on the floor or mat because of infection control concerns. For a third resident with neuromuscular dysfunction of the bladder, the physician ordered a 16 FR catheter with a 10 cc balloon and monthly changes, but the TAR showed a change on 12/11/25 and later observation found a 16 FR catheter with a 5 cc balloon. Nurse #1 stated the balloon size was wrong and should have been 10 cc, and the DON stated the nurse should have obtained the proper catheter and balloon size.
Soiled Enteral Feeding Equipment and Bed Rail
Penalty
Summary
The facility failed to maintain a clean and homelike environment for two residents by not keeping enteral tube feeding equipment clean and sanitary. For Resident #10, the surveyor observed multiple splattered, dried brown material on the resident’s feeding tube pump on 12/17/25 and again on 12/18/25. For Resident #59, the surveyor observed multiple splattered, dried brown material on the resident’s feeding tube pump and pole, as well as on the upper left side bed rail next to the feeding equipment, on 12/17/25 and again on 12/18/25. On 12/22/25, the surveyor and Unit Manager #1 observed both residents’ feeding tube equipment and found the same conditions remained, with multiple areas of dried brown splattered material still present on Resident #10’s pump and on Resident #59’s pump, pole, and upper left side bed rail. During interview, the Unit Manager stated nursing staff were responsible for cleaning drips and spills on residents’ medical equipment and that if staff could not remove stains, housekeeping should be notified. The Unit Manager said the equipment for both residents had not been cleaned and should have been. The DON also stated that all resident equipment should be cleaned when items become visibly soiled.
Failure to Provide Daily Shaving Assistance
Penalty
Summary
The facility failed to provide ADL care to one resident who was dependent on staff for personal hygiene, specifically facial hair removal. Resident #127 was admitted with diagnoses including muscle weakness and hemiplegia/hemiparesis affecting the dominant right side, had severe cognitive impairment with a BIMS score of 6, and was documented as dependent for personal hygiene. The resident’s person-centered care plan identified a self-care deficit related to right-sided hemiparesis and weakness and noted that the level of assistance needed for ADL care could vary depending on fatigue levels. During observations, the resident was seen seated in a wheelchair or at the bedside, dressed for the day, with facial hair on the upper lip, chin, and bilateral jawline. On multiple occasions, the resident stated that he/she wanted the facial hair shaved, could not do it independently, and had not been offered or assisted with facial hair removal. CNA #1 stated that the resident was dependent for hygiene including shaving and that shaving should be offered daily. The DON stated that removal of facial hair should be offered daily with morning care and that not providing shaving to the resident, who wanted to be shaved, was a dignity concern.
Failure to Prevent Accidental Hazards and Provide Adequate Supervision
Penalty
Summary
The facility failed to provide an environment free from accidental hazards for three residents, leading to increased risks for aspiration, adverse reactions, and burn injuries. Resident #113, diagnosed with Oropharyngeal Phase Dysphagia, was not adequately supervised while eating and was served food that was not of the required pureed texture. This resident was observed eating solid chunks of fish, contrary to the dietary order for pureed food, and was left unsupervised during meals, increasing the risk of aspiration. Resident #20, who also had Oropharyngeal Phase Dysphagia, was served green beans despite a documented allergy, and was not provided with the necessary supervision and verbal cues while eating. The resident was observed eating alone with a fork, contrary to the care plan that required the use of a teaspoon and specific eating instructions to prevent aspiration. The dietary staff failed to review the resident's food allergy list properly, resulting in the resident being served an allergen. Resident #92, with a history of sustaining a burn from hot liquids, was not provided with the required sip cup lid for hot beverages and was left unsupervised during meals. Despite the care plan indicating the need for supervision and adaptive equipment, the resident was observed eating alone with a mug of thickened coffee without a sip lid, increasing the risk of further burn injuries. The facility's failure to adhere to care plans and dietary orders for these residents resulted in significant safety hazards.
Failure to Administer Blood Pressure Medication as Ordered
Penalty
Summary
The facility failed to ensure that a resident was free from significant medication errors, specifically regarding the administration of Losartan Potassium, a medication used to manage hypertension. The staff did not adhere to the physician's orders to hold the medication if the resident's systolic blood pressure (SBP) was less than 110 mmHg. Despite the resident's SBP readings being above the threshold on multiple occasions, the medication was not administered as prescribed. The facility's policy requires medications to be administered according to the physician's written orders, and any discrepancies should be clarified with the physician and documented. The resident involved had a history of hypertension, cerebral vascular accident, and peripheral vascular disease, and was cognitively intact with a BIMS score of 13 out of 15. The medication administration record for August showed several instances where the medication was not given despite the SBP being within the parameters for administration. Interviews with the unit manager and the director of nursing confirmed that the medication should have been administered and that there was no documentation explaining the failure to do so. The lack of adherence to the physician's orders and the absence of documentation for the missed doses constituted a significant medication error.
Failure to Implement COVID-19 Outbreak Testing Procedures
Penalty
Summary
The facility failed to develop an infection prevention and control policy and procedure (IPCP) in accordance with current accepted national standards and guidelines for controlling COVID-19 infection. Specifically, the facility did not outline measures to identify and control the spread of COVID-19 among residents and staff during an outbreak. The facility's policy, dated May 4, 2024, did not include continued testing every 48 hours until the facility went seven days without a new case, as required by the Massachusetts Department of Public Health (DPH) guidance. Additionally, the policy lacked procedures for testing residents who were not newly admitted and had exposure to COVID-19, as well as for testing facility staff with exposure. Interviews with the Infection Preventionist (IP) and the Risk Management Director revealed a misunderstanding of the requirements for outbreak testing. The IP stated that no outbreak testing was necessary unless individuals became symptomatic, contradicting the DPH guidance. The Risk Management Director, responsible for updating the facility's COVID-19 policy, believed that testing was only required for symptomatic individuals and was unaware that outbreak testing was still mandated when a positive case was identified. This lack of adherence to the DPH guidance resulted in the facility's failure to implement appropriate testing measures during a COVID-19 outbreak.
Inaccurate MDS Coding for Resident Discharge
Penalty
Summary
The facility failed to ensure the Minimum Data Set (MDS) Assessment was accurately coded for a resident who was discharged home. The resident, admitted in July 2024 with diagnoses of urinary tract infection and sepsis, chose to be discharged home against medical advice on July 18, 2024. Documentation in the resident's clinical record, including the Nurses Progress Note and Physician's orders, confirmed the resident's discharge home with medications and Visiting Nursing Association services. However, the MDS assessment inaccurately recorded the resident as discharged to a short-term hospital. This discrepancy was acknowledged by the MDS Nurse during an interview on September 4, 2024.
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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 Sterling
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Oakdale Rehabilitation & Skilled Nursing Center | 1 mi | ★★★★★ | 0 | 0 |
| Holden Rehabilitation & Nursing Center | 5.2 mi | ★★★★★ | 0 | 0 |
| Knollwood Nursing Center | 6.4 mi | ★★★★★ | 9 | 0 |
| River Terrace Rehabilitation And Healthcare Ctr | 6.9 mi | ★★★★★ | 0 | 0 |
| Odd Fellows Home Of Massachusetts | 7.6 mi | ★★★★★ | 10 | 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.