Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 West Side House Ltc Facility during CMS and state inspections, most recent first.
The facility failed to follow food safety standards by not documenting food temperatures in the main kitchen, risking foodborne illnesses. Observations showed that food temperatures were not taken before meal service, and the Daily Temperature Checklist was incomplete. Interviews revealed a habit of not recording temperatures, despite the Food Service Director's protocol requiring checks at three critical points.
A resident with severe cognitive impairment was found using a wheelchair seat belt as a restraint without proper assessment, consent, or physician's order. The facility's policy requires such devices to be assessed and documented, but this was not done, leading to a deficiency in ensuring the resident's right to be free from unnecessary restraints.
A facility failed to adhere to infection control standards during a bolus feeding procedure for a resident. The staff did not follow Enhanced Barrier Precautions by neglecting to use protective gowns and gloves during high-contact care activities, and did not perform required hand hygiene between glove changes. Additionally, a key was used to pierce the Jevity container foil, violating aseptic technique policies. The resident required a feeding tube due to malnutrition and weight loss, and the lapses were acknowledged by the staff involved.
A facility failed to accurately complete the MDS Assessment for a resident with Paranoid Delusions, as the use of Zyprexa, an antipsychotic medication, was not coded despite being administered during the observation period. The MDS Nurse acknowledged the oversight during an interview.
Two residents, both with cognitive impairments and legal guardianships, were involved in an alleged sexual act that was not reported in a timely manner by the nursing staff. Despite being informed by CNAs, two nurses failed to notify the DON or Administrator, delaying the report by over 12 hours, contrary to the facility's Abuse Prohibition Policy.
Failure to Document Food Temperatures in Kitchen
Penalty
Summary
The facility failed to adhere to professional standards of practice for food safety in the main kitchen, which could potentially lead to the spread of foodborne illnesses among residents. Specifically, the facility did not ensure that food temperatures were taken and documented prior to meal service. During an observation, it was noted that the cook began plating food from the steam table without taking the food temperatures. Additionally, a review of the Daily Temperature Checklist revealed that no food temperatures had been documented for breakfast or lunch on the day of the observation, and there were multiple instances throughout the month where meal temperatures were not recorded. Interviews with dietary staff revealed that there was a habit of not writing down the temperatures even though they claimed to have taken them. The Food Service Director acknowledged that food temperatures should be taken at three critical points: when the food is done cooking, when placed on the steam table, and right before meal service starts. However, this protocol was not consistently followed, and the responsibility to ensure compliance was not adequately executed. The lack of documentation and adherence to food safety protocols poses a risk of foodborne illness due to potential bacterial growth in improperly monitored food temperatures.
Failure to Assess and Obtain Consent for Wheelchair Restraint
Penalty
Summary
The facility failed to ensure that a resident was free from the use of physical restraints, specifically a wheelchair seat belt, without proper assessment and consent. The resident, who was admitted in March 2019, had diagnoses including Non-Alzheimer's Dementia, Traumatic Brain Injury, Major Depressive Disorder, and Anxiety, and was severely cognitively impaired with a BIMS score of 3 out of 15. The resident was observed using a seat belt in a wheelchair, which was not assessed or documented as necessary, nor was there informed consent from the resident's representative or a physician's order for its use. The facility's policy requires that any device with the potential to act as a restraint must be assessed for necessity, with informed consent obtained and documented. However, the resident's clinical record lacked any assessment for the seat belt's use, and interviews with the Director of Nursing and Rehabilitation Director confirmed that no assessment, physician's order, or consent had been obtained since the resident's admission. The seat belt was used to prevent the resident from sliding off the wheelchair, but this was not formally evaluated or justified in the resident's care plan. The deficiency was identified during a survey when the resident was observed with the seat belt in the dining area. The Unit Manager and Director of Nursing acknowledged the oversight, noting that the resident's guardian should have been informed and consent obtained, with periodic reviews of the restraint's necessity. The facility's failure to follow its own policy on restraints led to the resident being restrained without proper assessment or authorization.
Infection Control Lapses During Bolus Feeding Procedure
Penalty
Summary
The facility failed to adhere to infection control standards during a bolus feeding procedure for Resident #51. Specifically, the facility did not follow Enhanced Barrier Precautions (EBP) by not using protective gowns and gloves during high-contact care activities, which could increase the risk of contamination and infection spread. Additionally, the facility did not perform the required hand hygiene procedures between glove changes while providing care. The Jevity container foil was also not opened in a sanitary manner, as a key was used to pierce the foil, which is against the facility's policy for aseptic technique. Resident #51, who was admitted with diagnoses including Adult Failure to Thrive and Dysphagia, required a feeding tube due to malnutrition and weight loss. The resident's care plan included Enhanced Barrier Precautions every shift. During the observation, Nurse #1 did not perform hand hygiene after removing gloves, used a key to pierce the Jevity container, and did not wear gloves during the entire high-contact treatment. Both Nurse #1 and the Director of Nursing acknowledged these lapses in protocol during interviews following the observation.
Inaccurate MDS Assessment for Antipsychotic Medication
Penalty
Summary
The facility failed to accurately complete the Minimum Data Set (MDS) Assessment for a resident, leading to a deficiency. The resident, admitted in December 2024 with diagnoses including Paranoid Delusions, was prescribed Zyprexa, an antipsychotic medication, to be administered nightly. However, the MDS Assessment dated 12/12/24 did not reflect the administration of this medication during the observation period from 12/6/24 to 12/12/24, despite the Medication Administration Record (MAR) indicating that the medication was given. During an interview, the MDS Nurse confirmed that the antipsychotic medication should have been coded on the MDS Assessment but was not.
Failure to Report Alleged Abuse in a Timely Manner
Penalty
Summary
The facility failed to implement and follow its Abuse Prohibition Policy when two nurses did not report an allegation of abuse involving two residents. On the evening of 10/17/24, a certified nurse aide (CNA) observed a potentially abusive situation where one resident was engaged in a sexual act with another resident. Despite being informed of the incident, Nurse #1 and Nurse #2 did not report it to the Director of Nursing or the Administrator, delaying the notification by more than 12 hours. The residents involved were both severely cognitively impaired and had legal guardianships. Resident #1, diagnosed with dementia and traumatic brain injury, was observed by CNA #1 in a compromising position with Resident #2, who had metabolic encephalopathy and HIV. The incident was initially reported by CNA #1 to other CNAs and then to Nurse #1, who did not take immediate action to escalate the report. Nurse #2 was also informed of the incident but failed to notify the appropriate authorities. It was not until Nurse #3 became aware of the situation the following day that the Director of Nursing was informed, prompting an investigation. The delay in reporting violated the facility's policy, which mandates immediate reporting of any suspected abuse to supervisors.
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 357 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) |
|---|---|---|---|---|
| Lutheran Rehabilitation And Skilled Care Center | 0.5 mi | ★★★★★ | 0 | 0 |
| St Mary Health Care Center | 0.7 mi | ★★★★★ | 10 | 0 |
| St Francis Rehabilitation & Nursing Center | 1.5 mi | ★★★★★ | 5 | 0 |
| Worcester Rehabilitation & Health Care Center | 1.6 mi | ★★★★★ | 1 | 0 |
| Christopher House Of Worcester | 1.7 mi | ★★★★★ | 9 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for West Side House Ltc Facility.
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.