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 Whittier Westborough Transitional Care Unit during CMS and state inspections, most recent first.
A resident who was cognitively intact and recovering from fractures experienced a significant weight loss over a short period, as documented in the EMR. Despite facility policy requiring physician notification for such changes, there was no evidence that the physician was informed or that a re-weigh was performed to confirm the loss. The DON was unaware of the re-weigh protocol, and the resident was discharged without the physician being notified of the significant change.
Two residents receiving antidepressant medications were not monitored for potential side effects as required by facility policy and professional standards. Although informed consent was obtained and medications were administered as ordered, there was no evidence of side effect monitoring or documentation for Duloxetine, Trazodone, or Lexapro. Nursing staff and the DON confirmed that this monitoring should have occurred but did not, resulting in a deficiency in care.
A resident with Dementia was found with prescription topical medications left unattended and within reach in their room on multiple occasions. The resident did not have an assessment or physician's order for self-administration, and staff confirmed that facility policy requires such medications to be securely stored and only accessible to authorized personnel.
Staff failed to consistently perform hand hygiene and use PPE as required during wound care, bed linen changes, and fingerstick blood glucose testing for residents on Enhanced Barrier Precautions. These lapses included not cleansing hands between glove changes, not wearing gowns during high-contact care, and not performing hand hygiene between resident contacts, contrary to facility policy and posted instructions.
The facility failed to ensure its designated Infection Preventionist (IP) had completed specialized training in infection prevention and control before assuming the role. The Director of Nursing (DON) confirmed that the IP, who had been in the role for two years, did not have the required training and continued to work as a nurse without the necessary certification.
The facility failed to maintain infection control protocols by not cleaning and disinfecting multi-use equipment between residents on Enhanced Barrier Precaution. An LPN used the same blood pressure cuff and machine on multiple residents without proper disinfection, contrary to facility policy.
Failure to Notify Physician of Significant Weight Loss Prior to Discharge
Penalty
Summary
The facility failed to notify a resident's physician of a significant change in condition, specifically a notable weight loss, prior to the resident's discharge. According to facility policy, residents are to be weighed regularly, and any weight change of 5% or more within 30 days is considered significant and requires physician notification. The resident in question, who was cognitively intact and recovering from recent fractures, experienced a 5.52% weight loss over 13 days. The weight loss was documented in the electronic medical record, but there was no evidence of a re-weigh to confirm accuracy or any notification to the physician regarding this significant change. The facility's policies also require immediate physician notification for significant changes in a resident's physical status. Despite these protocols, the DON confirmed during interview that she was unaware of the re-weigh procedure and could not provide evidence that the physician or nurse practitioner had been informed of the resident's weight loss. The resident was discharged home without the physician being notified of the significant weight loss, and this lapse was identified during a review of the medical record and interviews with facility staff.
Failure to Monitor and Document Psychotropic Medication Side Effects
Penalty
Summary
The facility failed to ensure that services provided met professional standards of quality regarding the management and monitoring of psychotropic medications for two residents. Facility policy required that psychotropic medications not be administered without informed written consent, that documentation of informed consent be maintained, and that both behaviors and potential adverse drug reactions or side effects be monitored and documented each shift. For both residents, informed consent forms were present and medications were administered as ordered by the provider, but there was no evidence of monitoring or documentation of side effects as required by policy and professional standards. One resident, admitted with a diagnosis of depression, was cognitively intact and received Duloxetine and Trazodone as prescribed. The resident had signed informed consent forms listing potential side effects, and the medications were administered according to physician orders. However, there was no evidence in the medical record or care plan that monitoring for side effects of these psychotropic medications was conducted or documented, despite this being a requirement in the facility's policy. The Director of Nursing confirmed that while behaviors were monitored, side effect monitoring was not performed or documented for this resident. A second resident, also admitted with depression and cognitively intact, was prescribed Lexapro and had signed an informed consent form listing common side effects. The medication was administered as ordered, but the medical record lacked physician orders or nursing interventions for monitoring potential side effects. Nursing staff and the DON acknowledged that side effect monitoring should have occurred and been documented, but it was not. This failure to monitor and document side effects for both residents constituted a deficiency in providing care consistent with professional standards of practice.
Failure to Safely Store Medications for Resident with Dementia
Penalty
Summary
The facility failed to ensure a safe environment free from accident hazards by not properly storing prescribed topical medications for one resident diagnosed with Dementia. On two separate occasions, surveyors observed that two tubes of prescription medications (Venelex Ointment and Miconazole Nitrate) were left unattended and within the resident's reach, either on an over-the-bed table or nightstand, while the resident was alone in the room. The resident did not have an assessment or physician's order for self-administration of medications, and when asked, was unable to identify the medications. Facility policy requires that medications be stored safely and only accessible to authorized personnel, and that residents may only self-administer medications if assessed and approved by the interdisciplinary team with a physician's order. Interviews with nursing staff and the unit manager confirmed that the resident did not have the required assessment or order, and that medications should not have been left at the bedside, especially given the resident's cognitive impairment due to Dementia.
Failure to Maintain Effective Infection Control and Prevention Practices
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by multiple lapses in hand hygiene and use of personal protective equipment (PPE) during care of residents on Enhanced Barrier Precautions (EBP) and during medication administration. For one resident with a skin tear requiring EBP, a nurse performed wound care but did not cleanse her hands between removing contaminated gloves and donning a new pair, contrary to facility policy and CDC guidelines. The nurse acknowledged the omission and recognized that it could contribute to the spread of infection. Another resident with open skin areas on both arms, also on EBP, was observed while a CNA changed bed linens without donning a gown, despite signage and facility policy requiring gown and glove use for high-contact care activities such as changing linens. The CNA stated she believed a gown was not required if the linens were not soiled, and the DON initially confirmed this misunderstanding before reviewing the policy and signage, which clarified that a gown was indeed required for this activity. Additionally, the Infection Preventionist (IP) was observed failing to perform hand hygiene after doffing PPE and before donning new PPE during consecutive fingerstick blood glucose tests for two residents. The IP did not cleanse hands after removing gloves and gown, nor before entering the next resident's room, despite handling potentially contaminated items and equipment. The IP later acknowledged that hand hygiene should have been performed between these steps to prevent potential contamination.
Failure to Ensure Specialized Training for Infection Preventionist
Penalty
Summary
The facility failed to ensure its designated Infection Preventionist (IP) had completed specialized training in infection prevention and control before assuming the role. During an interview, the Director of Nursing (DON) confirmed that the IP, who had been in the role for two years, did not have the required specialized training. Despite being asked to provide evidence of the IP's training, the DON was unable to do so. The IP continued to work on the floor as a nurse without the necessary certification in infection prevention and control.
Failure to Maintain Infection Control Protocols
Penalty
Summary
The facility failed to maintain an infection prevention and control program designed to prevent the transmission of communicable diseases and infections. Specifically, the facility did not clean and disinfect multi-use equipment after use between residents who were on Enhanced Barrier Precaution. Nurse #1 was observed taking the blood pressure of Resident #126, who was on Enhanced Barrier Precaution, and then using the same blood pressure cuff and machine on Resident #121, Resident #80, and Resident #124 without cleaning or disinfecting the equipment in between uses. This action was contrary to the facility's policy on cleaning reusable equipment and the use of PPE during high-contact care. During interviews, Nurse #1 admitted to not cleaning and disinfecting the blood pressure cuff and machine as required by the facility's policy. The Director of Nurses confirmed that Nurse #1, who was also the Infection Preventionist, should have followed the facility's policy to clean and disinfect the equipment before and after each use. The failure to adhere to these protocols was observed multiple times, indicating a significant lapse in infection control practices within the facility.
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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 Westborough
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Beaumont Rehab & Skilled Nursing Ctr - Westboro | 2.1 mi | ★★★★★ | 10 | 0 |
| Westborough Healthcare | 2.3 mi | ★★★★★ | 6 | 0 |
| Marlborough Hills Rehabilitation & Health Care Cen | 4.6 mi | ★★★★★ | 1 | 0 |
| Waterview Lodge Llc, Rehabilitation & Healthcare | 4.9 mi | ★★★★★ | 15 | 0 |
| Beaumont Rehab & Skilled Nursing Ctr - Northboro | 5.1 mi | ★★★★★ | 0 | 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.