Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Beaumont Rehab & Skilled Nursing Ctr - Westboro during CMS and state inspections, most recent first.
A resident on hospice with multiple comorbidities who required set-up assistance for meals was served a cup of coffee that had been reheated in a microwave without the CNA checking the temperature as required by facility policy. While the CNA was removing the resident’s meal tray and placing the hot coffee on the tray table, the table was bumped and the coffee spilled onto the resident’s upper thighs, resulting in first- and second-degree burns that required daily wound treatment. Interviews and record review confirmed that reheating guidelines and posted microwave safety instructions, including use of a thermometer to verify beverage temperature, were not followed.
A facility failed to assess the use of an abdominal binder as a physical restraint for a resident with nephrostomy tubes. The resident, who had acute kidney failure and dementia, used the binder to secure drain tubes. However, no assessment was documented to determine if the binder could be easily removed, as required by the facility's policy. Observations showed the resident was unsteady, and interviews confirmed the lack of assessment, which was acknowledged by the DON.
A facility failed to update a Level I PASARR for a resident who developed new psychiatric symptoms and was diagnosed with PTSD. Initially, the resident did not require a Level II evaluation, but subsequent assessments showed worsening behavior and new diagnoses, including PTSD, necessitating a review. Despite these changes, the facility did not resubmit the PASARR, and staff confirmed the oversight, noting the absence of a PASARR policy.
A facility failed to create a Trauma Informed Care Plan for a resident with PTSD. Despite the resident's history of depression and anxiety, and a new PTSD diagnosis, no assessment or care plan was developed. Staff interviews revealed a lack of communication and documentation regarding the resident's PTSD, leading to inadequate care planning.
A facility failed to safely administer Furosemide to a resident with heart failure and hypertension. The ordered 10 mg dose was not delivered from the pharmacy, leading staff to improperly use a 20 mg tablet, breaking it in half to administer the dose. This practice violated facility policy, which discourages splitting unscored tablets due to dosing inaccuracies. The DON confirmed the order never reached the pharmacy, and the nurse admitted to borrowing medication from another resident.
A facility failed to transmit a discharge MDS assessment for a resident with dementia within the required 14-day timeframe. The assessment was completed but not sent to IQIES, as confirmed by the MDS Nurse.
Burn Injury from Unchecked Hot Coffee Temperature
Penalty
Summary
The deficiency involves the facility’s failure to ensure a safe environment and adequate supervision when serving hot beverages to a resident who required set-up assistance with meals. Facility policy titled “Microwave Safety for Hot Liquids” required that any liquids heated in the microwave have their temperature checked with a thermometer, with an acceptable serving range of 135–155°F. Despite posted reheating instructions and thermometers available near the microwaves, a staff member reheated coffee in a microwave for a resident and did not check the temperature with a thermometer before serving it, contrary to facility policy and expectations. The resident involved had been admitted with diagnoses including lung cancer, congestive heart failure, and chronic respiratory failure, and was on hospice services. An Annual MDS assessment and the resident’s plan of care indicated the resident required set-up assistance for eating. On the day of the incident, the resident was seated in a chair at the bedside when a CNA delivered a supper tray and a cup of coffee that had been reheated in the microwave. The resident refused the supper tray but requested the coffee. While the CNA was removing the supper tray and placing the hot coffee on the tray table, she accidentally bumped the tray table, causing the contents of the cup to spill onto the resident’s upper thighs. Immediately after the spill, nursing staff assessed the resident and initially observed red, blanchable skin on the upper thighs. Subsequent evaluation by a wound physician documented a cluster of second-degree burns on the right thigh and additional first- and second-degree burns on the right and left thighs, requiring daily treatment with silver sulfadiazine cream until healed. Interviews with the CNA, ADON, and DON confirmed that the CNA did not use a thermometer to check the temperature of the reheated coffee before serving it, and that this was not in accordance with the facility’s microwave safety policy and reheating guidelines.
Failure to Assess Abdominal Binder as Physical Restraint
Penalty
Summary
The facility failed to assess the use of an abdominal binder as a physical restraint for a resident with nephrostomy tubes. The resident, who was admitted with acute kidney failure, hydronephrosis, and dementia, had physician's orders to use the abdominal binder to hold drain tubes in place as a safety precaution. However, the facility did not document any assessment of the binder as a restraint until it was brought to their attention by a surveyor. The resident's clinical record lacked evidence of an assessment to determine if the binder could be easily removed by the resident. Observations by the surveyor revealed that the resident was unsteady on their feet and had issues with the nephrostomy bags being loose and falling onto the mattress. Interviews with nursing staff confirmed that the resident frequently removed the restraints and that an assessment should have been completed to evaluate the necessity and appropriateness of the abdominal binder. The Director of Nursing acknowledged that an assessment was not conducted when the binder was applied, which was a requirement according to the facility's policy on physical restraints.
Failure to Update PASARR for Resident with New PTSD Diagnosis
Penalty
Summary
The facility failed to ensure that a Level II Preadmission Screening and Resident Review (PASARR) evaluation was submitted for a resident who demonstrated an increase in behavioral, psychiatric, and mood-related symptoms. The resident, admitted in September 2023 with diagnoses including Bipolar Disorder, Depression, and Anxiety, initially did not meet the criteria for a Level II PASARR evaluation based on the Level I screen. However, subsequent assessments indicated worsening verbal behavior symptoms and new diagnoses, including PTSD, which necessitated a review. Despite these changes, the facility did not update or resubmit the Level I PASARR for an additional review. The resident's medical record showed increased use of medications for anxiety and PTSD, including Prazosin and Buspar, indicating a significant change in the resident's mental health status. Interviews with facility staff confirmed that the Level I screen should have been resubmitted following the new PTSD diagnosis, but it was not, and the facility lacked a PASARR policy to guide such actions.
Failure to Develop Trauma Informed Care Plan for Resident with PTSD
Penalty
Summary
The facility failed to develop a comprehensive Trauma Informed Care Plan for a resident diagnosed with Post-Traumatic Stress Disorder (PTSD). The resident, who was admitted with diagnoses including Bipolar Disorder, Depression, and Anxiety, exhibited verbal behavior symptoms and had a history of depression and anxiety related to the death of a child. Despite receiving a new diagnosis of PTSD and being prescribed Prazosin for nightmares, the facility did not complete an assessment or develop a care plan addressing the resident's PTSD history and triggers. Interviews with facility staff revealed that the new PTSD diagnosis was not communicated to the social worker, and a trauma assessment was not completed. The social worker acknowledged that a Trauma Informed Care Plan should have been developed but was not. The resident's clinical record showed increased use of anti-anxiety medication, indicating ongoing anxiety issues, yet no trauma-informed interventions were documented in the care plan.
Failure to Safely Administer Furosemide
Penalty
Summary
The facility failed to accurately and safely provide pharmaceutical services for a resident, specifically in the administration of Furosemide, a medication used to treat high blood pressure and heart failure. The resident was admitted with diagnoses of heart failure and hypertension and had a physician's order for Furosemide 10 mg once a day. However, the medication was not dispensed from the pharmacy, and the facility staff resorted to using a higher dose Furosemide 20 mg tablet, which they broke in half to administer the ordered dose. This practice was against the facility's policy, which discourages splitting unscored tablets due to the risk of inaccurate dosing. During the survey, it was observed that the Furosemide medication was not available in the medication cart, and the nurse confirmed that the medication had not been delivered from the pharmacy since it was ordered. The Director of Nursing acknowledged that the medication had not been removed from the facility's automated dispensing system and confirmed that the order for the 10 mg Furosemide never reached the pharmacy. The nurse admitted to borrowing the 20 mg Furosemide from another resident and breaking it to administer to the resident in question, which was against the facility's policy of not borrowing medications between residents.
Failure to Transmit MDS Assessment Timely
Penalty
Summary
The facility failed to ensure that a Minimum Data Set (MDS) assessment was transmitted within the required timeframe for a resident. Specifically, a discharge MDS assessment for a resident with unspecified dementia, who was under hospice care and expired at the facility, was not transmitted to the Internet Quality Improvement and Evaluation System (IQIES) within 14 days of its completion. The MDS assessment was completed, but there was no evidence in the clinical record that it was ever transmitted as required. During an interview, the MDS Nurse confirmed that the assessment should have been transmitted within the specified timeframe but acknowledged that it had not been done.
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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) |
|---|---|---|---|---|
| Westborough Healthcare | 0.6 mi | — | 6 | 0 |
| Whittier Westborough Transitional Care Unit | 2.1 mi | — | 0 | 0 |
| Beaumont Rehab & Skilled Nursing Ctr - Northboro | 3.2 mi | — | 0 | 0 |
| Alliance Health At Coleman | 3.4 mi | — | 10 | 0 |
| Marlborough Hills Rehabilitation & Health Care Cen | 4.4 mi | — | 1 | 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 August 2026) and official state health department websites.