Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
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 Christopher House Of Worcester during CMS and state inspections, most recent first.
The facility failed to administer Pneumococcal Vaccinations to two residents who had consented and were eligible for further doses. One resident with COPD and CKD had only received a PCV13 dose in 2015, while another resident with Diabetes Mellitus had received a PCV13 dose in 2019. The Infection Preventionist had not audited the residents' vaccination needs, leading to this oversight.
A resident with a Stage 4 pressure ulcer did not receive the hospital-recommended wound care regimen upon re-admission to the facility. The facility failed to implement the Santyl wet-to-dry dressings, leading to the deterioration of the wound. Observations showed significant necrotic tissue and undermining, and staff interviews revealed that the hospital's recommendations were not correctly entered into the resident's clinical record.
The facility failed to adhere to infection control standards for two residents. One resident's wound care involved improper hand hygiene by staff, increasing infection risk. Another resident on Contact Precautions for C-diff had staff not wearing PPE correctly, and improper urinary catheter maintenance was observed. These deficiencies could lead to infection spread.
A resident who required a Hoyer lift with two staff members for transfers was injured when a CNA transferred them alone, resulting in a fall and multiple injuries. The CNA admitted to not following the care plan, and the facility's investigation confirmed this failure.
A resident who required a Hoyer lift with two staff members for transfers was injured when CNA #1 attempted the transfer alone, resulting in a fall and multiple injuries. The facility's policy required two-person assistance, which was not followed, leading to significant harm.
A resident fell during a transfer with a Hoyer lift, resulting in significant injuries. The CNA transferred the resident to bed before notifying nursing staff, contrary to the Facility's policy requiring immediate nurse assessment after a fall. The CNA admitted to not seeking assistance and cleaning the blood before informing the nurse.
Failure to Administer Pneumococcal Vaccinations
Penalty
Summary
The facility failed to ensure that the Pneumococcal Vaccination was administered to two residents, despite having consent from the residents or their representatives. Resident #35, who was over the age of 65 and had a history of Chronic Obstructive Pulmonary Disease and Hypertensive Heart and Chronic Kidney Disease, consented to receive the Pneumococcal Vaccine in March 2023. However, the facility's records showed that the resident had only received one dose of PCV13 in 2015, with no evidence of any subsequent doses, despite being eligible for further vaccination according to CDC guidelines. Similarly, Resident #81, who was also over the age of 65 and had a diagnosis of Diabetes Mellitus, had consented through a representative to receive the Pneumococcal Vaccine if indicated. The facility's records indicated that this resident had received one dose of PCV13 in 2019, but no further doses were administered, even though the resident was eligible for additional vaccination. The Infection Preventionist, who started in June 2024, acknowledged that she had not audited the residents for Pneumococcal Vaccine needs and confirmed that both residents were eligible for further vaccination.
Failure to Implement Hospital Wound Care Recommendations
Penalty
Summary
The facility failed to provide appropriate care for a resident with a Stage 4 pressure ulcer, as per the hospital's wound care recommendations. The resident, who was admitted with a Stage 4 pressure ulcer and quadriplegia, was supposed to receive a specific wound care regimen upon re-admission to the facility. This regimen included washing the wound with soap and water, applying Santyl, using saline-moistened kerlix, and covering the wound with Mepilex. However, the facility did not implement the recommended Santyl wet-to-dry dressings, which were crucial for the resident's wound care. The deficiency was identified through a review of the resident's clinical records and observations made by the surveyor. The records showed that the hospital's wound care recommendations were not followed, and the resident's wound deteriorated over time. Initially documented as a Stage 2 wound with light exudate, it progressed to an unstageable wound with heavy exudate and a foul odor. During an observation, the surveyor noted a significant portion of the wound with necrotic tissue and undermining, indicating a decline in the wound's condition. Interviews with facility staff revealed that the hospital's recommendations were not correctly entered into the resident's clinical record. The Admission Nurse and Nursing Supervisor acknowledged the oversight, with the Nursing Supervisor admitting to failing to include the wet-to-dry portion of the Santyl dressing order. The Director of Nursing confirmed that it was the responsibility of the nurse taking the order to ensure it was entered correctly and that any deviations from hospital recommendations should have been documented.
Infection Control Deficiencies in Hand Hygiene and PPE Use
Penalty
Summary
The facility failed to adhere to infection control standards, leading to potential transmission of communicable diseases and infections for two residents. For Resident #130, the deficiency involved improper hand hygiene during a wound care procedure. The Unit Manager did not perform hand hygiene after removing gloves and before donning new ones while changing the dressing on a Stage 4 Pressure Ulcer, which could increase the risk of infection in the resident's wound. For Resident #241, the facility did not ensure proper use of Personal Protective Equipment (PPE) and urinary catheter care. A Certified Nurses Aide entered the resident's room without wearing a gown or gloves, despite the resident being on Contact Precautions for Clostridium Difficile. The aide also failed to wash hands after leaving the room. Additionally, a Rehabilitation Services Staff member wore a gown with untied waist ties, which could lead to contamination. These actions did not comply with the facility's infection control policies. Furthermore, the facility did not follow proper procedures for urinary catheter maintenance for Resident #241. After the resident's catheter drainage bag became disconnected, Nurse #2 reconnected it without replacing it with a new sterile bag, contrary to guidelines. The resident was also observed with the catheter drainage bag on the floor, which is against infection control protocols. These lapses in infection control practices could contribute to the spread of infections within the facility.
Failure to Follow Care Plan Results in Resident Injury
Penalty
Summary
The facility failed to ensure staff implemented and followed interventions in a resident's care plan, resulting in a serious injury. The resident, who required the use of a Hoyer lift with the assistance of two staff members for all transfers, was transferred by a CNA without the required assistance. During the transfer, the mechanical sling became loose, causing the resident to fall to the floor, landing on their knees and face. The resident sustained multiple injuries, including a subdural hematoma, subarachnoid hemorrhage, and bilateral nasal fractures, and was subsequently transferred to the hospital for treatment. The incident occurred despite the resident's care plan and Kardex clearly indicating the need for two staff members to assist with transfers using the Hoyer lift. The CNA admitted to transferring the resident alone, both before and after the fall, and acknowledged awareness of the requirement for assistance. The CNA's failure to follow the care plan and obtain the necessary help directly led to the resident's fall and subsequent injuries. The facility's investigation confirmed that the CNA did not follow the care plan and did not seek assistance from another staff member during the transfer. The Director of Nurses acknowledged that the CNA should have adhered to the care plan and obtained the required assistance for the transfer. The incident highlights a significant lapse in following established care protocols, resulting in severe harm to the resident.
Failure to Provide Adequate Staff Assistance During Transfer
Penalty
Summary
The Facility failed to ensure that Resident #1, who required the use of a Hoyer lift with the assistance of two staff members for all transfers, was provided with the necessary level of staff assistance to maintain safety. On 03/12/24, CNA #1 transferred Resident #1 from his/her wheelchair into bed without another staff member present to assist. During the transfer, the mechanical sling came loose, causing Resident #1 to fall to the floor onto his/her knees and then forward onto his/her face. This incident resulted in Resident #1 sustaining a head laceration, head injuries, and multiple facial fractures, necessitating transfer to the Hospital Emergency Department (ED). The injuries included a small acute subdural hematoma, small acute subarachnoid hemorrhage, and bilateral [NAME] II fractures, among others. The Facility's policy on Mechanical Lifts, revised on 1/25/22, clearly indicated that two staff members were required to assist with the use of a Hoyer lift for safe transfers. Despite this, CNA #1 proceeded with the transfer alone, which directly led to the incident. The Facility's investigation and staff interviews revealed that CNA #1 was aware of the requirement for two-person assistance but chose to perform the transfer alone. After the fall, CNA #1 further failed to follow protocol by not immediately seeking assistance from a nurse and instead moved Resident #1 from the floor to the bed by himself, cleaned the blood from the floor, and then notified Nurse #1 of the incident. Resident #1 had been admitted to the Facility in December 2018 with diagnoses including Alzheimer's Disease and unspecified osteoarthritis. The Quarterly Minimum Data Set (MDS) Assessment dated 03/06/24 indicated that Resident #1 had significant memory impairments and was dependent on two or more staff members for chair/bed-to-chair transfers. The Falls Care Plan and care Kardex also specified the need for a Hoyer lift with two staff members for all transfers. The failure to adhere to these documented care requirements directly contributed to the incident and subsequent injuries sustained by Resident #1.
Failure to Follow Fall Protocol and Immediate Assessment
Penalty
Summary
The Facility failed to ensure quality care for a resident who experienced a fall during a transfer with a Hoyer lift. Despite the resident bleeding from the nose and having visible injuries, the CNA transferred the resident off the floor and into bed before notifying nursing staff for an assessment. This action was against the Facility's policy, which requires a licensed nurse to conduct a physical assessment immediately after a fall. The incident occurred when the mechanical lift sling became loose, causing the resident to fall face forward onto the floor. The resident sustained significant injuries, including a small subdural hematoma, a small subarachnoid hemorrhage, and bilateral nasal fractures. The CNA admitted to transferring the resident by himself and cleaning the blood off the floor before notifying the nurse, despite knowing that a nurse should assess the resident immediately after a fall. The Facility's investigation revealed that the CNA did not seek assistance from another staff member during the transfer and failed to follow the proper protocol for post-fall assessment. The Director of Nurses confirmed that the CNA should have requested help and that staff are not supposed to move a resident who has fallen until a nurse has assessed them for injuries.
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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) |
|---|---|---|---|---|
| Lutheran Rehabilitation And Skilled Care Center | 1.2 mi | — | 0 | 0 |
| St Francis Rehabilitation & Nursing Center | 1.2 mi | — | 5 | 0 |
| Notre Dame Long Term Care Center | 1.3 mi | — | 0 | 0 |
| Regalcare At Worcester | 1.6 mi | — | 0 | 0 |
| West Side House Ltc Facility | 1.7 mi | — | 17 | 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.