Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 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 Jewish Healthcare Center during CMS and state inspections, most recent first.
A resident with anxiety disorder and Down Syndrome was admitted on clonazepam, which the NP ordered at 1 mg TID based on family report and recent hospital use. During medication reconciliation, a nurse compared the hospital discharge summary listing clonazepam 1 mg BID to the NP’s TID order in the EMR, assumed the TID order was an error, and independently changed the order to BID without consulting a practitioner. The MAR shows the resident then received clonazepam 1 mg BID for several days, and a family member later reported the resident was more angry and was told by staff the drug was being given only twice daily. The NP stated the resident should have continued on clonazepam 1 mg TID and expressed concern that nursing altered the order without provider involvement.
A resident with a history of small bowel resection and recent TPN for significant malnutrition had multiple meal intake percentages left undocumented on CNA flow sheets over several days. The facility could not produce CNA assignment records for the period in question. Staff interviews confirmed that CNAs are responsible for documenting meal intake percentages at each meal as part of routine documentation, and the DON acknowledged there was no formal policy on medical record accuracy, stating it was a standard of care while still expecting complete documentation.
A facility did not complete a required Level I PASRR for a resident with PTSD before their admission, as mandated by policy. The PASRR, intended to assess for mental disorders or intellectual disabilities, was conducted after the resident's admission. The DON confirmed the delay in completing the PASRR.
The facility failed to follow infection control standards on the Fourth Floor Unit. A nurse did not disinfect a glucometer after use, risking cross-contamination, and a wound nurse improperly handled wound care supplies, placing them on a resident's bed and returning them to the treatment cart, contrary to policy.
Nursing Changed Clonazepam Order Without Practitioner Consultation
Penalty
Summary
The deficiency involves nursing staff failing to follow professional standards of practice and facility policy when they unilaterally changed a physician’s order for an anti-anxiety medication. A resident with anxiety disorder and Down Syndrome was admitted with a hospital discharge summary listing clonazepam 1 mg twice daily as a modified medication, but had actually been prescribed and administered clonazepam 1 mg three times daily during the hospitalization until the morning dose on a specified date when the frequency was modified. On admission, the NP, after being informed by nursing that the family reported the resident had been taking clonazepam 1 mg three times per day before and during the hospitalization, wrote an order for clonazepam 1 mg three times daily. The facility’s medication reconciliation policy required licensed nurses to compare discharge medication lists with admission orders, clarify discrepancies with a practitioner, and ensure accurate reconciliation. Review of the MAR showed that the resident had a physician’s order for clonazepam 1 mg three times daily, but the order was changed by nursing the day after admission to clonazepam 1 mg twice daily without consulting a practitioner. The MAR indicated the resident received clonazepam 1 mg twice daily for several days following this change. During interviews, a family member reported the resident appeared more angry during visits and was told by staff that the resident was only receiving clonazepam twice daily. A nurse stated that, while performing the second-check reconciliation, she saw the hospital discharge summary listed clonazepam twice daily and assumed the three-times-daily order in the EMR was an error, so she changed the order back to twice daily without contacting a practitioner. The NP later stated she was upset that nursing had changed the frequency without consulting her or the physician and affirmed the resident should have received clonazepam three times daily per her order. The DON acknowledged that there had been a breakdown in communication regarding the clonazepam order, resulting in the medication error.
Failure to Accurately Document Meal Intake Percentages
Penalty
Summary
The facility failed to maintain a complete and accurate medical record for one resident by not documenting meal intake percentages for multiple meals. The resident, admitted in January 2026 with a diagnosis including status post small bowel resection, had a hospital discharge summary indicating they had received total parenteral nutrition (TPN) during hospitalization due to significant malnutrition, with TPN discontinued on 01/20/26. Review of the resident’s CNA flow sheets for January 2026 showed that the meal intake percentage boxes were left blank for five applicable meals: dinner on 01/25/26; breakfast and lunch on 01/26/26; and breakfast and lunch on 01/27/26. The facility was unable to provide CNA assignment records for the resident’s stay. In interviews, a CNA and the Unit Manager stated that CNAs are responsible for documenting residents’ meal intake percentages at each meal as part of their routine documentation, and the DON stated there was no written policy on medical record accuracy and documentation because it was considered a standard of care, but that CNAs were expected to document all of the resident’s meal intake percentages.
Failure to Complete PASRR Prior to Admission
Penalty
Summary
The facility failed to ensure that a Preadmission Screening and Resident Review Level I (PASRR) was completed prior to the admission of a resident. The facility's policy requires a Level I PASRR to be conducted before admitting a resident to evaluate for the presence of a mental disorder or intellectual disability. However, for one resident with a diagnosis of Post Traumatic Stress Disorder (PTSD), the Level I PASRR was not completed until after their admission. The resident was admitted in July 2024, but the PASRR was only completed on August 15, 2024. During an interview, the Director of Nursing acknowledged that the PASRR was completed late and should have been done before the resident's admission.
Infection Control Deficiencies in Glucometer and Wound Care Practices
Penalty
Summary
The facility failed to adhere to infection control standards on the Fourth Floor Unit, as observed during a survey. Specifically, a nurse did not clean and disinfect a glucometer after using it on a resident, which is against the facility's policy. The nurse placed the glucometer back into a storage bag without disinfecting it, and the bag was used for all residents on her assignment. This action was confirmed by the nurse and the Infection Control Preventionist, who acknowledged that the glucometer should have been disinfected with PDI wipes before being stored to prevent cross-contamination. Additionally, during a wound care observation, the Staff Development Coordinator/Wound Nurse used a bottle of wound cleanser and placed it on a resident's bed. After completing the wound care, the nurse returned the bottle to the treatment cart, contrary to the facility's policy, which requires that any supplies brought into a resident's room should be labeled and left in the room. The Infection Control Preventionist confirmed that the shared wound care supply should not have been placed on the resident's bed and should have been left in the resident's room to prevent cross-contamination.
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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) |
|---|---|---|---|---|
| Holy Trinity Eastern Orthodox N & R Center | 2 mi | — | 2 | 0 |
| Odd Fellows Home Of Massachusetts | 2.1 mi | — | 0 | 0 |
| West Side House Ltc Facility | 2.3 mi | — | 17 | 0 |
| Hermitage Healthcare (the) | 2.4 mi | — | 0 | 0 |
| Lutheran Rehabilitation And Skilled Care Center | 2.4 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 August 2026) and official state health department websites.