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WEBSTER MANOR REHABILITATION & HEALTH CARE CENTER Inspection Report, Violations & Safety Grade (WEBSTER, Massachusetts)

745 SCHOOL STREET, WEBSTER, Massachusetts 01570

Phone: 5089490644

CMS Overall:2/5

Overview & Bed Count

Certified Beds
135
Avg Residents/Day
123
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Worcester
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health2/5
Staffing2/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityMassachusetts AvgDifference
RN Hours per Resident per Day0.540.66-0.12
Total Nurse Hours per Resident per Day3.453.94-0.49
CMS Staffing Rating2/53.1/5-
Nursing Staff Turnover38.0%37.6%-

Health Citation History

40 health citations on record

DateCategoryDescriptionSeverity
2026-08-04Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2026-05-20Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E – Moderate Harm Potential
2026-05-20Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.E – Moderate Harm Potential
2026-05-20Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2026-05-20Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E – Moderate Harm Potential
2026-05-20Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2026-05-20Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D – Moderate Harm Potential
2026-05-20Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2026-05-20Quality of Life and Care DeficienciesProvide routine and 24-hour emergency dental care for each resident.D – Moderate Harm Potential
2026-05-20Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.D – Moderate Harm Potential
2026-05-20Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2026-05-12Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.D – Moderate Harm Potential
2026-05-12Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2026-02-10Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-04-10Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E – Moderate Harm Potential
2025-04-10Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2025-04-10Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2025-04-10Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.E – Moderate Harm Potential
2025-04-10Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2025-04-10Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D – Moderate Harm Potential
2025-04-10Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2025-04-10Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2025-04-10Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2025-04-10Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D – Moderate Harm Potential
2025-04-10Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D – Moderate Harm Potential
2025-04-10Nutrition and Dietary DeficienciesHave a policy regarding use and storage of foods brought to residents by family and other visitors.D – Moderate Harm Potential
2025-04-10Infection Control DeficienciesEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D – Moderate Harm Potential
2024-03-01Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.F – Moderate Harm Potential
2024-03-01Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2024-03-01Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2024-03-01Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.E – Moderate Harm Potential
2024-03-01Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.D – Moderate Harm Potential
2024-03-01Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D – Moderate Harm Potential
2024-03-01Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2024-03-01Quality of Life and Care DeficienciesEnsure each resident must receive and the facility must provide necessary behavioral health care and services.D – Moderate Harm Potential
2024-03-01Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2024-03-01Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2024-03-01Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-03-01Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.B – Minimal Harm Potential
2024-03-01Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyB – Minimal Harm Potential

Fire Safety Citation History

22 fire safety citations on record

DateCategoryDescriptionSeverity
2026-05-20Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.F – Moderate Harm Potential
2026-05-20Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.F – Moderate Harm Potential
2026-05-20Services DeficienciesInstall properly constructed and protected linen or trash chutes.F – Moderate Harm Potential
2026-05-20Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2026-05-20Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.D – Moderate Harm Potential
2026-05-20Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2026-05-20Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.D – Moderate Harm Potential
2026-05-20Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.D – Moderate Harm Potential
2025-04-10Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2025-04-10Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2025-04-10Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2025-04-10Services DeficienciesInstall properly constructed and protected linen or trash chutes.F – Moderate Harm Potential
2025-04-10Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2025-04-10Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2025-04-10Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.D – Moderate Harm Potential
2025-04-10Smoke DeficienciesHave an enclosure around a vertical opening shaft.D – Moderate Harm Potential
2025-04-10Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2025-04-10Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2025-04-10Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.D – Moderate Harm Potential
2024-03-01Emergency Preparedness DeficienciesImplement emergency and standby power systems.F – Moderate Harm Potential
2024-03-01Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-03-01Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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