Facility profile · CCN 225533
Wachusett Manor
42 federal citations on record , including 3 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $26,756.
Record summary
Federal record · Q1 202642
Total citations
42
Last 3 years
3
Actual harm+
1
Federal penalties
$26,756
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
42 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Sep 26, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Sep 26, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Sep 26, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard |
| Sep 26, 2025 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard |
| Sep 26, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Jun 24, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Jun 24, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Aug 13, 2024 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard |
| Aug 13, 2024 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard |
| Aug 13, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Aug 13, 2024 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Aug 13, 2024 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| Aug 13, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Aug 13, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Aug 13, 2024 | F641 | Ensure each resident receives an accurate assessment. | C | Standard |
| Aug 13, 2024 | F584 | Honor 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 | Standard |
| May 16, 2023 | F909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | Standard |
| May 16, 2023 | F888 | Ensure staff are vaccinated for COVID-19 | F | Standard |
| May 16, 2023 | F887 | Educate 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. | E | Standard |
| May 16, 2023 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| May 16, 2023 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| May 16, 2023 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard |
| May 16, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| May 16, 2023 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard |
| May 16, 2023 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | J | Standard |
| May 16, 2023 | F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Standard |
| May 16, 2023 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard |
| May 16, 2023 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| May 16, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | J | Standard |
| May 16, 2023 | F694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard |
| May 16, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| May 16, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| May 16, 2023 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| May 16, 2023 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| May 16, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | J | Standard |
| May 16, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| May 16, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| May 16, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| May 16, 2023 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard |
| May 16, 2023 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| May 16, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| May 16, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $26,756 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| May 16, 2023 | Fine | $26,756 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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