Blaire House of Worcester

In the surveyor’s words

From the most serious findings on record at Blaire House of Worcester, in the surveyor’s own words.

• Actual harm, isolatedF689Jan 3, 2024

  Based on records reviewed and interviews for one of three sampled residents (Resident #1) who required the use of a Hoyer lift (mechanical lift system used to transfer a medically dependent person from point A to point B) with the assistance of two staff members for transfers from bed to chair, the Facility failed to ensure he/she was provided with the necessary assistance during a Hoyer lift transfer. On 12/22/23, prior to attempting to transfer Resident #1 by the Hoyer lift, the two certified nurse aides (CNA's) had not checked to see if the lower straps of the Hoyer lift sling/pad were properly connected to the Hoyer, and as they started to raise Resident #1 up, he/she slid out of the sling/pad, fell to the floor and hit his/her head. […]

• No harm, potential for more than minimal, widespreadF880Aug 29, 2025

  Based on observation, interview, and record review, the facility failed to establish an infection prevention and control program (IPCP) to identify and prevent the potential spread of communicable diseases for 14 Residents (#55, #21, #51, #3, #23, #38, #60, #41, #12, #5, #31, #6, #39, #57), out of a total sample of 17 Residents. Specifically, the facility failed to:1. For Resident #55, identify Covid-19 infection when the Resident was exhibiting symptoms of a respiratory infection.2. For Resident #21, to appropriately disinfect a shared hallway bathroom after use when the Resident who used the shared bathroom tested positive for Covid-19.3. […]

• No harm, potential for more than minimal, patternF730Aug 29, 2025

  Based on interview and record review, the facility failed to complete a performance review of every Certified Nurse Aide (CNA) at least once every 12 months, for five Certified Nurse Aides (#4, #5, #6, #7, and #8), out of five total records reviewed. Specifically, the facility failed to ensure that annual performance reviews to identify any areas of weakness were completed every 12 months, with regular in-service education provided based on the outcome of those performance reviews. Findings include: Review of the Employee Policy Manual, revised 6/2025 indicated: -Employees will be evaluated after 90 days of employment and after 12 months of employment. -Employees continuing their at-will employment will be evaluated at the end of each 12-month period. […]

• No harm, potential for more than minimal, patternF607Jun 27, 2024

  Based on interview and record review, the facility failed to ensure documentation was available to show that Nurse Aide registry checks were completed for three Staff Members (#1, #2, and #3), out of five staff members personnel files reviewed. Specifically the facility failed to provide documentation that showed Nurse Aide registry checks were completed for screening of Staff Members #1, #2, and #3, prior to the staff members working with residents in the facility. Findings include: Review of the facility policy titled Abuse Prevention Policies and Procedures, revised 4/17, indicated the following: -All applicants for employment shall provide professional references. -The facility shall conduct application reference checks to the extent possible. […]

• No harm, potential for more than minimal, patternF880Jun 27, 2024

  Based on observation, interview, record and policy review, the facility failed to ensure that infection surveillance was implemented for skin infections requiring medical intervention for eight Residents (#9, #8, #52 #2, #45, #59, #20, and #61) out of a total sample of 20 residents. Specifically, the facility failed to track and trend skin disorders in order to assess/evaluate rashes that developed for Resident's (#9, #8, #52 #2, #45, #59, #20, and #61), and to implement strategies to minimize the potential risk of transmission of infections. […]