River Terrace Rehabilitation and Healthcare CTR
Lancaster, Massachusetts · CCN 225210
13 surveys since 2011, 7 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 56
- Surveys
- 13
- Harm or worse
- 7
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 82
- Ownership
- For profit - Limited Liability company
- Chain
- MARQUIS HEALTH SERVICES
- County
- Worcester
- Medicare-certified since
- 1972
CMS ratings
- Overall
- 5
- Health inspection
- 5
- Staffing
- 2
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=3, floor 20).
Last survey on record
May 5, 2025
553 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.37 | 3.58 |
| Registered-nurse hours per resident day | 0.62 | — |
| Annual nurse turnover | 33.3% | 39.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $8,964 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G150.0% | H— | I— |
| No harm, potential for more than minimal | D— | E— | F— |
| No harm, potential for minimal | A— | B150.0% | C— |
In the surveyor’s words
From the most serious findings on record at River Terrace Rehabilitation and Healthcare CTR, in the surveyor’s own words.
- Actual harm, isolatedF760May 5, 2025
Based on records reviewed and interviews, for one of three sampled residents (Resident #1), the Facility failed to ensure he/she was free from a significant medication error, when on 02/25/25, Nurse #1 administered another resident's blood pressure medication to him/her in error. Resident #1 later experienced a change in condition, was lethargic, and his/her blood pressure was low, for which he/she required treatment and increased monitoring by nursing until his/her blood pressure stabilized. […]
- No harm, potential for more than minimal, isolatedF656May 26, 2022
Based on observation, interview and record review, the facility staff failed to implement the plan of care for one Resident (#46) related to the use of a Prevalon boot (a boot worn to relieve pressure to the heel), out of a total sample of 18 residents. Findings include: Resident #46 was admitted to the facility in December 2021 with the following Diagnoses: [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the Minimum Data Set (MDS) Assessment, dated 4/13/22, indicated that Resident #46 was cognitively intact as evidenced by a Brief Interview for Mental Status (BIMS) score of 15 out of a total score of 15. Review of the current physician orders, initiated on 4/27/22, indicated an order for [MEDICAL RECORD OR PHYSICIAN ORDER] . […]
- No harm, potential for minimal, patternF641Dec 26, 2024
Based on record review and interview, the facility failed to ensure that the Minimum Data Set (MDS) Assessment was coded accurately for one Resident (#12) out of a total sample of 18 residents. Specifically, the facility failed to code all of the Resident's psychiatric and mood disorder diagnoses on four separate MDS Assessments. Findings include: Review of the Centers for Medicare and Medicaid Services Long-Term Care Facility Resident Assessment Instrument 3.0 (RAI) User's Manual (https://www.cms.gov/files/document/finalmds-30-rai-manual-v11811october2023.pdf) indicated the following: -document all active diagnoses on the MDS -psychiatric/mood disorder >anxiety disorder >schizophrenia (e.g., schizoaffective and schizophreniform disorders) -active diagnoses in the last 7 days >A… […]
Read 26 findings in full →The most serious and the most recent: 26 of 56 on record.
Every survey on record
FindingsAt actual harm or above
- May 5, 2025Complaint1 finding · 1 harm
- Dec 26, 2024Standard1 finding
- May 26, 2022Standard1 finding
- Dec 6, 2019Standard8 findings
- Oct 19, 2018Standard7 findings
- Apr 22, 2015Standard3 findings
- May 20, 2014Standard2 findings
- Mar 29, 2013—7 findings
Show the 5 earlier surveys
- Oct 3, 2012—1 finding · 1 harm
- May 3, 2012—4 findings
- Nov 20, 2011—1 finding
- Sep 9, 2011—2 findings
- Mar 11, 2011—18 findings · 5 harm
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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