St Francis Rehabilitation & Nursing Center
Worcester, Massachusetts · CCN 225438
24 surveys since 2011, 11 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
- 89
- Surveys
- 24
- Harm or worse
- 11
- 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
- 137
- Ownership
- For profit - Limited Liability company
- Chain
- Independent
- County
- Worcester
- Medicare-certified since
- 1990
CMS ratings
- Overall
- 4
- Health inspection
- 3
- Staffing
- 3
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 96 for-profit facilities with 128 or more beds in Massachusetts.
Last survey on record
Nov 24, 2025
350 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 | 4.02 | 3.59 |
| Registered-nurse hours per resident day | 0.78 | — |
| Annual nurse turnover | 41.1% | 34.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $10,527 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 | G417.4% | H— | I— |
| No harm, potential for more than minimal | D1460.9% | E521.7% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6563×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F8802×
Provide and implement an infection prevention and control program.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F5611×
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- F5721×
Give residents a notice of rights, rules, services and charges.
In the surveyor’s words
From the most serious findings on record at St Francis Rehabilitation & Nursing Center, in the surveyor’s own words.
- Actual harm, isolatedF689Apr 25, 2024
Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who required the use of adaptive equipment (a double handled mug) for beverages due to hand tremors, as well as staff assistance with set-up for meals, the Facility failed to ensure he/she received adequate staff assistance during meal service related to the nurses' inspection of meal trays for appropriateness of the meal, as well as for the inclusion of necessary adaptive equipment per each resident's meal ticket, prior to the meal tray being delivered and served to the resident, in an effort to prevent an incident/accident resulting in an injury. […]
- Actual harm, isolatedF561Sep 12, 2023
Based on records reviewed and interviews for one of three sampled residents (Resident #1), whose Advanced Directives and Physician's Order indicated his/her elected code status was Do Not Resuscitate (DNR, medical order written by a physician, which instructs healthcare providers not to do cardiopulmonary resuscitation, in the event of cardiac or respiratory arrest) the Facility failed to ensure nursing staff honored his/her right to self-determination related to his/her choice of Advanced Directives. […]
- Actual harm, isolatedF656Sep 12, 2023
Based on records reviewed and interviews for one of three sampled residents (Resident #1), whose Comprehensive Person Centered Plan of Care indicated staff were to honor his/her Advance Directives, which indicated he/she was a Do Not Resuscitate (DNR, medical order written by a physician, it instructs healthcare providers not to do cardiopulmonary resuscitation in the event of cardiac or respiratory arrest), the Facility failed to ensure the staff implemented and followed interventions identified in his/her plan of care related to his/her Advanced Directives, when on [DATE], at approximately 8:30 A.M., after being found unresponsive, and assessed by nursing to be without a pulse or respirations, nursing staff immediately intervened and initiated Cardiopulmonary Resuscitation (CPR) in an… […]
- Actual harm, isolatedF658Sep 12, 2023
Based on records reviewed and interviews, for one of three sampled residents (Resident #1), whose Advanced Directives indicated he/she was a Do Not Resuscitate (DNR, medical order written by a physician, it instructs healthcare providers not to do cardiopulmonary resuscitation in the event of cardiac or respiratory arrest), the Facility failed to ensure services provided by nursing met professional standards of practice, when nursing initiated life saving measures including performing Cardiopulmonary Resuscitation on a resident who was a DNR. […]
- Actual harm, isolatedF600Apr 7, 2021
Based on records reviewed and interviews, for one of three sampled residents (Resident #1), the facility failed to ensure residents were free from verbal abuse or punishment by staff. Certified Nurse Aide (CNA) #1 admitted to and was witnessed yelling at Resident #1 on 03/22/21. In addition, Resident #1 reported that staff, including CNA #1, removed his/her call light from within reach because they said he/she used the call light too often, or words to that effect. Resident #1 said he/she was dependent on staff for care and was fearful of not having his/her needs met, if he/she complained. […]
Read 27 findings in full →The most serious and the most recent: 27 of 89 on record.
Every survey on record
FindingsAt actual harm or above
- Nov 24, 2025Standard2 findings
- Aug 5, 2025Complaint1 finding
- Aug 6, 2024Standard7 findings
- Apr 25, 2024Complaint1 finding · 1 harm
- Sep 12, 2023Complaint4 findings · 3 harm
- Apr 11, 2023Standard8 findings
- Jan 3, 2023Infection control1 finding
- May 31, 2022Complaint3 findings
Show the 16 earlier surveys
- Nov 12, 2021Complaint2 findings
- Jun 22, 2021Standard3 findings
- Apr 7, 2021Complaint2 findings · 1 harm
- Nov 5, 2020Infection control1 finding
- Aug 2, 2019Standard8 findings · 1 harm
- Jul 24, 2018Standard and complaint9 findings
- Apr 28, 2017Standard3 findings
- Apr 28, 2016Standard4 findings
- Feb 4, 2015Standard4 findings
- Dec 22, 2014Complaint1 finding
- Nov 5, 2012—7 findings · 2 harm
- Dec 1, 2011—1 finding · 1 harm
- Oct 25, 2011—12 findings · 1 harm
- Sep 26, 2011—1 finding
- Apr 19, 2011—3 findings · 1 harm
- Feb 16, 2011—1 finding
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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