Wachusett Manor
Gardner, Massachusetts · CCN 225533
20 surveys since 2010, 5 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
- 114
- Surveys
- 20
- Harm or worse
- 5
- Immediate jeopardy
- 3
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 96
- Ownership
- For profit - Limited Liability company
- Chain
- EPHRAM LAHASKY
- County
- Worcester
- Medicare-certified since
- 1991
CMS ratings
- Overall
- 3
- Health inspection
- 3
- Staffing
- 2
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 49 for-profit facilities of 66–99 beds in Massachusetts.
Last survey on record
Sep 26, 2025
409 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 | 3.29 | 3.58 |
| Registered-nurse hours per resident day | 0.43 | — |
| Annual nurse turnover | 43.5% | 39.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J37.1% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2969.0% | E614.3% | F37.1% |
| No harm, potential for minimal | A— | B— | C12.4% |
Most frequently cited here
In CMS’s current monthly file.
- F5803×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F6583×
Ensure services provided by the nursing facility meet professional standards of quality.
- F8803×
Provide and implement an infection prevention and control program.
- F6412×
Ensure each resident receives an accurate assessment.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
In the surveyor’s words
From the most serious findings on record at Wachusett Manor, in the surveyor’s own words.
- Immediate jeopardy, isolatedF658May 16, 2023
Based on interview and record review, the facility failed to ensure its staff provided treatment and care that met professional standards of quality for one Resident (#89) out of one applicably sampled resident with a tracheostoma (opening to make a direct airway through the trachea [windpipe]) and laryngectomy (removal of the larynx [voice box] resulting in the trachea [airway] being brought to the skin as a stoma [opening] in the front of the neck) tube, out of two total discharged residents sampled. Specifically, the facility failed to ensure its licensed nursing staff provided necessary and timely respiratory care, in an effective manner, when Resident #89 experienced a decline in respiratory status at 11:45 A.M. […]
- Immediate jeopardy, isolatedF695May 16, 2023
Based on record review and interview, the facility failed to ensure its staff provided necessary respiratory care for one Resident (#89) with a tracheostoma (opening to make a direct airway through the trachea [windpipe]) and laryngectomy (removal of the larynx [voice box] resulting in the trachea [airway] being brought to the skin as a stoma [opening] in the front of the neck) tube, of one applicably sampled resident, out of a total sample of two discharged residents. Specifically, facility staff failed to provide necessary respiratory care when Resident #89 required assistance to manage his/her laryngectomy tube and experienced a decline in respiratory status on [DATE], and nursing staff administered oxygen and nebulizer (drug delivery device used to administer medication in the form of… […]
- Immediate jeopardy, isolatedF726May 16, 2023
Based on record review and interview, the facility failed to provide competent nursing staff to care for one Resident (#89), of one applicably sampled resident who had a tracheostoma (opening to make a direct airway through the trachea [windpipe]) and laryngectomy (removal of the larynx [voice box] resulting in the trachea [airway] being brought to the skin as a stoma [opening] in the front of the neck) tube, out of two total discharged residents sampled. Specifically, the facility had no evidence that its licensed nursing staff had the competency and skill sets required to provide the care and services for residents with a laryngectomy tube when Resident #89 experienced a decline in respiratory status on [DATE] and nursing staff administered Oxygen via nasal cannula and nebulizer (drug… […]
- No harm, potential for more than minimal, widespreadF838May 16, 2023
Based on interview, record review, and Facility Assessment Tool review, the facility failed to ensure its staff implemented the Facility Assessment Tool's staff training/education and competencies plan, and updated the Facility Assessment Tool to accurately reflect the resident population and care needs for day-to-day operations and medical emergencies for one Resident (#89) out of one applicably sampled resident with a laryngectomy (removal of the larynx [voice box] resulting in the trachea [airway] being brought to the skin as a stoma [opening] in the front of the neck) tube, out of a total of two discharged residents sampled. […]
- No harm, potential for more than minimal, widespreadF880May 16, 2023
Based on observation, document review and interview, the facility failed to ensure its staff implemented an infection prevention and control program to provide a sanitary environment and help prevent the development and transmission of communicable diseases. Specifically, the facility failed to ensure its staff 1. implemented a surveillance plan to identify the potential presence of Legionella (a bacteria that can grow and multiply in moist areas of a building's water system and cause lung infection) within the facility, and 2. […]
Read 22 findings in full →The most serious and the most recent: 22 of 114 on record.
Every survey on record
FindingsAt actual harm or above
- Sep 26, 2025Standard5 findings
- Jun 24, 2025Complaint2 findings
- Aug 13, 2024Standard9 findings
- May 16, 2023Standard26 findings · 3 harm
- Aug 6, 2021Standard11 findings
- Jan 7, 2021Infection control1 finding
- May 2, 2019Standard3 findings
- Feb 25, 2019Complaint3 findings
Show the 12 earlier surveys
- Sep 6, 2018Complaint1 finding
- Feb 13, 2018Standard15 findings
- Dec 28, 2016Standard3 findings
- Aug 4, 2016Complaint1 finding
- Sep 23, 2015Standard7 findings · 1 harm
- Dec 10, 2013—7 findings
- Jun 28, 2013—3 findings
- Jan 17, 2013—8 findings · 1 harm
- Aug 2, 2012—5 findings
- Apr 3, 2012—2 findings
- Jan 25, 2012—1 finding
- Oct 6, 2010—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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