Westborough Healthcare

In the surveyor’s words

From the most serious findings on record at Westborough Healthcare, in the surveyor’s own words.

• Actual harm, isolatedF578Aug 2, 2023

  Based on record review and interview, the facility failed to implement advance directives and follow policies pertaining to advance directives for two Residents (#48 and #91) out of a total sample of 24 residents. Specifically, the facility staff failed to: 1. For Resident #48, follow the advance directive for a Do Not Resuscitate (DNR - a medical order issued by a physician or other authorized non-physician practitioner that directs healthcare providers not to administer CPR [cardiopulmonary resuscitation] in the event of cardiac or respiratory arrest), and provided CPR, with resulting hospitalization , rib fractures, and uncontrolled pain. 2. […]

• Actual harm, isolatedF600Mar 21, 2023

  Based on records reviewed, review of surveillance camera video footage, and interviews, for one of three sampled residents (Resident #1) who had severe cognitive impairment and was dependent on staff for care, the Facility failed to ensure he/she was free from physical abuse, when on 03/05/23,Certified Nurse Aide (CNA) #2 physically abused Resident #1, as evidenced by review of the Facility's surveillance camera video footage from 03/05/23 during the day shift which showed Resident #1 coming out of his/her room, CNA #2 then approaches Resident #1 to redirect him/her back into the room, when Resident #1 does not comply, CNA #2 reaches out with his left hand pushes Resident #1's right shoulder and then with an open right hand, CNA #2 slaps Resident #1 on the left side of his/her face/head. […]

• No harm, potential for more than minimal, patternF812Feb 25, 2026

  Based on observations, and interviews, the facility failed to maintain proper sanitation and food handling practices to prevent the outbreak of foodborne illness in the main facility kitchen.Specifically, the facility failed to ensure that the minimum wash temperature necessary was maintained per manufacturer's guidelines for the dish machine utilized for cleaning and sanitizing dishware for resident use in the main facility kitchen, when the low temperature dish machine was operating at registered temperatures below acceptable ranges of 120 degrees Fahrenheit (F) for the wash cycle. […]

• No harm, potential for more than minimal, patternF880Feb 25, 2026

  Based on observations, record reviews, and interviews, the facility failed to adhere to infection control standards of practice to prevent contamination and the spread of infections for two Residents (#9 and #38) out of a total sample of 21 residents, and also failed to clean and sanitize hands before and after removing resident meal trays on one unit (2nd Floor) out of three units observed.Specifically, 1.For Resident #9 and Resident #38, the facility failed to ensure that appropriate Personal Protective Equipment (PPE: items such as gowns and gloves worn to prevent the spread of infection) was worn as required for the Resident on Enhanced Barrier Precautions (EBP), and that hand hygiene was performed before donning (putting on) PPE and during provision of activities of daily living (ADL… […]

• No harm, potential for more than minimal, patternF622Nov 18, 2024

  Based on record review, and interview, the facility failed to ensure that the required transfer documentation was completed and the required transfer documentation communicated the appropriate information to the receiving health care institution for five Residents (#64, #18, #39, #11 and #29), out of a total sample of 19 residents. Specifically, the facility failed to ensure that Residents #64, #18, #39, #11, and #29, were transferred to the hospital with important information relative to the Residents' medical histories and the reasons for transfer, putting the Residents at risk for complications and adverse events upon transfer to the hospital. Findings include: 1. […]