01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-04-14 | 9 | 2026-04-14 | 1 |
| Cycle 2 | 2024-12-18 | 10 | 2024-12-18 | 16 |
| Cycle 3 | 2023-10-17 | 8 | 2023-10-17 | 0 |
CMS CCN 2253052026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
St Mary Health Care Center
39 Queen Street · Worcester, MA 01610 · Worcester County
Certified beds172CMS provider file
Recent citation rows44current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
44 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-14 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2026-05-082026-04-14 · HEALTHF0688Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Correction field: Deficient, Provider has date of correction · 2026-05-082026-04-14 · HEALTHF0693Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Correction field: Deficient, Provider has date of correction · 2026-05-082026-04-14 · HEALTHF0726Severity E · pattern; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Correction field: Deficient, Provider has date of correction · 2026-05-082026-04-14 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Correction field: Deficient, Provider has date of correction · 2026-05-082026-04-14 · HEALTHF0812Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-05-082026-04-14 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2026-05-082026-04-14 · FIREK0291Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2026-05-292025-10-29 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2025-11-25 · complaint2025-10-29 · HEALTHF0684Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-11-25 · complaint2025-06-23 · HEALTHF0557Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Correction field: Past Non-Compliance · 2025-06-20 · complaint2024-12-18 · FIREE0041Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Correction field: Deficient, Provider has date of correction · 2025-01-312024-12-18 · HEALTHF0637Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Correction field: Deficient, Provider has date of correction · 2025-01-202024-12-18 · HEALTHF0644Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2025-01-202024-12-18 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-01-202024-12-18 · HEALTHF0732Severity C · widespread; potential for minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2025-01-202024-12-18 · HEALTHF0742Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Correction field: Deficient, Provider has date of correction · 2025-01-202024-12-18 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-01-202024-12-18 · HEALTHF0772Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
Correction field: Deficient, Provider has date of correction · 2025-01-202024-12-18 · HEALTHF0776Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Correction field: Deficient, Provider has date of correction · 2025-01-202024-12-18 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-01-202024-12-18 · FIREK0211Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2025-01-312024-12-18 · FIREK0293Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2025-01-172024-12-18 · FIREK0311Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Correction field: Deficient, Provider has date of correction · 2025-01-3103 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-10-29 | Fine | $8,788 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BOYLE, MELISSAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/01/2011
- DOTY, RONALDIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/12/2020
- FREIJE, RICHARDIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/01/2007
- LAVALLEE, EILEENIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/26/2019
- MARONEY, JAMESIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/01/2020
- CASTILLO, NICOLEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/18/2018
- DOTY, RONALDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/12/2020
- GARCIA, HOLLYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/21/2019
- MCCARTHY, JENNIFERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/18/2019
- FORNEY, STEPHENIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/16/2019
- GRUBBS, STEPHENIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/24/2018
- WAITE, DOUGLASIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2019
- COVENANT HEALTHOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/1998
- BECKER, DAVIDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/09/2016
- CASTILLO, NICOLEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/18/2018
- DOTY, RONALDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/12/2020
- FORNEY, STEPHENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/16/2019
- GRUBBS, STEPHENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/24/2018
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.54per resident day
RN hours0.39per resident day
Weekend nurse hours3.37per resident day
Staff turnover30.6%CMS reported field
06 / LOCAL RECORDS
Open the Worcester ledger →Other published facilities nearby
Blaire House Of Worcester75 beds · CMS overall 3/524 citation rowsChristopher House Of Worcester156 beds · CMS overall 3/534 citation rowsHermitage Healthcare (The)101 beds · CMS overall 2/544 citation rowsHoly Trinity Eastern Orthodox N & R Center113 beds · CMS overall 5/527 citation rowsJewish Healthcare Center141 beds · CMS overall 4/526 citation rowsKnollwood Nursing Center82 beds · CMS overall 4/527 citation rowsLutheran Rehabilitation And Skilled Care Center150 beds · CMS overall 5/50 citation rowsNotre Dame Long Term Care Center123 beds · CMS overall 4/524 citation rows