Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

HOLY TRINITY EASTERN ORTHODOX N & R CENTER

WORCESTER, MA · 113 certified beds · Last Life Safety survey January 6, 2026

CMS Certification Number 225648 · first certified August 1994

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

18
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within MA

18 citations — more than 74% of the 341 certified nursing homes in MA. Compared within MA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 1 citation; the earlier surveys in the window averaged 8.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 3 months from now. This facility’s last Life Safety survey was January 2026. Facilities in MA are typically surveyed 12–15 months after the last one (median 13), measured over 556 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

4 of the 18 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

1 physical-environment citation on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 18 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in MA, and nationally. Surveyors differ markedly between states, so the MA figure is the meaningful one.

This facility18MA median11National median11
Citations on file over three years, compared
MeasureCitations
This facility18
Median facility in MA11
Median facility nationally11

Survey history

Citations at each Life Safety survey
12023-06162024-0912026-01
Citations at each Life Safety survey
Survey dateCitations
June 8, 20231
September 23, 202416
January 6, 20261

Most-cited tags

Most-cited tags at this facility
K-07122K-02221E-00091K-03211K-03531K-03411K-03111K-02231
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0712Have simulated fire drills held at unexpected times.22026-01-06
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12024-09-23
E-0009Include a process for Emergency Preparedness collaboration.12024-09-23
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12024-09-23
K-0353Inspect, test, and maintain automatic sprinkler systems.12024-09-23
K-0341Install a fire alarm system that can be heard throughout the facility.12023-06-08
K-0311Have an enclosure around a vertical opening shaft.12024-09-23
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.12024-09-23

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Emergency Preparedness Deficiencies 4
  • Miscellaneous Deficiencies 3
  • Egress Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Emergency Preparedness Deficiencies4
Miscellaneous Deficiencies3
Egress Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 6, 2026 — 1 citation

Citations issued on January 6, 2026
TagWhat the surveyor checksStatus
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (January 30, 2026)

September 23, 2024 — 16 citations

Citations issued on September 23, 2024
TagWhat the surveyor checksStatus
E-0009Include a process for Emergency Preparedness collaboration.Deficient, Provider has date of correction (November 29, 2024)
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (November 29, 2024)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (October 21, 2024)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (October 23, 2024)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (October 25, 2024)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (October 25, 2024)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (December 9, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (November 29, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (October 25, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (November 29, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 9, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (October 23, 2024)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (December 9, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (December 9, 2024)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (November 29, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (October 23, 2024)

June 8, 2023 — 1 citation

Citations issued on June 8, 2023
TagWhat the surveyor checksStatus
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (September 25, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.