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

REGALCARE AT WORCESTER

WORCESTER, MA · 160 certified beds · Last Life Safety survey April 17, 2025

CMS Certification Number 225467 · first certified July 1990

Ownership

Operated by REGALCARE · For profit - Corporation

  • Ownership changed February 1, 2022 (change of ownership)to REGAL CARE AT WORCESTER from VERO HEALTH XVI LLC
38
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
7
Tags cited more than once
Across separate surveys
15
Inspection & testing records
Of the citations on file

Position within MA

38 citations — more than 99% 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 14 citations; the earlier surveys in the window averaged 12. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (April 2026 to July 2026), and past the point by which nine in ten MA facilities have been surveyed. This facility’s last Life Safety survey was April 2025. 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

5 inspection-and-testing tags have 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

11 of the 38 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)

5 physical-environment citations 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 38 Life Safety citations above. The Physical Environment Index

  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • 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 facility38MA median11National median11
Citations on file over three years, compared
MeasureCitations
This facility38
Median facility in MA11
Median facility nationally11

Survey history

Citations at each Life Safety survey
242022-0602024-01142025-04
Citations at each Life Safety survey
Survey dateCitations
June 7, 202224
January 4, 20240
April 17, 202514

Most-cited tags

Most-cited tags at this facility
K-03722K-07122K-09182E-00412K-03532K-03112K-07612K-09111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.22025-04-17
K-0712Have simulated fire drills held at unexpected times.22025-04-17
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-04-17
E-0041Implement emergency and standby power systems.22025-04-17
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-04-17
K-0311Have an enclosure around a vertical opening shaft.22025-04-17
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.22025-04-17
K-0911Meet requirements for the installation and maintenance of electrical systems.12025-04-17

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 11
  • Smoke Deficiencies 11
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Miscellaneous Deficiencies 5
  • Other 6
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies11
Smoke Deficiencies11
Gas, Vacuum, and Electrical Systems Deficiencies5
Miscellaneous Deficiencies5
Services Deficiencies4
Egress Deficiencies2

Every citation on file

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

April 17, 2025 — 14 citations

Citations issued on April 17, 2025
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (June 12, 2025)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (June 12, 2025)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (June 12, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (June 12, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 12, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 22, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (June 12, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (July 22, 2025)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (July 22, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 12, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (June 12, 2025)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (June 12, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 12, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 12, 2025)

June 7, 2022 — 24 citations

Citations issued on June 7, 2022
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (July 29, 2022)
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (July 29, 2022)
E-0009Include a process for Emergency Preparedness collaboration.Deficient, Provider has date of correction (July 29, 2022)
E-0020Establish policies and procedures including evacuation.Deficient, Provider has date of correction (July 29, 2022)
E-0024Establish policies and procedures for volunteers.Deficient, Provider has date of correction (July 29, 2022)
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (July 29, 2022)
E-0029Develop a communication plan.Deficient, Provider has date of correction (July 29, 2022)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (July 29, 2022)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (July 29, 2022)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (July 29, 2022)
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 (July 29, 2022)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (July 29, 2022)
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 (August 8, 2022)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (July 29, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 29, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (September 12, 2022)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (August 8, 2022)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (September 12, 2022)
K-0541Install properly constructed and protected linen or trash chutes.Deficient, Provider has date of correction (September 12, 2022)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (July 29, 2022)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (July 29, 2022)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (July 29, 2022)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (July 29, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 29, 2022)

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