WESTBOROUGH HEALTHCARE
8 COLONIAL DRIVE, WESTBOROUGH, MA 01581 · CCN 225242
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 117
- Avg residents/day
- 90.2
- Phone
- 5083669131
Inspection history vs Massachusetts & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Massachusetts avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-11-18 | 17 | 8.9 | 9.5 | +8.1 worse |
| 2 | 2023-08-02 | 8 | 10.0 | 9.8 | -2.0 better |
| 3 | 2021-11-22 | 14 | 12.7 | 9.3 | +1.3 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 4 |
| Resident assessment and care planning | 4 |
| Nursing and physician services | 2 |
| Resident rights | 4 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.64 | 42.0% |
| RN staffing (reported) | 0.60 | 57.1% |
| Total nurse staffing (adjusted) | 3.12 | — |
Fines & penalties
- Total fines
- $28,772
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- NEXT STEP HEALTHCARE
- Facilities in chain
- 14
- Chain avg overall
- 1.90 / 5
Inspection citations (39)2 actual harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-04-10 · Health · corrected 2025-04-07
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2024-11-18 · Health · corrected 2024-12-20
Potential for more than minimal harm
- DF0584Honor 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.2024-11-18 · Health · corrected 2024-12-20
Potential for more than minimal harm
- EF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-11-18 · Health · corrected 2024-12-20
Potential for more than minimal harm
- EF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-11-18 · Health · corrected 2024-12-20
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-11-18 · Health · corrected 2024-12-20
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-11-18 · Health · corrected 2024-12-20
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-11-18 · Health · corrected 2024-12-20
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-11-18 · Health · corrected 2024-12-20
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-18 · Health · corrected 2024-12-20
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-11-18 · Health · corrected 2024-12-20
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-11-18 · Health · corrected 2024-12-20
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-11-18 · Health · corrected 2024-12-20
Potential for more than minimal harm
- EF0732Post nurse staffing information every day.2024-11-18 · Health · corrected 2024-12-20
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-11-18 · Health · corrected 2024-12-20
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-11-18 · Health · corrected 2024-12-20
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-18 · Health · corrected 2024-12-20
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-09-25 · Health · corrected 2024-10-23
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-10-19 · Health · corrected 2023-10-25
Potential for more than minimal harm
- GF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-08-02 · Health · corrected 2023-08-23
Actual harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-08-02 · Health · corrected 2023-08-23
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-08-02 · Health · corrected 2023-08-23
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-02 · Health · corrected 2023-09-01
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-02 · Health · corrected 2023-09-01
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-08-02 · Health · corrected 2023-08-23
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-08-02 · Health · corrected 2023-08-23
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-03-21 · Health · corrected 2023-03-29
Actual harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-03-21 · Health · corrected 2023-03-29
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2021-11-22 · Health · corrected 2022-01-08
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2021-11-22 · Health · corrected 2022-01-08
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-11-22 · Health · corrected 2022-01-08
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2021-11-22 · Health · corrected 2022-01-08
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2021-11-22 · Health · corrected 2022-01-08
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2021-11-22 · Health · corrected 2022-01-08
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2021-11-22 · Health · corrected 2022-01-08
Potential for more than minimal harm
- EF0761Ensure 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.2021-11-22 · Health · corrected 2022-01-08
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-11-22 · Health · corrected 2022-01-08
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2021-11-22 · Health · corrected 2022-01-08
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2021-11-22 · Health · corrected 2022-01-08
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| NEXT STEP HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-12-01 |
| GOVONI, RICHARD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-29 |
| MALIK, FAISAL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-11 |
| DELL'ANNO, DAMIAN | Individual | CORPORATE OFFICER | — | 2017-12-01 |
| STEPHAN, WILLIAM | Individual | CORPORATE OFFICER | — | 2017-12-01 |
Other facilities in WESTBOROUGH
| Name | Overall | Beds |
|---|---|---|
| WHITTIER WESTBOROUGH TRANSITIONAL CARE UNIT | ★★★★★ | 19 |
| BEAUMONT REHAB & SKILLED NURSING CTR - WESTBORO | ★★★★☆ | 152 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.