Inspection Reports for
All American Assisted Living at Wareham

Emergency call response: During the months of December 2023, June 2024 and February 2025, there were 273 e-call response times over the ten-minute limit (repeat finding).

Resident care plans: Three records were missing documentation that Residents have supervised access to a heating element; four records were missing documentation of Resident goals; three records were missing documentation of individualized enrichment activities provided to the Special Care Residence Residents; four records were missing documentation of signatures of the Resident and/or their Legal Representative on service plan reviews (repeat finding).

Quality assurance program: Documentation of the audit was missing for the 2023 calendar year; documentation of the target date and person responsible for follow up action were missing for the 2024 calendar year; documentation of the target date and staff person responsible for the follow-up was missing for the 2023 calendar year; documentation of a staff person responsible for follow-up was missing for the first two quarters and the fourth quarter of the 2024 calendar year (repeat finding).

Incident reporting: The Residence filed 41 incident reports greater than 24 hours after the occurrence of the incident or accident (repeat finding).

Resident records: The Residence did not use the Traditional Correspondence Log to communicate all significant or pertinent information necessary to maintain the continuity of care for all Residents (repeat finding).

Staff health screening: Two records were missing documentation to confirm seasonal influenza vaccinations or declination statements for the 2024/2025 flu season (repeat finding).

Staff training: Two records were without documentation to support that Introductory Visits were consistently conducted with all applicable staff; documentation confirming the completion of SAMM and skills evaluations every six months was missing from two records for the 2023 calendar year and from three records for the 2024 calendar year (repeat finding).