Inspection Reports for
Bridges® by Epoch at Andover
254 Lowell St, Andover, MA 01810, United States, MA, 01810
Back to Facility Profile1 Report
Inspection Report — May 29, 2024
Routine
Date: May 29, 2024
Visit Reason
Biennial state compliance review of the assisted living residence by the Massachusetts Executive Office of Aging & Independence (AGE) on May 29, 2024.
Findings
The state cited 6 findings, including 2 repeat findings, matching the state median of 6. The action taken was Plan of correction required.
Citations (6)
Incident reporting: The Residence filed 13 incident reports greater than 24 hours after the occurrence of the incident during the period reviewed (repeat finding).
Emergency call response: In the months of December 2022, July 2023, and April 2024 there were 258 e-call response times over the 10 minutes required by the Residence policy, and documentation of hourly safety checks in May 2024 had multiple missing entries (repeat finding).
Resident care plans: Documentation of an assessment confirming that the Resident can independently navigate around the bed rail/U-bar were missing for three Residents for the calendar year 2024.
Staff training: Four personnel records were missing documentation to confirm completion of the required LGBTQ training.
Staff health screening: Five personnel records were missing documentation to confirm receipt or declination of the seasonal influenza vaccine.
Memory care unit: Chemicals were not secured in the common kitchen areas in each Special Care Unit.
Report Facts
Findings: 6
Repeat findings: 2
State median findings: 6
Memory care units: 63
Emergency call responses over 10 minutes: 258
Loading inspection reports...
