Inspection Reports for
Bridges® by EPOCH at Hingham

Emergency call response: In the month of March 2024 there were 20 e-call response times over the 10 minutes required by the Residence policy.

Resident care plans: Three records were missing documentation of a Service Plan reassessment required within 30-days after the commencement of residency, and two records were missing documentation of a reassessment review being completed every six months (repeat finding).

Quality assurance program: Documentation of a set target date for follow up action to the findings identified and person responsible for follow up was missing in 2022 and the first two quarters of 2023. One Resident was missing their name and picture on their medication storage unit, one Resident had one loose pill, and one Resident had one medication without a pharmacy label in their medication storage unit (repeat finding).

Incident reporting: The Residence filed eight incident reports greater than 24 hours after the occurrence of the incident during the period reviewed (repeat finding).

Controlled medication handling: Residence staff is not consistently documenting the Controlled Substance declining count after assisting Residents with medication administration.

Resident records: The Residence did not consistently document for each 24-hour period in the Shipyard Correspondence Log.

Staff training: Two records were missing signature documentation to support that Introductory Visits have been conducted with all applicable staff prior to or within 48 hours after the provision of Personal Care services, at the time of move-in.

Records given to the state: The Residence’s records required to document the timely assistance to a Resident in the event of an emergency needs situation were not all available for review for the months of December 2022 and June 2023.