Inspection Reports for
Brightview Canton

125 Turnpike St, Canton, MA 02021, United States, MA, 02021

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1 Report

2024

Inspection Report — Jun 11, 2024

Routine
Date: Jun 11, 2024

Visit Reason
Biennial state compliance review of the assisted living residence by the Massachusetts Executive Office of Aging & Independence (AGE) on June 11, 2024.

Findings
The state cited 5 findings, including 3 repeat findings, which is below the state median of 6. The action taken was a plan of correction required.

Citations (5)
Emergency call response: In April 2024 there were 140 emergency call response times over the ten minutes required by the Residence policy (repeat finding).
Quality assurance program: Documentation of target dates and responsible staff for follow-up actions was missing for calendar year 2023 and the fourth quarter of 2022, and one medication storage area was not labeled with the Resident’s name and room number; one nurse did not document [redacted] on the medication administration record (repeat finding).
Incident reporting: One incident meeting reporting criteria was not reported and nine incident reports were submitted late during the period reviewed (repeat finding).
Resident records: The Residence did not use the Correspondence Logs to communicate all significant or pertinent information necessary to maintain the continuity of care for all Residents.
Staff training: Six 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.
Report Facts
Findings: 5 Repeat findings: 3 Memory care units: 25 Emergency call responses over the ten-minute limit: 140

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