1 Report
Inspection Report — Jun 18, 2024
Routine
Date: Jun 18, 2024
Visit Reason
Biennial state compliance review of the assisted living residence by the Massachusetts Executive Office of Aging & Independence (AGE) on June 18, 2024.
Findings
The state cited 3 findings, 2 of which were repeats from the previous review. The action taken was a plan of correction required. The number of findings is below the state median of 6.
Citations (3)
Quality assurance program: Documentation of a specific target date for follow-up and staff responsible for follow-up actions were missing for the third and fourth quarter of calendar year 2022 (repeat finding).
Incident reporting: The Residence filed five incident reports greater than 24 hours after the occurrence of the incident during the period reviewed.
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 (repeat finding).
Report Facts
Findings: 3
Repeat findings: 2
State median: 6
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