Inspection Reports for
The Branches of Framingham

Emergency call response: During the months of December 2023 and September 2024, there were 573 e-call response times over the fifteen (15) minutes required by Residence policy (repeat finding).

Memory care unit: SCR entry and exit door alarms were not operational when triggered and cleaning chemicals were stored in unsecured under-sink cabinets.

Resident screening and assessment · Resident care plans: Two records were missing documentation of a reassessment review every six months and one Resident Record was missing a six-month Assessment and Service Plan review and a change of condition Assessment and Service Plan review related to an incident reported to EOEA.

Quality assurance program: EOEA observed two compromised medication blister packs in one Resident’s medication storage unit (repeat finding).

Incident reporting: The Residence filed 13 incident reports greater than 24 hours after the occurrence of the incident or accident and did not report incidents accurately or include all details (repeat finding).

Controlled medication handling: Two Residents’ Controlled Substance logs had discrepancies compared to the actual on-hand count, with one Resident having one additional and another one less [redacted].

Resident records: The Traditional correspondence log did not consistently document all significant or pertinent information necessary to maintain the continuity of care for all Residents and the SCR correspondence log dated 9/21/24 did not contain information regarding staff [redacted].

Resident records: Missing information necessary for the continuity of care.