Inspection Reports for
Waterstone at Wellesley

27 Washington St, Wellesley, MA 02481, United States, MA, 02481

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1 Report

2024

Inspection Report — Mar 7, 2024

Routine
Date: Mar 7, 2024

Visit Reason
Biennial state compliance review of the assisted living residence by the Massachusetts Executive Office of Aging & Independence (AGE) on March 7, 2024.

Findings
The state cited 4 findings, below the state median of 6, with no repeat findings. The action taken was a plan of correction required.

Citations (4)
Emergency call response: In the months of November 2022, June 2023 and February 2024 there were 76 e-call response times over the ten (10) minutes required by Residence policy.
Quality assurance program: Documentation of clear findings was missing for the 2022 calendar year reviewed, and documentation of a target date and responsible staff was missing for 2023. Documentation of the person completing medication audits was missing for the last quarter of 2022 and all four quarters of 2023.
Incident reporting: The Residence filed four incident reports greater than 24 hours after the occurrence of the incident or accident.
Resident records: The 90-day correspondence log did not consistently document all significant or pertinent information necessary to maintain the continuity of care for all Residents.
Report Facts
Findings: 4 Repeat findings: 0 State median findings: 6 Emergency call responses over the ten-minute limit: 76

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