Inspection Reports for
Windrose at Woburn
857 Main Street, Woburn, MA 01801, Woburn, MA, 01801
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Inspection Report — Nov 6, 2024
Routine
Date: Nov 6, 2024
Visit Reason
Biennial state compliance review of the assisted living residence by the Massachusetts Executive Office of Aging & Independence (AGE) on November 6, 2024.
Findings
The state cited 5 findings at Windrose at Woburn, with 3 repeat findings. This is below the state median of 6. The action taken was Plan of correction required.
Citations (5)
Resident screening and assessment: Five resident records were missing documentation of an assessment of the Resident’s need for assistance in emergency situations, supervised access to a heating element, timely service plan reassessments, and individualized enrichment activities.
Quality assurance program: Documentation of an Evidenced Informed Falls Prevention Program review for 2023 and quarterly medication audits for the last two quarters of 2022 was missing (repeat finding).
Incident reporting: The Residence filed 74 incident reports greater than 24 hours after the occurrence of the incident or accident (repeat finding).
Staff training: Documentation confirming the completion of biannual Personal Care skills evaluations was missing from two staff records.
Information given to residents: Documentation of required notifications and disclosures to residents or their representatives was missing in two records (repeat finding).
Report Facts
Findings: 5
Repeat findings: 3
State median findings: 6
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