Inspection Reports for
Youville House Assisted Living Residence, Inc.

1573 Cambridge St, Cambridge, MA 02138, Cambridge, MA, 02138

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1 Report

2024

Inspection Report — Apr 30, 2024

Routine
Date: Apr 30, 2024

Visit Reason
Biennial state compliance review of the assisted living residence by the Massachusetts Executive Office of Aging & Independence (AGE) on April 30, 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 the month of March 2024 there were 40 e-call response times over the 10 minutes required by the Residence policy (repeat finding).
Reports filed with the state: The Residence’s annual financial disclosure was not submitted to EOEA by the 2024 deadline.
Quality assurance program: Documentation of a set target date for follow up action to the findings identified and person responsible for follow up were missing in all calendar years (repeat finding).
Emergency drills · Incident reporting: Documentation of an evacuation drill conducted by the Residence for all shifts was missing for the 2023 calendar year and the Residence filed 15 incident reports greater than 24 hours after the occurrence of the incident during the period reviewed (repeat finding).
Staff training: Two records were missing documentation of the required LGBTQ training.
Report Facts
Findings: 5 Repeat findings: 3 State median: 6 Emergency call responses over limit: 40 Incident reports filed late: 15

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