1 Report
Inspection Report — Sep 13, 2024
Routine
Date: Sep 13, 2024
Visit Reason
Biennial state compliance review of the assisted living residence by the Massachusetts Executive Office of Aging & Independence (AGE) on September 13, 2024.
Findings
The state cited 5 findings, including 1 repeat finding, which is below the state median of 6. The action taken was a plan of correction required.
Citations (5)
Emergency call response and Food and dietary services: During June 2023 and August 2024, several emergency call response times exceeded the residence's policy limits, and menus lacked the required nutrition-standards statement.
Incident reporting: The residence filed 37 incident reports more than 24 hours after the occurrence of the incident or accident (repeat finding).
Resident progress notes: Documentation of significant occurrences was inconsistent for two residents.
Resident records: Two 90-day correspondence logs did not consistently document all significant information necessary to maintain continuity of care for all residents.
Staffing: Documentation confirming quarterly staffing level assessments was missing for the first and second quarters of 2024.
Report Facts
Findings: 5
Repeat findings: 1
State median: 6
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