1 Report
Inspection Report — Sep 19, 2024
Routine
Date: Sep 19, 2024
Visit Reason
Biennial state compliance review of the assisted living residence by the Massachusetts Executive Office of Aging & Independence (AGE) on September 19, 2024.
Findings
The state cited 6 findings, including 2 repeat findings, matching the state median of 6. The action taken was a plan of correction required.
Citations (6)
Emergency call response: During December 2023 there were 15 e-call response times over the twelve minutes required by Residence policy and in August 2024 there were four e-call response times over the 15 minutes required by Residence policy.
Memory care unit: Documentation of an assessment conducted by a physical/occupational therapist every six months for three Residents was missing and two bed rails were secured by loose straps, posing a potential safety risk (repeat finding).
Resident screening and assessment: Inconsistent Bedrail assessments.
Quality assurance program: Documentation of the date the audit was conducted was missing for the 2023 and 2024 calendar years reviewed, and issues were noted with medication assistance and administration (repeat finding).
Incident reporting: The Residence filed 86 incident reports greater than 24 hours after the occurrence of the incident or accident.
Resident records: Log A did not consistently document all significant or pertinent information necessary to maintain the continuity of care for all Residents.
Report Facts
Findings: 6
Repeat findings: 2
State median findings: 6
Loading inspection reports...
