Inspection Reports for
East Longmeadow Memory Care Assisted Living

MA

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1 Report

2024

Inspection Report — Jun 27, 2024

Routine
Date: Jun 27, 2024

Visit Reason
Biennial state compliance review of the assisted living residence by the Massachusetts Executive Office of Aging & Independence (AGE) on June 27, 2024.

Findings
The state cited 7 findings, which is above the state median of 6. The certification was modified as an action taken.

Citations (7)
Incident reporting: Resident specific incident reports were submitted late to EOEA, with six incident reports filed more than 24 hours after the occurrence during the period reviewed.
Quality assurance program: Documentation of Service Plan reviews for 2022 and 2023 was not available, monitoring of the Evidence Informed Falls Prevention Program was missing for 2022 and 2023, Resident Safety Assurance documentation was missing for 2023, quarterly medication audits were missing for several quarters in 2023 and 2024, and staff pre-signed medication sheets prior to assisting residents.
Resident screening and assessment · Resident care plans: Multiple resident records were missing documentation for initial nurse assessments, medication management ability, legal representative scope, service plan reassessments, enrichment activities, supervised access cooking capacity, 24-hour on-site staff access, and assessment results for allergies and diagnoses.
Memory care unit: Documentation to support required Special Care Residence operations reviews during the period of review was missing.
Emergency drills: Documentation that all applicable staff participated in elopement and evacuation drills was missing for 2022 and 2023.
Staffing: Documentation of a quarterly staffing levels analysis was missing for all four quarters of 2023 and the third and fourth quarters of 2022.
Staff training: Documentation was missing for Introductory Visits with staff, biannual SAMM and skills evaluations for some personal care staff, and required LGBTQ trainings.
Report Facts
Findings: 7 Repeat findings: 0

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