Inspection Reports for Life Care Center of Nashoba Valley
191 Foster St., Littleton, MA 01460, MA, 01460
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
32% better than Massachusetts average
Massachusetts average: 7.3 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Routine
Deficiencies: 4
Date: Aug 14, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to care planning, medication management, and medication storage at Life Care Center of Nashoba Valley.
Findings
The facility was found deficient in developing comprehensive, person-centered care plans for residents, timely updating care plans to reflect current treatments, ensuring pharmacist recommendations were communicated and acted upon, and properly storing medications in locked compartments.
Deficiencies (4)
Failed to develop and implement a complete care plan that meets all the resident's needs with measurable timetables and actions for Resident #79.
Failed to revise care plans to reflect current anticoagulant medication treatment for Resident #3.
Failed to ensure a licensed pharmacist's monthly medication regimen review recommendations were conveyed to the provider and acted upon timely for Residents #19 and #79.
Failed to ensure medication was stored in accordance with professional standards; hemorrhoid cream was left unsecured in Resident #113's room for three days.
Report Facts
Resident sample size: 23
MDS Brief Interview for Mental Status score: 6
MDS Brief Interview for Mental Status score: 15
MDS Brief Interview for Mental Status score: 4
MDS Brief Interview for Mental Status score: 3
Consultant pharmacist reports: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Unit Manager #1 | Interviewed regarding care plan development, medication regimen review, and medication storage deficiencies | |
| MDS Nurse | Interviewed regarding care plan review and updates | |
| Director of Nursing | Director of Nursing | Interviewed regarding pharmacist recommendations not being addressed timely |
| Assistant Director of Nursing | Assistant Director of Nursing | Interviewed regarding medication storage policies |
| CNA #1 | Certified Nurse Assistant | Interviewed regarding care needs of Resident #79 |
Inspection Report
Routine
Deficiencies: 7
Date: Aug 1, 2024
Visit Reason
The inspection was a routine survey conducted to assess compliance with regulatory requirements related to resident dignity, restraint use, transfer procedures, medication administration, assistance with activities of daily living, fall prevention, and food service practices.
Findings
The facility was found deficient in maintaining resident dignity during dining, assessing and documenting physical restraint use, conveying necessary information during resident transfers, ensuring proper medication administration procedures, providing adequate supervision during meals, implementing fall prevention interventions, and following sanitary food handling practices.
Deficiencies (7)
Failed to ensure dignity was maintained for residents during dining on the Dementia Special Care Unit, including staff standing over residents and conversing about residents instead of interacting with them.
Failed to assess one resident (#92) for use of a possible physical restraint related to wearing a one-piece outfit with a zipper on the back.
Failed to convey necessary information to the receiving provider during transfer of one resident (#75) to the hospital.
Failed to ensure professional standards of practice for medication administration for one resident (#19), including lack of physician order and assessment for self-administration.
Failed to provide supervision and assistance during breakfast meals for one resident (#55) as required by the plan of care.
Failed to ensure bed alarm was in use for one resident (#12) assessed as high risk for falls while in bed.
Failed to appropriately use gloves in a sanitary manner during lunch meal service, including touching oven door and food with the same gloves.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Sample size: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nurse #3 | Observed preparing medications and discussed medication administration issues for Resident #19 | |
| Nurse #5 | Interviewed regarding transfer procedures for Resident #75 | |
| Nurse #6 | Interviewed regarding fall risk and bed alarm use for Resident #12 | |
| Certified Nursing Assistant (CNA) #1 | Interviewed about dining assistance practices | |
| Certified Nursing Assistant (CNA) #2 | Interviewed about use of one-piece outfit for Resident #92 | |
| Certified Nursing Assistant (CNA) #3 | Interviewed about supervision during meals for Resident #55 | |
| Certified Nursing Assistant (CNA) #4 | Observed providing brief encouragement to Resident #55 during meals | |
| Unit Manager #1 | Interviewed about medication administration and self-administration assessment | |
| Unit Manager #3 | Observed bed alarm not in use for Resident #12 and interviewed about transfer documentation | |
| Activities Assistant (AA) #1 | Interviewed about dining practices and staff conversations | |
| Activities Assistant (AA) #2 | Interviewed about Resident #92's behaviors and use of one-piece outfit | |
| Nurse #4 | Interviewed about use of one-piece outfit for Resident #92 | |
| Director of Nursing | Interviewed about restraint assessment, medication administration, transfer documentation, and meal supervision | |
| Food Service Director | Interviewed about glove use during meal service |
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Jun 7, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care plans, pressure ulcer care, medication regimen reviews, and psychotropic medication use at Life Care Center of Nashoba Valley.
Findings
The facility failed to revise resident-centered care plans for two residents regarding fall risk and bed alarm use, failed to implement physician-ordered pressure ulcer treatment for one resident, failed to ensure pharmacist recommendations were addressed for multiple residents, and failed to limit PRN psychotropic medication orders to 14 days without reevaluation for one resident.
Deficiencies (4)
Failed to revise care plans for risk of falls and bed alarm use for two residents.
Failed to provide appropriate pressure ulcer care and prevent new ulcers from developing for one resident.
Failed to ensure licensed pharmacist performed monthly drug regimen review and that physician addressed pharmacist recommendations for multiple residents.
Failed to limit PRN psychotropic medication orders to 14 days without reevaluation for one resident.
Report Facts
Residents in sample: 25
Fall assessment score: 13
Brief Interview for Mental Status (BIMS) score: 5
Brief Interview for Mental Status (BIMS) score: 3
Brief Interview for Mental Status (BIMS) score: 12
Medication days without reevaluation: 34
Brief Interview for Mental Status (BIMS) score: 10
Brief Interview for Mental Status (BIMS) score: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nurse #1 | Interviewed regarding Resident #35's bed and chair alarm use | |
| Nurse #2 | Interviewed regarding Resident #11's fall risk and care plan | |
| Unit Manager #1 | Interviewed about bed alarm use and pharmacist reports | |
| Nurse #3 | Interviewed about Resident #97's pressure ulcer care and prevalon boots | |
| Director of Nursing | Director of Nursing | Interviewed about care plan requirements, pressure ulcer care, and medication reevaluation |
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