Accura Healthcare of Newton East, LLC

In the surveyor’s words

From the most serious findings on record at Accura Healthcare of Newton East, LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Feb 19, 2025

  Based on observation, interview, clinical record review, and facility policy review, the facility failed to ensure the safety of 5 residents in a designated smoking area when on 2/10/25 at 1:15 PM, Resident #32, with a portable oxygen tank, kept in a bag on the back of his wheelchair, smoked alongside other residents while staff were providing supervision. Per interview with Resident#32 he reported that since November 2024 he had been on oxygen, and sometimes he had the oxygen tank on his wheelchair during smoke breaks. The facility reported 9 residents who smoke or vape. Facility additionally failed to ensure foot pedals had been in place on a wheelchair before transporting Resident #25 from dining room to resident room. […]

• Actual harm, isolatedF686Mar 2, 2022

  Based on observation, record review, and staff and resident interviews, the facility failed to provide care and services in accordance with professional standards of practice to prevent pressure sore development and prevent deterioration of existing pressure sores for 1 of 1 resident (Resident #3) reviewed with identified pressure sores. Resident #3 had been identified as at risk for pressure sore development and had an existing open area on a bony prominence which resulted in the development of 2 facility acquired pressure sores. The facility reported a census of 45 residents. Findings include: According to the Minimum Data Set (MDS) Assessment tool dated 12/14/21, Resident #3 admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Actual harm, isolatedF689Dec 9, 2021

  Based on clinical record review, staff and resident interviews, and facility policy review the facility failed to ensure 1 of 4 residents received adequate supervision to protect against hazards in the environment. Record review and interviews revealed Resident #1 required assistance of two staff with a mechanical lift transfer. On 11/8/21, one nursing staff person assisted Resident #1 to transfer without a gait belt using what was described as a hug transfer, which resulted in a fracture of the left upper arm, which required hospital admission and surgical repair of the fracture. […]

• No harm, potential for more than minimal, widespreadF727Feb 18, 2026

  Based on facility record review and staff interviews, the facility failed to ensure daily Registered Nurse (RN) coverage for 2 separate days within a 30-day schedule review. The facility reported a census of 52.Findings include: Review of nursing schedules from 1/16/26 to 2/14/26 revealed no RN scheduled for 2/8/26 & 2/14/26. On both days, two Licensed Practical Nurses (LPNs) provided the needed licensed nurse coverage. One LPN for the 12-hour day shift and another LPN for the 12-hours night shift. During an interview on 2/18/26 at 1:00 PM, the Administrator acknowledged and confirmed the lack of RN coverage for 2/8/26 and 2/14/26. This was an oversight as a result of recent staffing changes that reduced the number of floor RNs availability. […]

• No harm, potential for more than minimal, widespreadF809Mar 2, 2022

  Based on observation, record review, and staff and resident interviews, the facility failed to serve meals at regular times. The facility reported a census of 45 residents. Findings include: Observations revealed: 2/21/22 at 4:11 p.m., an 8 and 1/2 inch by 11 inch white paper, posted on the conference room door, stated: All Nursing Staff New dining times will now be as listed below: 7:30 a.m. Room Trays 8:00 a.m. Breakfast 8:15 a.m. Last Call 9:00 a.m. Clear Dining Room 11:30 a.m. Room Trays 12:00 p.m. Lunch 12:15 p.m. Last Call 1:00 p.m. Clear Dining Room 4:45 p.m. Room Trays 5:15 p.m. Supper 5:30 p.m. Last Call 6:15 p.m. […]