Alden Court Nursing Care & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Alden Court Nursing Care & Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF689Mar 21, 2023

  Based on observation, interview, record review, and policy review, the facility failed to implement fall interventions resulting in a fall with cervical fractures and a subsequent fall with hospitalization for one Resident (#80), out of a sample of 27 residents. Findings include: Review of the facility's policy titled Falls Management Program, dated as revised 11/23/21, indicated the goals of the falls management program are to identify residents at risk, lower their risk by ensuring implementation of procedures to prevent or minimize damage caused by falls, and to remove accident hazards. […]

• Actual harm, isolatedF689Nov 15, 2021

  Based on records reviewed and interviews of one of three sampled residents (Resident #1), who was admitted to the Facility for short term rehabilitation related to a left humeral fracture (break in upper end of upper arm bone), was non-weight bearing to left upper extremity, was assessed as being a high risk for falls and required staff assistance for transfers, the Facility failed to ensure he/she was provided adequate assistance during a transfer to maintain safety and prevent an incident resulting in injury. […]

• No harm, potential for more than minimal, patternF686Jun 11, 2025

  Based on observation, record review, and interview, the facility failed to ensure one Resident (#84), out of a total sample of 26 residents received the necessary care and treatment to promote wound healing. Specifically, the facility failed to ensure treatment orders were transcribed accurately and for the correct wound location per the Wound Physician's recommendations. Findings include: Review of the Massachusetts Board of Registration in Nursing Advisory Ruling on Nursing Practice, #9324, dated as last revised April 11, 2018, indicated but was not limited to the following: -It is the responsibility of the licensed nurse to ensure that there is a proper patient care order from a duly authorized prescriber prior to the administration of any prescription or non-prescription… […]

• No harm, potential for more than minimal, patternF699Jun 11, 2025

  Based on record review and interview, the facility failed for one Resident (#84), out of a total sample of 26 residents, to assess their history of trauma and failed to develop a plan of care accounting for the Resident's experiences and preferences to eliminate or mitigate triggers that may cause re-traumatization. Findings include: Review of the facility's policy titled Trauma Informed and Culturally Competent Care, dated as last revised [DATE], indicated but was not limited to the following: -Trauma Informed Care is an approach to delivering care that involves understanding, recognizing and responding to the effects of all types of traumas. […]

• No harm, potential for more than minimal, patternF760Jul 23, 2024

  Based on interviews and record review, the facility failed to ensure one Resident (#8) was free from significant medication errors, out of a total sample of 27 residents. Specifically, the facility failed to ensure pain medication was administered according to the pain scale indicated in the physician's orders. Findings include: Review of the facility's policy titled Administration Procedures For All Medications, dated last revised July 2018, indicated but was not limited to the following: - Policy: to administer medications in a safe and effective manner. - Obtain and record any vital signs or other monitoring parameters ordered or deemed necessary prior to medication administration. […]