Boston Home, Inc (The)

In the surveyor’s words

From the most serious findings on record at Boston Home, Inc (The), in the surveyor’s own words.

• Actual harm, isolatedF656Feb 3, 2022

  Based on records reviewed and interviews for one of three sampled residents (Resident #1) who was assessed as being at high risk for falls, was totally dependent for care and required two staff members for bed mobility and transfers, the Facility failed to ensure staff implemented interventions from his/her plan of care related to the level of assistance he/she required with care needs. On 01/10/22, Nurse #1 repositioned Resident #1, without another staff member present to assist her. Resident #1, was in bed on an air mattress, with the head of the bed elevated, Nurse #1 attempted to reposition Resident #1 to complete a treatment. […]

• Actual harm, isolatedF689Feb 3, 2022

  Based on records reviewed and interviews for one of three sampled residents (Resident #1) who was assessed as being at high risk for falls, was totally dependent for care and required two staff members for bed mobility and transfers, the Facility failed to ensure Resident #1 was provided with the necessary level of staff assistance during repositioning to maintain his/her safety, to prevent incident resulting in an injury. On 01/10/22, Nurse #1 attempted to reposition Resident #1 in bed by herself, to complete his/her wound care treatment. Nurse #1 did not seek assistance from another staff person for help with Resident #1, who was in bed on an air mattress, with the head of the bed elevated, and was physically unable to participate in the task. […]

• No harm, potential for more than minimal, isolatedF550Mar 3, 2023

  Based on observations, interviews and record review, the facility failed to provide a dignified and respectful existence by 1.) failing to respect a resident's personal room environment for 1 Resident (#45) and 2.) speaking in a language other than English while in Resident areas and while providing care in 2 of 2 units out of a sample of 20 residents. Findings include: Review of the facility policy titled 'The Fundamentals of Resident Rights-Dignity and Respect' with no revision date indicated the following: *A facility must treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality. […]

• No harm, potential for more than minimal, isolatedF609Mar 3, 2023

  Based on interview and record review the facility failed to ensure an allegation of abuse by one Resident (#50) was reported to the Department of Public Health's (DPH) Health Care Facility Reporting Systems (HCFRS) within the required two hour time frame, out of a total 20 sampled residents. Findings include: The facility policy titled Protecting Residents from abuse, neglect and misappropriation of property, updated 11/23/22, indicated the following: * Employees of the Boston Home (TBH) will treat residents and their personal property with respect and will provide care to the resident as defined in the Resident's Care Plan. […]

• No harm, potential for more than minimal, isolatedF641Mar 3, 2023

  Based on observation, record review and interview, the facility failed to accurately complete a Minimum Data Set (MDS) assessment for 2 Resident's (#27 and #48) out of a total sample of 20 Residents. Findings include: 1. For Resident #27, the facility failed to accurately code a stage 4 (full thickness tissue loss with exposed bone, tendon or muscle. Slough or eschar may be present on some parts of the wound bed. Often includes undermining and tunneling) pressure injury on the MDS assessment. Resident #27 was admitted to to the facility in May 2016 with diagnosis including multiple sclerosis and dysphagia. […]