Bostonian Nursing Care & Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF686Jun 13, 2023

  Based on records reviewed and interviews, for one of three sampled residents (Resident #2), who had developed areas of skin breakdown, had been admitted to the Hospital, and required treatment by the Hospital wound nurse while admitted , the Facility failed to ensure that upon readmission to the Facility he/she was provided nursing treatment and services that were consistent with professional standards of practice related to his/her care needs and as a result his/her pressure injury worsened. […]

• Actual harm, isolatedF692May 20, 2022

  Based on record review and interview, the facility failed to identify and address a significant weight loss timely for 1 Resident (#52) out of a total sample of 23 residents. Findings include: Review of the facility policy titled, Resident Weight Monitoring, review date 9/2021 indicated: -Purpose: To determine residents at risk and provide early intervention for weight management and dehydration. -Policy: The nutritional and hydration status of residents will be monitored routinely with weight records. […]

• No harm, potential for more than minimal, patternF641Apr 6, 2023

  Based on record review and interview the facility failed to A). conduct direct resident interviews for the Minimum Data Set Assessment for 9 residents and B). failed to accurately complete a discharge Minimum Data Set Assessment for 1 out of 3 discharge records reviewed, out of a total sample of 25 residents. Findings include: Review of the Centers for Medicare and Medicaid Services, Long Term Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, dated October 2019 indicated the following: The purpose of this manual is to offer clear guidance, through instruction and example, for the effective use of the RAI, and thereby help nursing home staff achieve the benefits listed above. […]

• No harm, potential for more than minimal, patternF695Apr 6, 2023

  Based on observation, record review and interview the facility failed to provide care consistent with professional standards of practice for respiratory treatment and equipment for 4 Residents (#11, #45, #61 and #68) out of a total sample of 25 residents. Specifically, for Resident #11 the facility failed to ensure the medical plan of care included the use of humidification for continuous oxygen administration and failed to develop a care plan for the use of humidification, failed to ensure for Resident #45 and #61 that the oxygen tubing was maintained per the medical plan of care and for Resident #68 failed to ensure proper equipment was used to administer oxygen therapy and that proper storage of respiratory equipment to prevent infection was maintained. […]

• No harm, potential for more than minimal, patternF550May 20, 2022

  Based on observation and interview, the facility failed to ensure dignity with dining was maintained for 3 Residents (#30, #50 and #26) out of a total 23 sampled residents. Findings include: The facility policy titled Resident Rights and Organizational Ethics, reviewed 9/21, indicated the following: * Individual rights will be retained by all residents/patients of the facility. * Residents have a right to considerate care that respects his or her personal values, beliefs, cultural and spiritual preferences, and life long patterns of living. […]