Care One at Weymouth

In the surveyor’s words

From the most serious findings on record at Care One at Weymouth, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF757Jan 13, 2026

  Based on interview and record review, the facility failed to ensure the drug regimen for one Resident (#56), from a total sample of 28 residents, was free of unnecessary drugs. Specifically, the facility failed to ensure two oral antibiotic medications (Doxycycline and Amoxicillin/Clavulanate) were not given in excessive duration resulting in the Resident receiving five unnecessary doses of oral antibiotics while on intravenous (IV) antibiotics. Findings include:Review of the facility's policy titled Adverse Consequences and Medication Errors, last revised June 2025, indicated but was not limited to:-A medication error is defined as the preparation or administration of drugs or biological which is not accordance with provider's orders, manufacturer's specifications, or accepted… […]

• No harm, potential for more than minimal, patternF880Jan 13, 2026

  Based on observations and interviews, the facility failed to follow infection prevention and control practices. Specifically, the facility failed to:1. Ensure proper cleaning of resident shared equipment between resident use; and2. Ensure effective hand hygiene practices and appropriate personal protective equipment (PPE) were utilized when entering and exiting resident rooms, including residents on transmission-based precautions (implemented in addition to standard precautions in order to prevent or control infections.), to prevent the potential spread of infection. Findings include:1. […]

• No harm, potential for more than minimal, patternF550Oct 11, 2024

  Based on observation and interview, the facility failed to ensure residents in three of four dining areas had a dignified and homelike dining experience. Findings include: On 10/7/24 at 8:30 A.M., the surveyor made the following observations in the [NAME] Unit dining room: - Three residents were seated at tables in the dining area eating their breakfast meal on trays served at the table. - Covers for the plates were next to the residents filled with trash including milk cartons, coffee mug covers, and oatmeal bowl covers. - Three staff members were sitting in the back corner of the dining area, one of whom was on their phone. […]

• No harm, potential for more than minimal, patternF585Oct 11, 2024

  Based on interview and document review, the facility failed to ensure residents had the right to voice and formulate grievances, have those grievances responded to promptly, and be provided a resolution to their grievance. Specifically, the facility failed to: 1. Have voiced grievances investigated and addressed, for one Resident (#287), out of two residents investigated, who had repeatedly voiced concerns over call light answering times; 2. Provide one Resident (#238), out of a total sample of 25 residents, with a resolution to their grievance either in writing or by discussion once the grievance had been resolved; and 3. Ensure residents had access to grievance/concern forms so they could formulate grievances anonymously, should they choose not to alert a staff member to their concern. […]

• No harm, potential for more than minimal, patternF761Oct 11, 2024

  Based on observation and interview, the facility failed to ensure all medications used in the facility were stored in accordance with currently accepted professional principles. Specifically, the facility failed to: 1. Dispose of oral medications that were no longer stored in their original dispensing systems in two of five medication carts reviewed; and 2. Provide a permanently affixed compartment for the storage of a schedule IV (potential for misuse and dependence) controlled substance in one of three medication room refrigerators reviewed. […]