Civita Care Northbridge

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jun 26, 2024

  Based on observation, clinical record reviews, review of facility documentation, and interviews for 1 of 6 residents at risk for elopement (Resident # 8), the facility failed to implement interventions for a resident identified at risk for elopement. Resident #8 was able to exit the facility without staff knowledge and was found 0.6 miles away from the facility by law enforcement. This failure resulted in a finding of Immediate Jeopardy (IJ). The finding includes: Resident #8's diagnoses included paranoid schizophrenia, dementia, depression, anxiety disorder and psychosis. The clinical record identified Person # 3 as Resident # 8's conservator. […]

• Actual harm, isolatedF684Mar 24, 2026

  Based on observations, interviews, policy review, and clinical record review, for 2 of 3 sampled residents (Resident #16 and Resident #121), the facility failed to provide care and services consistent with professional standards of practice and the residents' care plans, as required at S483.25 (F684): (1) for Resident #16, the facility did not ensure ongoing, routine blood glucose monitoring after readmission, did not timely renew orders for blood sugar checks, and did not maintain/document provider orders for insulin administration, resulting in severe hyperglycemia ( HI >600 mg/dL), lethargy, hypoxemia, transfer to the ED, and hospitalization with metabolic encephalopathy; and (2) for Resident #121, the facility failed to develop and implement an individualized, 24 hour positioning plan,… […]

• Actual harm, isolatedF600Dec 2, 2025

  Based on clinical record review, facility documentation review, facility policy review, and interviews for one of four residents (Resident #3) reviewed for abuse, the facility failed to ensure the resident was free from mistreatment and failed to ensure adequate supervision of a resident (Resident #1) on one-to-one observation, resulting in the resident hitting Resident #3. The findings include:A. Resident #1 was admitted to the facility during 9/2025 with diagnoses that included dementia, sensorineural hearing loss, esophageal perforation, anxiety, and depression.Record review identified Person #1 was a court appointed Conservator of Person.The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #1 had a Brief Interview for Mental Status (BIMS) score of fifteen… […]

• Actual harm, isolatedF600Oct 26, 2022

  Based on clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #2) reviewed for abuse, the facility failed to ensure adequate supervision for a resident who exhibited behaviors to prevent a resident-to-resident altercation. The findings include: Resident #1's diagnoses included hypertension, Alzheimer's Disease, dementia without behavioral disturbances, psychotic disturbances, mood disturbances, anxiety, and depression. The nursing Admission form dated 9/26/2022 identified Resident #1 was cooperative and independent with ambulation. The Brief Interview for Mental Status (BIMS) Minimum Data Set (MDS) form dated 9/27/2022 identified that Resident #1 had severe cognitive impairment. […]

• Actual harm, isolatedF689Dec 7, 2021

  Based on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 3 residents (Resident #92) reviewed for accidents, the facility failed to follow the plan of care, facility policy and professional standards related to the use of a gait belt and necessary ambulation assistance to prevent a fall with an injury, additionally, for 1 of 3 residents reviewed for accidents (Resident #22) the facility failed to provide adequate supervision of a resident with an altered mental status who was in possession of smoking material and failed to provide adequate supervision of a resident to prevent an elopement. The findings include: 1. […]