Copley at Stoughton Nursing Care Center

In the surveyor’s words

From the most serious findings on record at Copley at Stoughton Nursing Care Center, in the surveyor’s own words.

• Actual harm, isolatedF689Jul 31, 2023

  Based on observation, record review and interview, the facility failed to 1.) develop and implement care plan interventions related to falls for one Resident (#76) resulting in a fall with injury and 2.) failed to implement a fall care plan for wearing the appropriate footwear for one Resident (#4), out of a total of 21 sampled Residents. Review of the facility's Managing Falls and Fall Risk policy, dated December 2007 indicated: *Based on previous evaluations and current data, the staff will identify interventions related to the resident's specific risks and causes to try to prevent the resident from falling and to try to minimize complications from falling. Findings include: 1. […]

• Actual harm, isolatedF686Feb 28, 2022

  Based on interview, policy review, and record review, the facility failed to ensure that residents with pressure ulcers received necessary treatment and services consistent with professional standards of practice to promote healing, prevent new ulcers from developing and provide ongoing assessment and treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . Specifically, the facility failed to effectively implement the facility's pressure injury prevention policy, ensure timely identification of a deep tissue injury (DTI), and document, monitor, and treat Resident #18's DTI resulting in a worsening of the DTI of the heels. […]

• No harm, potential for more than minimal, widespreadF880Oct 8, 2024

  Based on observation, interview, and policy review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and potential transmission of communicable diseases and infections. Specifically, the facility failed to ensure: 1. For Resident #31, who has an indwelling urinary catheter, that staff implemented Enhanced Barrier Precautions (EBP-an infection control intervention designed to reduce transmission of multidrug-resistant organisms that employs targeted gown and glove use during high contact resident care activities); and 2. […]

• No harm, potential for more than minimal, patternF812Dec 3, 2025

  Based on observations and interview, the facility failed to store food in accordance with professional standards for food service safety. Specifically, the facility failed to ensure that food was labeled and dated in the main kitchen and in three of three unit kitchenette refrigerators. Findings include: Review of the facility's policy titled Preventing Foodborne Illness - Food Handling, revised July 2014, indicated, but was not limited to, the following:-Food will be stored, prepared, handled and served so that the risk of foodborne illness is minimized. […]

• No harm, potential for more than minimal, patternF756Oct 8, 2024

  Based on interview and record review, the facility failed to act promptly upon recommendations made by the Consultant Pharmacist during the monthly Medication Regimen Reviews (MRR) for one Resident (#93), out of a total sample of 22 residents. Specifically, the facility failed to act on the consultant pharmacist's recommendation to add a stop date to the Resident's as needed Ativan (an antianxiety medication) order. Findings include: Resident #93 was admitted to the facility in February 2024 with diagnoses including dementia and anxiety. Review of Resident #93's medical record indicated he/she was seen by the Consultant Pharmacist in July 2024 and recommendations were made. The surveyor was unable to locate the July 2024 Consultant Pharmacist's recommendation in Resident #93's record. […]