Life Care Center of Leominster

In the surveyor’s words

From the most serious findings on record at Life Care Center of Leominster, in the surveyor’s own words.

• Actual harm, isolatedF600Apr 26, 2023

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who was severely cognitively impaired, the Facility failed to ensure he/she was free from abuse by a staff member, when on 04/04/23, at approximately 5:10 P.M., Certified Nurse Aide (CNA) #1 engaged in a verbally abusive altercation with Resident #1, that took place in the main dining room and the main reception area, that was witnessed by a visitor and two staff members. CNA #1 yelled and directed profanity at Resident #1, who became visibly upset, progressively more agitated and was screaming and crying during the altercation. […]

• Actual harm, isolatedF656Apr 26, 2023

  Based on records reviewed and interviews for one of three sampled residents (Resident #1), who had Alzheimer's disease and was severely cognitively impaired, the Facility failed to ensure staff consistently implemented and followed interventions identified in Resident #1's Plans of Care related to Dementia, Cognition, Communication and Activities of Daily Living (ADL), when on 04/04/23, Certified Nurse Aide (CNA) #1's interaction with Resident #1 during the dinner time meal was argumentative and aggressive, which conflicted with approaches identified in his/her plans of care that were to be utilized by staff to ensure his/her needs were met, and as a result Resident #1 behaviors escalated from being irritated to becoming upset, frustrated and angry, he/she refused assistance with care… […]

• Actual harm, isolatedF658Nov 22, 2022

  Based on records reviewed and interviews for one of three sampled residents (Resident #2), who was admitted with a surgical wound to his/her left lower extremity, the Facility failed to ensure that nursing provided care and services in accordance with professional standards of practice related to surgical care needs and wound monitoring. Resident #2 was readmitted to the Facility after undergoing surgical repair of left patella (kneecap) fracture, he/she also required the use of an immobilizer brace to help stabilize his/her left leg. However, there were no physician's orders related to monitoring Resident #2's left leg surgical wound site, and no documentation to support wound care assessments were completed by nursing. […]

• No harm, potential for more than minimal, patternF883Aug 21, 2025

  Based on record review, and interview, the facility failed to implement their policies and procedures to ensure residents/residents' representatives were educated on benefits and potential side effects of immunizations, ensure the medical record contained documented consent or refusal of the pneumococcal immunization for four Residents out of five sampled residents. Findings include: A review of the facility policy titled 'Pneumococcal Vaccine Policy for Residents' dated 7/8/25 indicated the following:-Education is provided to the resident and/or representative regarding benefits and side effects or risks and a consent is signed. -Each resident should be offered pneumococcal immunization, unless the immunization is medically contraindicated or the resident has already been immunized. […]

• No harm, potential for more than minimal, patternF908Aug 21, 2025

  Based on observation and interview, the facility failed to maintain kitchen equipment in safe operating condition. Specifically, the facility failed to ensure the walk-in freezer door was functioning properly resulting in ice build-up on the freezer floor and frost covering food product inside the freezer.Findings includeDuring the initial kitchen walkthrough on 8/19/25 at 7:15 A.M., the surveyor opened the walk-in freezer door, the floor of the freezer near the door was covered in ice and was slippery. Next to the door, food products were covered in a thick layer of frost. The frost was piled up from the floor and reached the height of the door covering food product on the shelf next to it. […]