Mayflower Healthcare Center

In the surveyor’s words

From the most serious findings on record at Mayflower Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF689Mar 3, 2021

  Based on observation, interview and record review, the facility failed to ensure hot water was maintained at safe temperatures, not exceeding 115 degrees Fahrenheit to prevent the potential of [MEDICAL CONDITION] residents on 3 of 3 hallways including rooms 200, 208, 210 and residents, (# 340, #10, #25) in a total of 23 sampled residents. Findings: On 3/01/21 at 10:28 AM, the hot water in room [ROOM NUMBER] bathroom sink was checked. The water was steaming and too hot to touch. At 12:08 PM, the hot water in room [ROOM NUMBER] bathroom sink was too hot to keep hand under the running water. At 12:43 PM the hot water in room [ROOM NUMBER] bathroom sink was very hot to touch. […]

• No harm, potential for more than minimal, isolatedF554Feb 20, 2025

  Based on observation, interview, and record review, the facility failed to conduct medication self-administration assessment to ensure safety for 1 of 1 residents reviewed for self-administration of medications, of a total sample of 28 residents, (#42). Findings: Resident #42 was admitted to the facility on [DATE] with diagnoses which included encounter for surgical aftercare following surgery on the digestive system, Parkinson's Disease, anemia, major depressive disorder, generalized anxiety disorder, presence of left artificial hip joint and dementia. Review of the Minimum Data Set annual assessment with assessment reference date of 12/11/24 revealed resident # 42 had a Brief Interview for Mental Status score of 15 out of 15 which indicated she was cognitively intact. […]

• No harm, potential for more than minimal, isolatedF684Feb 20, 2025

  Based on interview, and record review, the facility failed to ensure nurses followed physician orders regarding administration of blood pressure medication per parameters set by the physician, for 1 of 5 residents reviewed for unnecessary medications, of a total sample of 28 residents, (#44). Findings: A review of the medical record revealed resident #44 was admitted to the facility on [DATE] with diagnoses including malignant neoplasm of pancreas, benign neoplasm of colon, anxiety disorders, chronic pain, major depressive disorder and essential (Primary) Hypertension. The medical record revealed resident #44 had an active physician order for Clonidine HCL tablet 0.1 milligrams (mg) tablet that directed staff to give 1 tablet by mouth two times a day for hypertension. […]

• No harm, potential for more than minimal, isolatedF580Feb 8, 2024

  Based on interview, and record review, the facility failed to notify the resident representative of significant weight loss for 1 of 1 resident reviewed for notification of change in condition, out of a total sample of 33 residents, (#9). Findings: Resident #9 was admitted to the facility on [DATE] with diagnoses of unspecified dementia, Alzheimer's disease, major depressive disorder and anemia. Review of the Minimum Data Set (MDS) quarterly assessment with assessment reference date of 12/11/23 revealed resident #9 had a Brief Interview for Mental Status score of 1 out of 15 which indicated she had severe cognitive impairment. […]

• No harm, potential for more than minimal, isolatedF585Feb 8, 2024

  Based on interview, and record review, the facility failed to ensure resident grievance was promptly investigated and duly resolved for 1 of 1 resident reviewed for grievances, of a total sample of 33 residents, (#22). Findings: Resident #22, a [AGE] year-old female, was admitted to the facility on [DATE] with diagnoses that included right leg fracture with surgical repair, difficulty in walking, unspecified falls, anxiety disorder and osteoarthritis of the left hand. Review of the Minimum Data Set Admission assessment dated [DATE] revealed resident #22 was cognitively intact, with no behaviors toward herself or others. The assessment indicated resident #22 required maximum assistance for showers, application and removal of footwear and toileting. […]