Meadows of Central Massachusetts (The)

In the surveyor’s words

From the most serious findings on record at Meadows of Central Massachusetts (The), in the surveyor’s own words.

• Actual harm, isolatedF686Jul 19, 2023

  Based on observation, record review and interview, the facility failed to obtain treatment orders for one Resident (#20), out of three applicable Residents, in a total sample of 15 Residents. Specifically, the facility failed to obtain treatment orders when skin breakdown was initially observed and resulted in the development of a Pressure Ulcer (injury to skin and underlying tissue resulting from prolonged pressure on the skin) for Resident #20. Findings include: Resident #20 was admitted to the facility in January 2023 with a diagnosis of Cerebral Infarction (stroke). […]

• Actual harm, isolatedF690Jul 19, 2023

  Based on policy review, record review and interview, the facility failed to provide appropriate treatment and services to prevent a decline in bladder continence for one Resident (#43) out of a total sample of 15 Residents. Specifically, the facility failed to provide treatment and services for Resident #43, who was cognitively intact, aware of his/her toileting needs and had a desire to maintain urinary continence. Findings include: Review of the facility's Quality of Care policy, dated June 2021, indicated: -The facility will ensure that the resident who is continent of bladder and bowel on admission receives services and assistance to maintain continence unless his/her clinical condition is or becomes such that continence is not possible to maintain. […]

• Actual harm, isolatedF626Nov 14, 2022

  Based on interviews and records reviewed, for one of three sampled residents (Resident #1), who was a long-term care resident without any discharge plans, the Facility failed to permit Resident #1 to return to the Facility following a hospitalization on [DATE] and, as a result of the Facility's refusal to permit Resident #1's return, Resident #1 remained hospitalized for more than 80 days while the hospital sought other placement. Findings include: The Facility Policy, dated September 2021, titled Permitting Resident to Return to Facility, indicated that it is the policy of the Facility to permit residents to return to the Facility following hospitalization according to State and Federal Regulations. […]

• Actual harm, isolatedF686Mar 22, 2022

  Based on record review and interview, the facility failed to ensure the necessary treatment and services were provided to promote healing and prevent infection of a pressure ulcer for one Resident (#25), out of a total sample of 19 residents. Findings include: Resident #25 was admitted to the facility in June 2021 with a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the Minimum Data Set (MDS) Assessment, dated 6/22/2021, indicated the Resident was totally dependent on staff for all activities of daily living including personal hygiene and bed mobility, at risk for pressure ulcer development, and had a suspected Deep Tissue Injury (DTI- intact or nonintact skin with a localized area of persistent, non-blanchable deep red, maroon, or purple discoloration or [MEDICATION(S)]… […]

• No harm, potential for more than minimal, widespreadF727Oct 11, 2024

  Based on the record review and interview, the facility failed to to utilize the services of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week, as required placing all residents at risk for not having their clinical needs met either directly by the RN or indirectly by the Licensed Practical Nurse (LPN) or Certified Nurses Aides (CNA) that the RN was responsible for overseeing with provision of resident care. Specifically, the facility failed to: 1. Provide the services of a RN for at least eight consecutive hours a day, seven days a week when no staffing waivers were in place for three days for the period of 4/1/24 to 6/30/24. 2. […]