New England Pediatric Care

In the surveyor’s words

From the most serious findings on record at New England Pediatric Care, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Mar 20, 2025

  Based on interview and observations, the facility failed to ensure a homelike environment for two of two resident occupied floors. Specifically, the facility failed to ensure ceilings, walls, and furniture were undamaged and/or clean. Findings Include: Review of facility policy titled Family/ Psychosocial Admission Policy Guide, dated as reviewed 3/19/25, indicated the following: -In accordance with the Individuals with Disabilities Education Act (IDEA) [The facility] strives to create the least restrictive environment for our residents that meets their individual needs. […]

• No harm, potential for more than minimal, patternF656Feb 15, 2023

  Based on observation, record review and interview the facility failed to develop and implement a plan of care for 1 Resident (#51) and failed to implement the care plan for 4 Residents (#57, #26, #44 and #17), out of a total sample of 19 residents. Findings include: 1. For Resident #51 the facility failed to develop and implement a person-centered care plan with individual approaches/interventions, for the risk of placing non-food items in his/her mouth. Resident #51 was admitted to the facility in December 2014 with diagnoses that include unspecified intellectual disabilities and epilepsy. Review of the Minimum Data Set (MDS) Assessment, dated 1/13/2023, indicated Resident #51 has severe cognitive impairment and is dependent on staff for transfers, bathing, dressing and hygiene. […]

• No harm, potential for more than minimal, patternF656Feb 15, 2023

  5. For Resident #17, with known Self Injurious Behavior (SIB), the staff failed to ensure he/she was not left unsupervised in his/her room while in a wheelchair, as indicated in his/her plan of care. Resident #17 was admitted to the facility in 8/1998 and had diagnoses that included osteoporosis and tracheostomy dependant. Review of the most recent Minimum Data Set (MDS) assessment, dated 12/23/22, indicated Resident #17 was assessed by staff to have severely impaired cognition. The MDS further indicated Resident #17 had behaviors that put him/her at significant risk for physical illness or injury at least 1-3 times a week during the look back period. During an observation on 2/14/23 at 8:43 A.M., the surveyor observed Resident #17 alone in his/her room seated in a wheelchair. […]

• No harm, potential for more than minimal, isolatedF656Mar 20, 2025

  Based on record review, interview and observation, the facility failed to ensure it followed the physician order for elbow protectors for one Resident (#31) out of 18 sampled residents. Findings: Resident #31 was admitted to the facility in December 2010, and has active diagnoses which include cerebral palsy and neuromuscular scoliosis. Review of Resident #31's Minimum Data Set assessment dated [DATE], indicated severely impaired cognition, dependent on staff for all activities of daily living, and at-risk for the development of pressure ulcers. Review of Resident #31's Maintenance care plan, last revised on 11/19/24, indicated: - Heelbos to elbows at all times. Review of Resident #31's physician orders indicated: - Heelbos to bilateral elbows at all times every shift, dated 10/18/2024. […]

• No harm, potential for more than minimal, isolatedF656Apr 9, 2024

  Based on record review and interview, the facility failed to follow the plan of care for one Resident #44, out of a total sample of 21 residents. Specifically, the facility provided Resident #44 with a toy that was not deemed safe, resulting in Resident #44 coughing on a piece of the toy. Findings include: Resident #44 was admitted in November 2012 with diagnoses including PICA (an eating disorder where a person eats non-food items) of infancy and childhood. Review of the Minimum Data Set (MDS), dated [DATE], indicated that Resident #44 is severely impaired and did not score on a Brief Interview for Mental Status (BIMS). Review of the MDS indicates that Resident #44 requires substantial to maximal assist with walking and dependent with wheelchair mobility. […]