Odd Fellows Home of Massachusetts

In the surveyor’s words

From the most serious findings on record at Odd Fellows Home of Massachusetts, in the surveyor’s own words.

• Actual harm, isolatedF600Dec 20, 2023

  Based on records reviewed, review of surveillance camera video footage and interviews, for one of three sampled residents (Resident #1) who had moderate cognitive impairment, history of behaviors and was dependent on staff for care, the Facility failed to ensure he/she was free from physical and verbal abuse when on 12/06/23/23, during the day shift, Certified Nurse Aide (CNA) #1 was seen on video footage pulling Resident #1 backward out of the elevator, then he hit/slapped him/her on the left side of the back of his/her head/neck/face area, and can then be seen standing over him/her engaging verbally and physically as he moves his arms/hands in front of Resident #1's face. […]

• Actual harm, isolatedF684Oct 6, 2023

  Based on observations, records reviewed, and interviews, the facility failed to provide treatment and care in accordance with professional standards of practice and the Resident's/Resident Representative's (RRs) choices for one Resident (#27), out of a total sample of 19 residents. Specifically, the facility failed to adequately assess Resident #27's acute change in condition and accurately monitor his/her food intake or fluid intake and fluid output when the Resident demonstrated frequent refusal of medications, had reduced food and fluid intake, had a history of constipation, and complained of abdominal pain, which resulted in rectal fecal impaction and hospitalization . […]

• Actual harm, isolatedF692Oct 6, 2023

  Based on observations, records reviewed, and interviews, the facility failed to provide necessary nutrition and hydration treatment, services, assessment and monitoring for one Resident (#27) out of a total sample of 19 residents. Specifically, the facility failed to: Provide necessary treatment and services to promote food and fluid consumption, and accurately monitor food and fluid intake for Resident #27 when the Resident was identified as having potential nutrition and swallowing problems. […]

• No harm, potential for more than minimal, patternF791Mar 26, 2026

  Based on observations, interviews, and record review, the facility failed to assist three Residents (#30, #62, and #88), with signed consents, out of a total sample of 19 residents, in obtaining routine dental care, increasing the Residents' risks for unidentified dental disease and deteriorating oral health.Findings include:Review of the facility's Dental Services Policy, last revised [DATE], indicated the following: -Residents and/or their responsible party are responsible for the selection of a dentist or dental service to be used by the resident for dental supervision while in the facility. -Residents are assisted in obtaining regular and emergency dental care through the dentist or the dental service indicated at the time of admission. […]

• No harm, potential for more than minimal, patternF880Mar 26, 2026

  Based on observations, interviews, and record review, the facility failed to implement infection control practices to prevent transmission of infections for three Residents (#64, #13, and #32), out of a total sample size of 19 residents. Specifically, the facility failed:1. For Resident #64, to implement Contact precautions (the use of protective equipment such as gowns and gloves to prevent the spread of parasites from one person to another) in accordance with Resident's plan of care plan increasing the risk to other residents, staff and visitors for contracting scabies (tiny mites that burrow under a person's skin, lay eggs and trigger an allergic reaction that causes itching). 2. […]