Parsons Hill Rehabilitation & Health Care Center

In the surveyor’s words

From the most serious findings on record at Parsons Hill Rehabilitation & Health Care Center, in the surveyor’s own words.

• Actual harm, isolatedF600Apr 13, 2022

  Based on records reviewed, interviews, and review of Facility video/audio surveillance camera footage for one of three sampled residents (Resident #1), who was dependent on a wheelchair for mobility, was homeless without a community support system in place, was undergoing antibiotic treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . - On [DATE], Resident #1, who signed him/herself out of the Facility for a social LOA, indicated he/she anticipated to be LOA from 11:00 A.M. to 3:00 P.M., however, he/she returned to the Facility approximately five hours later than anticipated, was denied retry, he/she became distressed and emotionally upset when he/she was informed by staff that since he/she failed to notify the Facility that he/she was going to be late, that he/she was considered discharged… […]

• Actual harm, isolatedF624Apr 13, 2022

  Based on records reviewed, interviews, and review of Facility video/audio surveillance camera footage for one of three sampled residents (Resident #1), who was dependent on a wheelchair for mobility, was homeless without a community support system in place, was undergoing antibiotic treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . - On 02/16/22, Resident #1, who was approximately five hours late returning from a social Leave of Absence (LOA) in the community, was informed that because he/she was late and had not notified the Facility that he/she was going to be late, that per Administration, he/she was considered discharged Against Medical Advice (AMA). […]

• Actual harm, isolatedF626Apr 13, 2022

  Based on records reviewed, interviews, and review of Facility video/audio surveillance camera footage for one of three sampled residents (Resident #1), who was dependent on a wheelchair for mobility, was homeless without a community support system in place, was undergoing antibiotic treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . - On [DATE], Resident #1, who signed him/herself out to the Facility for a social Leave of Absence (LOA), and had indicated he/she anticipated being LOA from 11:00 A.M. […]

• No harm, potential for more than minimal, widespreadF727Jan 23, 2024

  Based on interview and record review, the facility failed to provide coverage as required by a Registered Nurse (RN) for at least eight consecutive hours a day for seven days a week. Specifically, the facility was unable to provide evidence that a Registered Nurse (RN) was scheduled and worked for a minimum of eight hours during the 24-hour period on Monday 1/1/2024, when no staffing waivers were in place. Findings include: Review of the facility's daily Nurse Staff Schedule provided to the surveyor by Administration for the period of 12/16/23 to 1/16/24, indicated that no RN had been scheduled to work on Monday 1/1/24 and there were no licensed nursing staff call-outs reported. During an interview on 1/17/24 at 3:22 P.M., the Scheduler said the facility does not use agency staff. […]

• No harm, potential for more than minimal, widespreadF886Nov 3, 2022

  Based on policy review, record review, and interview, the facility failed to ensure its staff conducted COVID-19 testing for both staff and residents following an identified new outbreak. Specifically, they failed to conduct outbreak testing in a timely manner to ensure new COVID-19 cases were identified, and failed to have a tracking system in place with testing frequency and results, for both staff and residents. Findings include: Review of the Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health (DPH) Memorandum, titled Update to Caring for Long-Term Care Residents during the COVID-19 Response, including Visitation Conditions, Communal Dining, and Congregate Activities, dated October 13, 2022 indicated the following: - Once a new case… […]