Traditions Memory Care of Newton

In the surveyor’s words

From the most serious findings on record at Traditions Memory Care of Newton, in the surveyor’s own words.

• Actual harm, isolatedF684Apr 20, 2022

  Based on document review, observations, and interviews, the facility failed to follow physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The facility also failed to complete regular smoking assessments for Resident #31. The facility reported a census of 41 residents at the time of the survey. Findings include: According to the quarterly Minimum Data Set (MDS) assessment tool dated 1/17/22, Resident # 16 scored 3 of 15 possible points on the Brief Interview for Mental Status, which meant the resident demonstrated severely impaired cognitive abilities. The MDS identified the resident as at risk for pressure ulcers with 1 venous/arterial ulcer, and open lesion. […]

• Actual harm, isolatedF689Apr 20, 2022

  Based on clinical record review, observation, family and staff interviews, review of therapy staff education and training, and manufacturer user manual, the facility failed to provide adequate nursing supervision and assistance devices to prevent injury for 1 of 4 residents reviewed for accidents and hazards (Resident #42). The facility also did not consistently formulate interventions to prevent or minimize injury related to falls, and did not conduct a thorough follow-up investigations in order to manage/analyze the cause of the falls for 2 of 4 residents (Resident # 4 and Resident # 24) at risk for falls. As a result, Resident #4 sustained a wrist fracture and Resident #24 a femur fracture. The facility also failed to keep medications locked for 2 of 3 medication and treatment carts. […]

• No harm, potential for more than minimal, widespreadF727Aug 13, 2026

  Based on schedule review, staff interviews, Payroll Based Journal Data Report and facility policy review, the facility failed to provide a Registered Nurse (RN) in the facility for eight (8) consecutive hours per day for 11 days for February and March 2026. The facility reported a census of 44 residents. Findings include:Review of Payroll Based Journal (PBJ) Staffing Data Report dated January 1, 2026 to March 31, 2026, triggered No RN Hours for February 2nd, 3rd, 15th, and March 7th, 8th, 24th, 25th, 26th, 27th, 28th, and 29th. Review of provided Daily Assignment Nursing Schedules for February 2nd, 3rd, 15th, and March 7th, 8th, 24th, 25th, 26th, 27th, 28th, 29th failed to provide eight consecutive hours of RN coverage. […]

• No harm, potential for more than minimal, patternF812Aug 13, 2026

  Based on observations, interviews, and policy review, the facility failed to follow infection food handling guidelines when Staff A, Cook, did not properly use gloves. During an observation of lunch service, Staff A, [NAME] wore gloves while touching non food items, then while wearing the same gloves, touched bread and served the bread. The facility reported a census of 44. Findings include: On 8/12/26 at 2:58 PM, during pureed food observation beginning at 11:38 a.m., Staff A was wearing gloves. She had placed 4 pork chops in the food processor. She then grabbed a loaf of bread, opened the packaging and reached in with her gloved hands. She pulled out 4 slices of bread, then placed them in the blender. […]

• No harm, potential for more than minimal, patternF657Oct 28, 2025

  Based on observation, clinical record review, policy review, and staff interviews, the facility failed to develop effective care plan interventions protect the resident's right to be free from physical abuse for 4 of 7 residents reviewed for resident to resident altercations(Residents #2, #5, #6, #7). The facility reported a census of 46 residents.Findings included: 1. The Minimum Data Set(MDS) assessment tool, dated 8/4/25, listed diagnoses for Resident #1 which included psychotic disorder(a mental health condition characterized by a loss of touch with reality, leading to significant disturbances in thoughts, perceptions, and behavior), schizophrenia(a chronic mental health condition characterized by a combination of symptoms that can significantly impact a person's thoughts, feelings,… […]