Vantage at Lowell LLC

In the surveyor’s words

From the most serious findings on record at Vantage at Lowell LLC, in the surveyor’s own words.

• Actual harm, isolatedF689Apr 21, 2026

  Based on records reviewed, interviews and observations, for one of three sampled residents (Resident #1) whose bed was equipped with an air mattress, had limited mobility in his/her lower extremities and was dependent on staff for bed mobility, the facility failed to ensure he/she was provided with the necessary level of staff assistance during care to maintain his/her safety. On 04/08/26, Certified Nurse Aide #1, while providing care to Resident #1 by herself, turned and repositioned Resident #1 onto his/her side, away from herself (CNA #1), Resident #1 rolled off the bed and fell to the floor. […]

• Actual harm, isolatedF689Nov 29, 2023

  Based on records reviewed and interviews for one of three sampled residents (Resident #1), who had limited mobility, and decreased sensation from diabetic neuropathy (nerve damage in the hands and feet) in his/her extremities, the Facility failed to ensure he/she was provided with adequate preventative measures to maintain his/her safety in an effort to prevent incidents/accidents, resulting in serious injury, when on 7/28/23 maintenance staff members moved Resident #1, who was in bed, to a new room and during the move they placed Resident #1's portable oxygen (O2) container (containing liquid oxygen) on the bed with him/her, the container tipped over and resulted in liquid O2 leaking out of the container onto Resident #1's bedding and he/she sustained a full thickness (full thickness… […]

• Actual harm, isolatedF688Mar 24, 2023

  Based on observations, record reviews and interviews, the facility failed to prevent a decline in range of motion causing the development of a contracture for 1 Resident (#59) out of a total sample of 30 residents. Findings include: Resident #59 was admitted to the facility in September 2021 with diagnoses including muscle weakness, failure to thrive, anxiety and depression. Review of Resident #59's most recent Minimum Data Set (MDS) dated , 2/2/21, indicated the Resident had a Brief Interview for Mental Status (BIMS) score of 14 out of a possible 15 indicating he/she is cognitively intact. The MDS also indicated Resident #59 requires extensive assistance from staff for bathing, grooming and toileting tasks. On 3/22/23 at 8:10 A.M., Resident #59 was observed lying in bed. […]

• Actual harm, isolatedF689Mar 24, 2023

  Based on record review and interviews the facility failed to ensure one Resident, (#31) received adequate supervision to prevent a fall with injury out of a total sample of 30 residents. Findings include: Review of facility policy titled 'Fall Reduction' revised 6/22/22 indicated the following: Goal: To identify residents at risk for falls and to decrease the incidence of resident falls. Procedure: *1. g. Instruct the resident to use the call light to call for assistance for transfer and mobility needs as indicated. Resident #31 was admitted to the facility in September 2021 with diagnoses including muscle weakness, frequent falls and abnormalities of gait. […]

• Actual harm, isolatedF676Apr 14, 2022

  Based on observation, record review and interview, the facility failed to 1. assess a significant decline in Activities of Daily Living (ADLs) and, 2. failed to provide therapy services needed to assist the resident's ability to perform ADL's back to their baseline, for 1 Resident (#42) in a total of 22 sampled. Findings include: Resident #42 was admitted to the facility in November 2021 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the MDS dated [DATE], indicated that Resident #42 required limited assist for the following Activities of Daily Living (ADL's); bed mobility, bathing and walking in his/her room. Review of the medical record indicated that Resident #42 received physical and occupational therapy services from 11/21/21 through 2/11/22. […]