Masconomet Rehabilitation And Healthcare Center

Based on observation and interview, the facility failed to store and handle food in accordance with professional standards for food service safety, potentially putting the residents at risk for foodborne illness. Specifically, the facility failed to:1. Ensure that food was stored, labeled, and dated properly, and that food/beverages were not expired; and2. Ensure staff did not handle ready-to-eat food with contaminated gloves. Findings include:1. Review of the facility's policy titled, Food Receiving and Storage, dated November 2022, indicated but was not limited to the following:-All foods stored in the refrigerator or freezer are covered, labeled and dated ( use by date).-Refrigerated foods are labeled, dated and monitored so they are used by their use by date, frozen, or discarded.-Uncooked and raw animal products and fish are stored separately in drip-proof containers and below fruits, vegetables, and other ready-to-eat foods to prevent meat juices from dripping onto these foods.-Foods and snacks kept on nursing units: beverages are dated when opened and discarded after…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, record review, and interview, the facility failed to ensure one Resident's (#91) hand roll was in place as ordered by the physician, out of a total sample of 26 residents. Findings include:Review of the policy titled Resident Mobility and Range of Motion, dated as revised July 2017, indicated:2. Residents with limited range of motion will receive treatment and services to increase and/or prevent a further decrease in ROM (range of motion). 6. Interventions may include therapies, the provision of necessary equipment, and/or exercises and will be based on professional standards of practice and will be consistent with state laws and practice acts. 8. Documentation of the resident's progress toward the goals and objectives will include attempts to address any changes or decline in the resident's condition or needs. Resident #91 was admitted to the facility in November 2024 and has diagnoses that include hemiplegia and hemiparesis following cerebral infarction (stroke) affecting left dominant side. Review of Resident #91's most recent Minimum Data Set (MDS)…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, record review, and interviews, for one Resident (#77), out of 26 sampled residents, the facility failed to provide an environment free of accidents and hazards to prevent injury. Specifically, for Resident #77, who has a history of repeated falls, the facility failed to ensure fall mats were in place as ordered by the physician. Findings include:Review of the facility's policy titled Falls and Fall Risk, Managing, dated as revised March 2018, indicated:Resident-Centered Approaches to Managing Falls and Fall Risk.1. The staff, with the input of the attending physician, will implement a resident-centered fall prevention plan to reduce the specific risk factor(s) of falls for each resident at risk or with a history of falls. Resident #77 was admitted to the facility in November 2024 and has diagnoses that include dementia, anxiety disorder, and repeated falls. Review of Resident #77's most recent Minimum Data Set (MDS) assessment, dated 2/12/26, indicated on the Brief Interview for Mental Status exam Resident #77 scored 3 out of a possible 15, indicating severely…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interviews, and record review, the facility failed to ensure that respiratory care and services consistent with professional standards of practice, and in accordance with physician's orders were provided for two Residents (#67 and #112), out of a total sample of 26 residents. Specifically, the facility failed: 1. For Resident #67, to ensure Oxygen was administered in accordance with the physician's order; and 2. For Resident #112, to ensure Oxygen was administered according to the physician's orders, nebulizer (a medical device that converts liquid medication into a fine, breathable mist for direct inhalation into the lungs through a mask or mouthpiece) tubing was dated, and a nebulizer mask was stored appropriately. Findings include: Review of the facility's policy titled Oxygen Administration, dated October 2010, indicated the following: -Verify that there is a physician's order for this procedure. Review the physician's orders or facility protocol for oxygen administration. -Observe the resident upon setup and periodically thereafter to be sure oxygen is…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation and interviews, the facility failed to ensure staff stored drugs and biologicals in accordance with State and Federal laws. Specifically, the facility failed to ensure medications were dated once opened according to manufacturer's guidelines in one of three medication carts observed. Findings include:Review of the facility's policy titled 'Medication Labeling and Storage', revised February 2023, indicated:-Labeling of medications and biologicals dispensed by the pharmacy is consistent with applicable federal and state requirements and currently accepted pharmaceutical practices.-Multi-dose vials that are not opened or accessed are discarded according to the manufacturer's expiration. On 3/11/26 at 6:55 A.M., the surveyor and Nurse #1 observed the following in the Gould unit medication cart:-One Fluticasone Furoate inhaler, opened and undated.-Spiriva Handihaler inhaler, opened and undated.-Ipratropium Bromide nasal solution, opened and undated.-Liquid protein supplement, opened and undated. During an interview on 3/11/26 at 7:05 A.M., Nurse #1 said the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, record review, and interviews, the facility failed to ensure transmission-based precautions were followed to prevent the spread of infections for one Resident (#7), out of 26 total sampled residents. Specifically, the facility failed to ensure staff implemented enhanced barrier precautions for Resident #7, who had a chronic stage three pressure ulcer. Findings include:Review of the facility's policy titled 'Enhanced Barrier Precautions', revised 2/5/25, indicated:-It is the policy of this facility to implement enhanced barrier precautions for the prevention of transmission of multidrug-resistant organisms.-Initiation of Enhanced Barrier Precautions: An order for enhanced barrier precautions will be obtained for residents with any of the following: Wounds (e.g. chronic wounds such as pressure ulcers). -Implementation of Enhanced Barrier Precautions: PPE (personal protective equipment) for enhanced barrier precautions is only necessary when performing high-contact care activities.-High-contact care activities include dressing, bathing, transferring, providing…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews the facility failed to ensure that PRN (as needed) ordered psychotropic drugs were limited to 14 days for four Residents (#32, #85, #421 and #424) out of a total sample of 26 residents. Specifically, 1. For Resident #32, the facility failed to implement a 14 day stop date for a PRN Ativan (an antianxiety medication). 2. For Resident #85, the facility failed to implement a 14 day stop date for a PRN Clonazepam (an antianxiety medication). 3. For Resident #421, the facility failed to implement a 14 day stop date for a PRN Clonazepam (an antianxiety medication). 4. For Resident #424, the facility failed to implement a 14 day stop date for a PRN Ativan (an antianxiety medication) Findings include: Review of the facility policy titled 'Psychotropic Medication Use' undated, indicated the following but not limited to: -A psychotropic medication is any medication that affects brain activity associated with mental processes and behavior. -Drugs in the following categories are…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to provide quarterly financial statements for one Resident (#89) with a Personal Needs Account (PNA) out of a sample of 26 residents. Specifically, the facility failed to provide quarterly financial statements to his/her Conservator. Findings include: Resident #89 was admitted to the facility in April, 2023 with diagnoses including dementia. A review of the Minimum Data Set (MDS) dated [DATE] indicated a Brief Interview for Mental Status (BIMS) Score of 12 out of a possible 15 indicating moderate impairment. Review of the medical record indicated that Resident #89 has a decree of Conservatorship dated 12/21/23. (A Conservator is a court-appointed individual responsible for managing the financial affairs and property of a protected person who is deemed unable to do so themselves). During an interview on 3/19/25 at 10:03 A.M., the Business Office Manager (BOM) said Resident #89 has a PNA account. She said the facility has been the representative payee ( a…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, record review and interview the facility failed to develop and implement a comprehensive resident-centered care plan for one Resident (#92) out of a total sample of 26 residents. Specifically, for Resident #92, the facility failed to develop a care plan for use of a psychotropic medication (used to treat or manage a psychiatric symptoms or challenging behavior). Findings include: Resident #92 was admitted to the facility in March 2023 with diagnoses including anxiety and dementia. Review of the physician orders dated March 2025 indicated the following orders: -Valproic acid (mood stabilizer) solution; 250 mg (milligrams)/5 mL (milliliters); amount 2.5 ml; oral twice a day for anxiety. Review of the current care plan for Resident #92 failed to indicate a focus, goals and interventions for the use of the mood stabilizer medication Valproic Acid. During an interview on 3/19/25 at 12:14 P.M., with Nurse #1 she said she did not know how to monitor a resident for adverse effects of a psychotropic medication. During an interview on 3/19/25 at 12:19 P.M., Nurse #2 she…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to follow professional standards of practice for 3 Residents (#97, #421, and #424) out of a total sample of 26 residents. Specifically; 1. For Resident #97, the facility failed to follow a physician's order for a weekly skin check. 2. For Resident #421, the facility failed to follow physician's order for air mattress setting. 3. For Resident #424, the facility failed to follow physician's order for air mattress setting. Findings include: 1. Review of the facility policy titled Prevention of Pressure Ulcers, dated April 2020, indicated the following: - Assess the resident on admission (within eight hours) for existing pressure injury risk factors. Repeat the risk assessment weekly and upon any changes in condition. Resident #97 was admitted in September 2023 with diagnoses including osteoarthritis and failure to thrive. Review of the Minimum Data Set (MDS), dated [DATE], indicated Resident #97 scored a 14 out of a possible 15 on the Brief Interview for…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interviews, and record review the facility failed to maintain respiratory equipment according to professional standards of practice for one Resident (#83), out of a total sample of 26 residents. Specifically, For Resident #83, the facility failed to ensure the oxygen concentrator and filter were clean. Findings include: Review of the facility's policy, titled 'Oxygen Concentrator', dated 12/3/24, indicated the purpose is to establish responsibilities for the care and use of oxygen concentrators. -The main body cabinet should be dusted when needed and can be wiped clean with damp cloth and mild household cleaner if necessary. On 3/18/25 9:15 A.M., the surveyor observed the oxygen filter on the oxygen concentration had a layer of gray dust and the main body cabinet had a layer of powder and gray dust. Review of Resident #83's physician order, dated 2/19/24, indicated oxygen- change tubing, rinse filter, wipe down concentrator weekly. Label/date/bag tubing with each change. Once a day on Tuesday nights Review of Resident #83's Treatment Administration Record…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review and interviews, the facility failed to implement a pharmacy recommendation for one Resident (#85) out of a total sample of 26 residents. Findings include: Review of the facility policy titled 'Medication Regimen Review' dated April 2024, indicated the following but not limited to: -Facility staff shall act upon all recommendations according to procedures for addressing medication regimen review irregularities. Resident #85 was admitted to the facility in February 2024 with diagnoses including anxiety disorder. Review of Resident #85's most recent Minimum Data Set (MDS) assessment, dated 1/30/25, indicated the Resident score a 15 out of a possible 15 on the Brief Interview for Mental Status (BIMS) indicating he/she was cognitively intact. Review of the consultant pharmacist recommendation to prescriber report dated 2/16/25 indicated the following: -Resident is receiving the following PRN (as needed) psychotropic medication. These medications are required to be re-evaluated after 14 days. If therapy is to be continued beyond 14 days, please note medical…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record and policy review, the facility failed follow professional standards for weight management for one Resident (#101) out of a total sample of 5 residents. Specifically, the facility failed to conduct reweights for weights outside of acceptable parameters per facility policy. Findings include: Review of the facility policy titled Weighing and Measuring, revised 10/2019 indicated: Residents are weighed: On admission or readmission (Do NOT use prior hospital weight) Weekly for the first 4 weeks after admission Monthly thereafter Per physician's order K. Check current weight against prior recorded weight L. Notify the licensed nurse if weight is three or more pounds different (gain or loss) from prior weight M. Re-weigh the resident within 24 hours to verify accuracy of the weight N. Record the re-weight in the Vital Signs section of the electronic medical record Resident #101 was admitted to the facility in January of 2024 with diagnoses including Type 2 diabetes mellitus (non…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.