Most Recent Deficiencies for LIFE CARE CENTER OF ANDOVER

Updated as of January 01, 2020

The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

The tables below are too small to fit on a phone. More information can be seen using a larger device such as a tablet, laptop, or desktop computer.

Deficiency Deficiency Date
Include a process for Emergency Preparedness collaboration. 2018-12-19
Establish policies and procedures for sheltering. 2018-12-19
Establish policies and procedures for volunteers. 2018-12-19
Ensure that residents are free from significant medication errors. 2019-09-12
Provide care and assistance to perform activities of daily living for any resident who is unable. 2019-07-31
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. 2019-07-31
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. 2019-07-31
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. 2019-06-24
Respond appropriately to all alleged violations. 2019-06-24
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 2019-06-24
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 2019-04-17
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. 2019-04-17
Respond appropriately to all alleged violations. 2019-04-17
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 2019-04-17
Provide medically-related social services to help each resident achieve the highest possible quality of life. 2019-04-17
Ensure that residents are free from significant medication errors. 2019-04-17
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. 2019-04-17
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 2019-03-06
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. 2019-02-07
Protect each resident from the wrongful use of the resident's belongings or money. 2019-02-07
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted 2019-02-07
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. 2019-02-07
Provide care and assistance to perform activities of daily living for any resident who is unable. 2019-02-07
Provide appropriate pressure ulcer care and prevent new ulcers from developing. 2019-02-07
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. 2019-02-07
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 2019-02-07
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. 2019-02-07
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. 2019-02-07
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. 2019-02-07
Observe each nurse aide's job performance and give regular training. 2019-02-07
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne 2019-02-07
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. 2019-02-07
Provide or obtain dental services for each resident. 2019-02-07
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. 2019-02-07
Provide and implement an infection prevention and control program. 2019-02-07
Implement a program that monitors antibiotic use. 2019-02-07
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 2019-02-07
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. 2019-02-07
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. 2019-02-07
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. 2019-02-07
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. 2019-02-07
Plan the resident's discharge to meet the resident's goals and needs. 2019-02-07
Provide appropriate treatment and care according to orders, resident?s preferences and goals. 2019-02-07
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. 2019-02-07
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 2018-12-13
Provide appropriate pressure ulcer care and prevent new ulcers from developing. 2018-12-13
Provide appropriate treatment and care according to orders, resident?s preferences and goals. 2018-06-20
Provide appropriate pressure ulcer care and prevent new ulcers from developing. 2018-06-20
Provide safe and appropriate respiratory care for a resident when needed. 2018-06-20
Ensure each resident?s drug regimen must be free from unnecessary drugs. 2018-05-23
Give residents a notice of rights, rules, services and charges. 2018-03-06
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. 2018-03-06
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. 2018-03-06
Not hire anyone with a finding of abuse, neglect, exploitation, or theft. 2018-03-06
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. 2018-03-06
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 2018-03-06
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. 2018-03-06
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. 2018-03-06
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. 2018-03-06
Post nurse staffing information every day. 2018-03-06
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. 2018-03-06
Ensure each resident?s drug regimen must be free from unnecessary drugs. 2018-03-06
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne 2018-03-06
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. 2018-03-06
Dispose of garbage and refuse properly. 2018-03-06
Implement a program that monitors antibiotic use. 2018-03-06
Keep all essential equipment working safely. 2018-03-06
Provide care and assistance to perform activities of daily living for any resident who is unable. 2018-03-06
Provide appropriate pressure ulcer care and prevent new ulcers from developing. 2018-03-06
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 2018-03-06
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. 2018-03-06
Provide enough food/fluids to maintain a resident's health. 2018-03-06
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. 2018-03-06
Observe each nurse aide's job performance and give regular training. 2018-03-06
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. 2018-03-06
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of schedul 2018-03-06
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. 2017-12-29
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. 2017-12-29
Provide care and assistance to perform activities of daily living for any resident who is unable. 2017-12-29
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. 2017-12-29
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. 2017-12-29
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 2017-10-13
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 2017-10-13
Provide or obtain dental services for each resident. 2017-10-13
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 2017-06-27
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 2016-09-06
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 2016-09-06
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. 2016-09-06
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. 2016-09-06
Provide housekeeping and maintenance services. 2016-09-06
Provide adequate and comfortable lighting levels in all areas. 2016-09-06
Ensure each resident receives an accurate assessment by a qualified health professional. 2016-09-06
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 2016-09-06
Allow residents the right to participate in the planning or revision of care and treatment. 2016-09-06
Provide necessary care and services to maintain or improve the highest well being of each resident . 2016-09-06
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 2016-09-06
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 2016-09-06
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 2016-09-06
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 2016-09-06
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 2016-09-06
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 2016-09-06
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 2016-09-06
Store, cook, and serve food in a safe and clean way. 2016-09-06
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 2016-09-06
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 2016-09-06
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 2016-09-06
Have a program that investigates, controls and keeps infection from spreading. 2016-09-06
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility 2016-09-06
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. 2016-09-06
Ensure laboratory services, blood blanks and transfusion services provided on site meet requirements for certified laboratories; or have an agreement to obtain services from an offsite laboratory, that meets the same requirements. 2016-09-06
Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. 2016-09-06
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 2016-09-06