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Deficiency Records for Care Village at West Roxbury
View the most recent health deficiencies and inspection results for Care Village at West Roxbury. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Care Village at West Roxbury. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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. | Health | 2025-11-14 | 2025-12-12 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-11-14 | 2025-12-12 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-11-14 | 2025-12-12 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-11-14 | 2025-12-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-11-14 | 2025-12-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-11-14 | 2025-12-12 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-11-14 | 2025-12-12 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-11-14 | 2025-12-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-11-14 | 2025-12-12 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-10-31 | 2025-01-09 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-10-31 | 2025-01-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-31 | 2025-01-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-10-31 | 2025-01-09 | N |
| Have a properly installed and maintained dumbwaiter or escalator. | Fire Safety | 2024-10-31 | 2025-01-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-10-31 | 2025-01-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-31 | 2025-01-09 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-10-31 | 2025-01-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-10-31 | 2025-01-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-10-31 | 2025-01-09 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-10-31 | 2025-01-09 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-10-31 | 2025-01-09 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-10-31 | 2025-01-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-10-31 | 2024-12-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-10-31 | 2024-12-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-31 | 2024-12-06 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-10-31 | 2024-12-06 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-10-31 | 2024-12-06 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-10-31 | 2024-12-06 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-10-31 | 2024-12-06 | N |
| 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. | Health | 2024-10-31 | 2024-12-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-31 | 2024-12-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-10-31 | 2024-12-06 | N |
| 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. | Health | 2024-08-27 | 2024-09-06 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-06-10 | 2024-07-27 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-06-10 | 2024-07-27 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-06-10 | 2024-07-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-21 | 2024-06-05 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-07 | 2023-12-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-07 | 2023-12-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-11-07 | 2023-12-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-07 | 2023-12-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-07 | 2023-12-16 | N |
| Provide or obtain dental services for each resident. | Health | 2023-11-07 | 2023-12-16 | N |
| 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. | Health | 2023-11-07 | 2023-12-16 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-11-07 | 2023-12-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-07 | 2023-12-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-07 | 2023-12-16 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-11-07 | 2023-12-16 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-11-07 | 2023-12-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-07 | 2023-12-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-07 | 2023-12-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-07 | 2023-12-16 | N |
| 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. | Health | 2023-11-07 | 2023-12-16 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-11-07 | 2023-12-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-07 | 2023-12-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-07 | 2023-12-15 | N |