CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Care Village at Mattapan
View the most recent health deficiencies and inspection results for Care Village at Mattapan . Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Care Village at Mattapan . Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-11-17 | 2025-11-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-02-13 | 2025-03-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-02-13 | 2025-03-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-02-13 | 2025-03-21 | 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 | 2025-02-13 | 2025-03-21 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-02-13 | 2025-03-21 | N |
| Assess the resident when there is a significant change in condition | Health | 2025-02-13 | 2025-03-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-02-13 | 2025-03-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-02-13 | 2025-03-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-13 | 2025-03-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-02-13 | 2025-03-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-13 | 2025-03-21 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-02-13 | 2025-03-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-02-13 | 2025-03-21 | 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 | 2025-02-13 | 2025-03-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-02-13 | 2025-03-21 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-02-13 | 2025-03-21 | N |
| 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 necessary and PRN use is limited. | Health | 2025-02-13 | 2025-03-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-13 | 2025-03-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-13 | 2025-03-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-13 | 2025-03-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-02-13 | 2025-03-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-02-13 | 2025-03-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-02-13 | 2025-03-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-02-13 | 2025-03-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-13 | 2025-03-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-02-13 | 2025-03-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-02-13 | 2025-03-10 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-02-13 | 2025-03-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-02-13 | 2025-03-10 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-02-13 | 2025-03-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-02-13 | 2025-03-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-08 | 2024-04-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-08 | 2024-04-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-03-08 | 2024-04-15 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-03-08 | 2024-04-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-03-08 | 2024-04-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-08 | 2024-04-15 | N |
| Respond appropriately to all alleged violations. | Health | 2024-03-08 | 2024-04-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-08 | 2024-04-15 | N |
| 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. | Health | 2024-03-08 | 2024-04-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-08 | 2024-04-15 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-03-08 | 2024-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-08 | 2024-04-15 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-03-08 | 2024-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-08 | 2024-04-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-03-08 | 2024-04-15 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-03-08 | 2024-04-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-08 | 2024-04-15 | 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 | 2024-03-08 | 2024-04-15 | N |
| 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 necessary and PRN use is limited. | Health | 2024-03-08 | 2024-04-15 | 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 | 2024-03-08 | 2024-04-15 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2024-03-08 | 2024-04-15 | N |
| Post nurse staffing information every day. | Health | 2024-03-08 | 2024-04-15 | 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 | 2024-03-08 | 2024-04-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-08 | 2024-04-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-08 | 2024-04-15 | N |
| Provide appropriate foot care. | Health | 2024-03-08 | 2024-04-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-08 | 2024-04-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-08 | 2024-04-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-08 | 2024-04-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-08 | 2024-04-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-28 | 2023-09-25 | Y |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-01-20 | 2023-03-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-20 | 2023-03-31 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-01-20 | 2023-03-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-20 | 2023-03-28 | 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 | 2023-01-20 | 2023-03-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-01-20 | 2023-03-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-20 | 2023-03-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-20 | 2023-03-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-20 | 2023-03-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-20 | 2023-03-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-20 | 2023-03-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-20 | 2023-03-05 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-01-20 | 2023-03-05 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-01-20 | 2023-03-05 | 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 | 2023-01-20 | 2023-03-05 | N |
| 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 necessary and PRN use is limited. | Health | 2023-01-20 | 2023-03-05 | N |
| Provide or obtain dental services for each resident. | Health | 2023-01-20 | 2023-03-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-20 | 2023-03-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-20 | 2023-03-05 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-01-20 | 2023-03-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-20 | 2023-03-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-20 | 2023-03-05 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-01-20 | 2023-03-05 | 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 | 2023-01-20 | 2023-03-05 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-01-20 | 2023-02-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-01-20 | 2023-02-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-20 | 2023-02-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-20 | 2023-02-28 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-01-20 | 2023-02-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-20 | 2023-02-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-20 | 2023-02-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-01-20 | 2023-02-28 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-01-20 | 2023-02-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-01-20 | 2023-02-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-01-20 | 2023-02-28 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-01-20 | 2023-02-28 | N |