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Deficiency Records for Wachusett Manor
View the most recent health deficiencies and inspection results for Wachusett Manor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Wachusett Manor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide a written emergency evacuation plan. | Fire Safety | 2025-09-26 | 2026-01-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-09-26 | 2026-01-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-09-26 | 2026-01-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-09-26 | 2025-10-07 | 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 | 2025-09-26 | 2025-10-07 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-09-26 | 2025-10-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-09-26 | 2025-10-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-09-26 | 2025-10-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-06-24 | 2025-06-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-06-24 | 2025-06-19 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-13 | 2024-09-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-08-13 | 2024-09-27 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-08-13 | 2024-09-15 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-08-13 | 2024-09-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-08-13 | 2024-09-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-13 | 2024-09-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-13 | 2024-09-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-13 | 2024-09-06 | N |
| Provide or obtain dental services for each resident. | Health | 2024-08-13 | 2024-09-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-13 | 2024-09-06 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-08-13 | 2024-09-04 | 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 | 2024-08-13 | 2024-09-04 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-08-13 | 2024-09-04 | N |
| Develop a communication plan. | Fire Safety | 2024-08-13 | 2024-09-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-13 | 2024-09-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-08-13 | 2024-08-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-13 | 2024-08-27 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-08-13 | 2024-08-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-08-13 | 2024-08-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-16 | 2023-05-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-16 | 2023-05-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-05-16 | 2023-05-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-16 | 2023-05-25 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-05-16 | 2023-05-23 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-05-16 | 2023-05-23 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-05-16 | 2023-05-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-16 | 2023-05-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-16 | 2023-05-23 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-05-16 | 2023-05-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-16 | 2023-05-23 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2023-05-16 | 2023-05-23 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-05-16 | 2023-05-23 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-05-16 | 2023-05-23 | 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 | 2023-05-16 | 2023-05-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-16 | 2023-05-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-16 | 2023-05-23 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-05-16 | 2023-05-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-16 | 2023-05-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-16 | 2023-05-23 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-05-16 | 2023-05-23 | N |
| Provide activities to meet all resident's needs. | Health | 2023-05-16 | 2023-05-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-16 | 2023-05-23 | 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 | 2023-05-16 | 2023-05-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-16 | 2023-05-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-16 | 2023-05-23 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-05-16 | 2023-05-23 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-05-16 | 2023-05-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-16 | 2023-05-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-16 | 2023-05-23 | N |