A list of the most recent deficiencies for Astoria Place of Cambridge. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-01-31 | 2024-03-18 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-01-31 | 2024-03-18 | Y |
| 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. | Health | 2024-01-31 | 2024-03-18 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-01-31 | 2024-03-18 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-12-04 | 2024-01-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-04 | 2024-01-05 | Y |
| 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. | Health | 2023-12-04 | 2024-01-05 | Y |
| Keep all essential equipment working safely. | Health | 2023-12-04 | 2024-01-05 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-02 | 2023-08-11 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-07-14 | 2022-07-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-14 | 2022-07-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-07-14 | 2022-07-27 | 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 | 2022-07-14 | 2022-07-27 | N |
| 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. | Health | 2022-07-14 | 2022-07-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-12 | 2022-07-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-07-12 | 2022-07-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-12 | 2022-07-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-12 | 2022-07-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-07-12 | 2022-07-27 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-07-12 | 2022-07-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-07-12 | 2022-07-27 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-07-12 | 2022-07-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-06 | 2021-12-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-02 | 2021-11-10 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-10-10 | 2019-12-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-10 | 2019-12-07 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-10-10 | 2019-12-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-10-10 | 2019-12-07 | 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 | 2019-10-10 | 2019-12-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-10 | 2019-12-07 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-10-10 | 2019-12-07 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2019-10-10 | 2019-12-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-10 | 2019-12-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-10-10 | 2019-12-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-10-10 | 2019-12-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-10 | 2019-12-07 | 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 | 2019-10-10 | 2019-12-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-10 | 2019-12-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-10-10 | 2019-12-07 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-10-10 | 2019-12-07 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-10-09 | 2019-12-07 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-10-09 | 2019-12-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-10-09 | 2019-12-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-09 | 2019-12-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-09 | 2019-12-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-09 | 2019-12-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-09 | 2019-12-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-09 | 2019-12-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-09 | 2019-12-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-09 | 2019-12-07 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-09-06 | 2018-10-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-06 | 2018-10-23 | 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 | 2018-09-06 | 2018-10-23 | 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 | 2018-09-06 | 2018-10-23 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-09-04 | 2018-10-23 | 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 | 2018-09-04 | 2018-10-23 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2018-09-04 | 2018-10-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-09-04 | 2018-10-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-04 | 2018-10-23 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-09-04 | 2018-10-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-04 | 2018-10-23 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2018-09-04 | 2018-10-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-09-04 | 2018-10-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-09-04 | 2018-10-23 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-09-04 | 2018-10-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-04 | 2018-10-23 | N |
