Massachusetts inspects every assisted living residence at least once every two years. At its most recent compliance review on November 6, 2024, the state cited 3 findings at Assisted Living Center of Salisbury. 1 of them had already been cited at the previous review. Across the 145 Massachusetts residences with a published report, the median is 6.
This page covers one review, not a history, and it is not a score or a ranking. A finding means the state identified something the residence has to correct; it does not on its own mean a resident was harmed. The state does not publish what happened after this review, so a finding listed here may since have been fixed.
Facility details
What the state found
3 findings · 1 repeatBed rail safetyMissing Bed Rail Assessments.▼
Assessing the risk before a resident's bed is fitted with rails.
EOEA reviewed the records of four Residents to determine compliance with requirements for Screening and Assessment, Service Plan Development and Service Plan Requirements.
EOEA reviewed the Residence records of one Resident utilizing bed rails / U-bars or similar devices for the period of 2023 through the date of the Compliance Review to determine compliance with the required assessment by a physical/occupational therapist every six months.
Documentation of an assessment conducted by a physical/occupational therapist determining that the Resident can independently navigate around the bed rail / assistive device was missing for one Resident.
General Requirements for an ALR: Bed Rail Assessments
651 CMR 12.04(6) 651 CMR 12.04(8)(a)(3)(c)
Quality assurance programMissing or incomplete components of the Quality Assurance and Performance Improvement requirements.Repeat finding▼
The residence's own program for auditing and improving the care it gives.
EOEA reviewed documentation to ensure the Residence has established an effective, ongoing quality improvement and assurance program for Service Planning, Resident Safety Assurances and Medication Quality for the calendar years 2022, 2023 and 2024.
Documentation of the person responsible for follow up action and a set target date for follow-up action was missing the first and third quarters of calendar year 2024.
EOEA observed one PCA staff providing medication assistance to five Residents to ensure the Residence has developed and implemented systems that support and promote safe SAMM:
One Resident had one discontinued medication in the medication storage unit.
This was also cited at the previous compliance review.
General Requirements for an ALR: Quality Assurance and Performance Improvement
651 CMR 12.04(10)(a)-(c)
Staff trainingMissing LGBTQ training. Inconsistent documentation of Introductory Visits.▼
Training and skills checks the residence must give and document for its staff.
EOEA reviewed four personnel records to determine compliance with training requirements.
Four records were missing documentation to confirm completion of required LGBTQ training.
EOEA reviewed the records of four Residents to determine compliance with the requirements that a nurse review the Resident’s service plan with all relevant personal care workers within the 48 hours after the provision of service or with any change of condition for the Resident.
Two records were missing signature documentation to support that Introductory Visits have been conducted with all applicable staff prior to or within 48 hours after the provision of Personal Care services.
Corrective Actions.
Training Requirements: LBGTQ Introductory Visit and Review
M.G.L. c. 19A, § 43 651 CMR 12.04(1)(e) 651 CMR 12.07(7)
Glossary
Abbreviations the state uses without explaining themWhat the residence must doThe residence must send the state a plan to correct each finding, what it will do to keep it from happening again, who is responsible and by when.▼
The residence must send the state a plan to correct each finding, what it will do to keep it from happening again, who is responsible and by when.