Massachusetts inspects every assisted living residence at least once every two years. At its most recent compliance review on April 15, 2025, the state cited 4 findings at Atria Draper Place. 3 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. Where the state withheld private details, such as a resident's medication or the date of an incident, the text reads [redacted].
Facility details
What the state found
4 findings · 3 repeatEmergency call responseDuring the months of December 2023, June 2024 and March 2025, there were 51 e-call response times over the 10-minute limit.Repeat finding▼
How quickly staff answer a resident's emergency call button.
AGE reviewed the Personalized Emergency Response procedures developed to provide timely assistance to a Resident in the event of an emergency.
During the months of December 2023, June 2024 and March 2025, there were 51 e-call response times over the 10-minute limit.
The Residence has chosen to document hourly safety checks of Residents living in the Special Care Residence (SCR) to comply with the regulation to provide timely assistance to a Resident in the event of an emergency needs situation.
Documentation of hourly safety checks from March 1, 2025, through the date of the compliance review for nine SCR Residents had multiple instances where staff failed to document the hourly safety checks of the SCR Residents during the hours of 7:00 p.m. and 7:00 a.m.
This was also cited at the previous compliance review.
General Requirements for an ALR: Emergency Response
651CMR12.04(2)(b)(3)(b), (c)
Resident screening and assessment · Resident care plansInconsistent with documenting all requirements of Assessments and Service Plans.▼
Resident screening and assessment: Checking, before and during residency, that the residence can meet a resident's needs.
Resident care plans: The written plan describing the care each resident is assessed to need.
The state cited these together under one finding.
AGE reviewed the documentation of seven Resident Records from March 2023 through the date of the Compliance Review to determine compliance with the requirements for Screenings, Assessments and Service Plan Development and Requirements.
Three records were missing signatures of the Resident or Legal Representative.
General Requirements for an ALR: Screening and Assessment Service Plan Development and Requirements
651CMR12.04(6)(c) 651CMR12.0?(b) 651CMR12.04(8)(a)(3)(b)
Quality assurance programMissing or incomplete components of the Quality Assurance and Performance Improvement requirements. Unsafe SAMM and LMA.Repeat finding▼
The residence's own program for auditing and improving the care it gives.
AGE reviewed documentation to ensure the Residence has established an effective, ongoing quality improvement and assurance program for Service Planning, Safety Assurances, and Medication Quality from March 9, 2023, through the date of the Compliance Review.
Documentation of the date the audit was completed and the person responsible for follow up to findings was missing for the 2023 and 2024 calendar years reviewed.
Resident Safety Assurances
Documentation of the date the audit was completed and the person responsible for follow up to findings was missing for the 2023 and 2024 calendar years reviewed.
AGE reviewed the Residence’s quarterly medication documentation audits from March 9, 2023, through the date of the Compliance Review to ensure compliance with SAMM, LMA and Residence policies.
Documentation of the person responsible for follow up to findings was missing for the last three quarters of 2023 and the second quarter of the 2024 calendar year reviewed.
AGE observed four Personal Care (PC) staff providing medication assistance to seven Residents to ensure the Residence has developed and implemented systems that support and promote safe SAMM.
Two Resident’s medication storage units contained expired medications.
Two Resident’s medication storage units contained medications not on the pharmacy list without a label of the Resident’s name, prescription, expiration dates or times of administration.
One Resident had pharmacy filled medication packs with medication present for current or previous dates / times that were documented on the Medication Administration Record (MAR) to have been provided to the Resident. AGE determined that it was unclear whether medications were refused or not provided to the resident.
One PC staff member discussed routinely [redacted] to one Resident which is outside the scope of SAMM.
This was also cited at the previous compliance review.
General Requirements for an ALR- Service and Service Coordination: Quality Assurance and Performance Improvement
651CMR 12.04(10 )(a),(b),(c)(2),(d),(e)
Incident reportingThe Residence filed 22 incident reports greater than 24 hours after the occurrence of the incident or accident.Repeat finding▼
Telling the state, on time, when something happens to a resident.
AGE reviewed the Residence records and incident reports from March 9, 2023, through the date of the Compliance Review to determine whether the Residence complied with the requirement to report qualifying incidents to AGE within 24 hours after the occurrence of the incident or accident.
The Residence filed 22 incident reports greater than 24 hours after the occurrence of the incident or accident.
This was also cited at the previous compliance review.
Emergency Preparedness Plan and Reporting Requirements: Reporting Resident Specific Emergencies
651CMR12.04(11)(a)(4)
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.