Massachusetts inspects every assisted living residence at least once every two years. At its most recent compliance review on August 8, 2024, the state cited 6 findings at Atria Longmeadow Place. 4 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
6 findings · 4 repeatIncident reportingThe Residence filed 10 incident reports greater than 24 hours after the occurrence of the incident during the period reviewed.Repeat finding▼
Telling the state, on time, when something happens to a resident.
EOEA reviewed the Residences records and submitted incident reports from the last quarter of calendar year 2022 through the day of the compliance review for evidence that all occurrences of an incident or accident that has or may have a Significant Negative Effect on a Resident’s health, safety or welfare were reported to EOEA within 24 hours after the occurrence of the incident during the period reviewed.
The Residence filed 10 incident reports greater than 24 hours after the occurrence of the incident during the period reviewed.
This was also cited at the previous compliance review.
General Requirements for an ALR-Emergency Preparedness Plan and Reporting Requirements: Reporting Resident Specific Emergencies
651 CMR 12.04(11) (e)
Emergency call responseIn the months of December 2022, May 2023, and July 2024 there were 45 e-call response times over the ten minutes required by the Residence policy.Repeat finding▼
How quickly staff answer a resident's emergency call button.
EOEA reviewed the Personalized Emergency Response procedures developed to provide timely assistance to a Resident in the event of an emergency needs situation.
In the months of December 2022, May 2023, and July 2024 there were 45 e-call response times over the ten minutes required by the Residence policy.
The Residence is not consistently monitoring the reasons for late e-call response times in order to meet the service needs of Residents.
The Residence has chosen to manually document hourly safety checks of Residents living in the Special Care Residence (SCR) to comply with the regulations to provide timely assistance to a Resident in the event of an emergency needs situation.
Documentation of hourly checks in the Specialized Care Residence neighborhood for July 2024, had multiple instances where staff failed to document the hourly safety checks of the SCR Residents during the hours of 7:00pm and 7:00am.
This was also cited at the previous compliance review.
General Requirements for an ALR - Service and Service Coordination Requirements: Emergency Response
651 CMR 12.04(2)(b)(3)
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 year of 2022(last quarter) and 2023.
Documentation of the date the audit was completed on was missing in 2022 calendar year.
Documentation of a target date for follow- up and staff responsible for follow-up was missing for 2022 and 2023 calendar years.
Resident Safety Assurances
Documentation of the date the audit was completed on was missing in 2022 and 2023 calendar years.
The Residence was missing clear findings, follow up action for set target date and staff responsible for follow-up in the last quarter of calendar years 2022 and 2023.
EOEA observed four RCA staff providing medication assistance to six Residents to ensure the Residence has developed and implemented systems that support and promote safe SAMM and LMA:
Three Resident’s had family filled medication cassettes were missing a label with resident name and room number.
One Resident had two over the counter bottle medications and one [redacted] located on the table in the resident room.
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)(b)(c)
Resident screening and assessment · Resident care plansInconsistent with documenting components of Assessments and Service Plans.Repeat finding▼
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.
EOEA reviewed seven Resident Records to determine compliance with requirements for the Screening and Assessment, Service Plan Development and Service Plan Requirements.
Three records were missing documentation of the Legal Representative and the scope of authority.
Three records were missing documentation of a Service Plan reassessment require within 30-days after the commencement of residency.
This was also cited at the previous compliance review.
General Requirements for an ALR: -Screening and Assessment -Service Plan Development and Requirements
651 CMR 12.04(7)(b) 651 CMR 12.04(8)(b)
Resident recordsInconsistent documentation of information necessary for the continuity of care. Missing days in the Correspondence Logs.▼
Records that keep a resident's care information complete and available to staff.
EOEA reviewed the current 90-day Correspondence Log required to communicate information necessary to maintain the continuity of care for all Residents.
The Residence did not use the Correspondence Log to communicate all significant or pertinent information necessary to maintain the continuity of care for all Residents
The Residence did not consistently document for each 24-hour period in each Correspondence Log.
Record Requirements: Correspondence Log
651 CMR 12.05(4)
Staff trainingInconsistent documentation of Introductory Visits.▼
Training and skills checks the residence must give and document for its staff.
EOEA reviewed the records of seven 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.
One record was 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.
One record was missing documentation to support that Introductory Visits was conducted with all applicable staff with any change of condition
Corrective Actions.
Training Requirements: Introductory Visit and Review
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 state also asked for specific proof, listed here as written.▼
Submit to EOEA the following:
Documentation that all care staff received in service on family filled medication cassettes.
Confirmation each Resident has a current assessment and service plan signed and dated in each file in accordance with 130 CMR 12.04(8)(b)