5
Findings
below the state median of 6
3
Repeat findings
cited at the previous review too
March 18, 2025
Last state review

Massachusetts inspects every assisted living residence at least once every two years. At its most recent compliance review on March 18, 2025, the state cited 5 findings at Atria Marina 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.

Facility details

Owner
WG Marina Place LLC
Action taken
Plan of correction required
Initial certification
03/12/1999
Current certification
Deemed certified since 03/12/2025
Previous compliance review
03/2/2023

What the state found

5 findings · 3 repeat
Emergency call responseDuring the months of December 2023, June 2024, and January 2025, there were 162 e-call response times over the ten-minute limit.
Repeat finding
▼

How quickly staff answer a resident's emergency call button.

What the inspector found

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 January 2025, there were 162 e-call response times over the ten-minute limit.

Documentation of the Residence’s management testing the system to ensure functionality as required by the Residence policy was missing for the 2023 calendar year reviewed.

AGE reviewed the Residence records of 19 Residents utilizing bed rails / U-bars or similar devices for the period of calendar year 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 every six-months for 19 Residents noting that the Resident can independently navigate around a bed rail/ U-bar was missing.

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.)(b.)(c.)

Resident screening and assessmentMissing Bedrail assessments.▼

Checking, before and during residency, that the residence can meet a resident's needs.

General Requirements for an ALR: Screening and Assessment
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. Unsafe SAMM.
Repeat finding
▼

The residence's own program for auditing and improving the care it gives.

What the inspector found

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 3, 2023, through the date of the Compliance Review.

AGE reviewed the Residence’s quarterly medication documentation audits to ensure compliance with SAMM and Residence policies.

Documentation of a target date for follow up action was missing for all four quarters of calendar year 2023.

AGE observed five Personal Care (PC) staff providing medication assistance to nine 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 that were not on the current medication list.

This was also cited at the previous compliance review.

General Requirements for an ALR: Quality Assurance and Performance Improvement
651 CMR 12.04(10)(c)

Incident reportingThe Residence filed 34 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.

What the inspector found

AGE reviewed the Residence records and incident reports from March 3, 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 34 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
651 CMR 12.04(11)(e)

Staff trainingMissing or incomplete components of staff orientation. Inconsistent documentation of Introductory Visits.▼

Training and skills checks the residence must give and document for its staff.

What the inspector found

AGE reviewed the personnel records of seven staff members to determine compliance with orientation requirements.

Documentation of General Orientation for seven staff records was incomplete.

AGE reviewed the records of seven Residents to determine compliance with the requirements that a nurse reviews the Resident’s service plan with all relevant personal care workers within 48 hours after the provision of service or with any change of condition for the Resident:

Seven records were without documentation to support that Introductory Visits were consistently conducted with all applicable staff prior to or within 48 hours, at the time of move-in or at the time of change in the Resident’s condition.

Training Requirements: General Orientation Introductory Visits and Review
651 CMR 12.07(1-2),(7)

Glossary

Abbreviations the state uses without explaining them
AGEMassachusetts Executive Office of Aging & Independence — the state agency that certifies and inspects assisted living.
SAMMSelf-administered medication management — the resident manages their own medication with oversight.
e-callThe emergency call system a resident uses to summon staff.
What 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.▼

Specific Corrective Actions.

Submit to AGE the following:

Documentation confirming a completed and current assessment of all Residents using a bed rail or u-bar.

Documentation that all SAMM medication storage units have been audited.

Documentation that all SAMM Physician orders and SAMM Observation Sheets have been audited.

Documentation confirming current Introductory Visits for all Residents have been completed by a Residence nurse for all PC staff.