Massachusetts inspects every assisted living residence at least once every two years. At its most recent compliance review on October 21, 2025, the state cited 6 findings at The Atrium at Cardinal Drive. 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
What the state found
6 findings · 3 repeatEmergency call responseDuring the months of December 2023 and current October 2025, there were 12 e-call response times over the 15-minute limit.▼
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 and current October 2025, there were 12 e-call response times over the 15-minute limit.
Documentation of the Residence monitoring late response times was missing for December 2023.
General Requirements for an ALR: Emergency Response
651 CMR 12.04(2)(b)(3)(b)
Memory care unitTraining issues identified in the Special Care Residence.▼
Extra requirements that apply to units caring for residents with dementia.
AGE reviewed the Special Care Residence (SCR) operations on the date of the Compliance Review to verify that the Residence is complying with all the required safeguards.
Age identified deficiencies with staff training in relation to emergency response on Wing C as only one staff responded to triggered door alarms.
General Requirements for an ALR: Special Care
651 CMR 12.04(4)(a)(2), (3), (4), (5)
Quality assurance programMissing or incomplete components of the Quality Assurance and Performance Improvement requirements. Unsafe LMARepeat 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 26, 2024, through the date of the Compliance Review.
Documentation of the date the audit was completed was missing for the 2024, and 2025 calendar years reviewed.
AGE observed two nurses providing medication assistance to five Residents to ensure the Residence has developed and implemented systems that support and promote safe LMA.
AGE observed one nurse pre signing LMA documentation prior to administration for two Residents.
AGE observed one compromised medication blister pack in one Resident’s medication storage unit.
This was also cited at the previous compliance review.
General Requirements for an ALR- Service and Service Coordination: Quality Assurance and Performance Improvement (QAPI)
651 CMR 12.04(10)(a), (c), (d), (e)
Incident reportingThe Residence filed 58 incident reports greater than 24 hours after the occurrence of an 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 26, 2024, 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 58 incident reports greater than 24 hours after the occurrence of an 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)
Resident recordsMissing information necessary for the continuity of care.Repeat finding▼
Records that keep a resident's care information complete and available to staff.
AGE reviewed all current Correspondence Logs required to communicate information necessary to maintain the continuity of care for all Residents.
The two SCR logs did not consistently document all significant or pertinent information.
This was also cited at the previous compliance review.
Record Requirements: Correspondence Log
651 CMR 12.05(4)
Staff trainingBiannual skills evaluations were not consistently documented for all PC staff.▼
Training and skills checks the residence must give and document for its staff.
AGE reviewed the records of three Personal Care (PC) staff to determine compliance with SAMM skills and Personal Care evaluation requirements in the calendar year 2024 through the date of the Compliance Review.
Documentation confirming the completion of skills evaluations every six months was missing from three records.
Training Requirements: Supervision
651 CMR 12.07(8)
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.▼
Specific Corrective Actions.
Submit to AGE the following:
a. Documentation confirming current biannual skills evaluations have been completed by a nurse for all PC staff.