Massachusetts inspects every assisted living residence at least once every two years. At its most recent compliance review on May 6, 2025, the state cited 3 findings at Avita of Needham. 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
3 findings · 3 repeatQuality assurance programMissing or incomplete components of the Quality Assurance and Performance Improvement requirements. Unsafe 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 April 5, 2023, through the date of the Compliance Review.
Documentation of the date the review was completed was missing for the 2024 calendar year reviewed.
Documentation of the person conducting the review was missing for the 2023 and 2024 calendar years reviewed.
AGE reviewed the Residence’s quarterly medication documentation audits from April 5, 2023, through the date of the Compliance Review to ensure compliance with SAMM, LMA and Residence policies.
AGE observed four Personal Care (PC) staff and one nurse providing medication assistance to six Residents to ensure the Residence has developed and implemented systems that support and promote safe SAMM and LMA.
AGE observed an [redacted] in the medication storage unit of one Resident that was missing a notation of the date the bottle was opened.
This was also cited at the previous compliance review.
General Requirements for an ALR- Service and Service Coordination: Quality Assurance and Performance Improvement (QAPI)
651CMR 12.04(10)(a),(d),(e)
Incident reportingThe Residence filed 86 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 April 5, 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 86 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
651CMR 12.04(11)(a)(4)
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 four current Correspondence Logs required to communicate information necessary to maintain the continuity of care for all Residents.
Three logs did not consistently document all significant or pertinent information necessary to maintain the continuity of care for all Residents.
This was also cited at the previous compliance review.
Record Requirements: Correspondence Log
651CMR 12.05(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.