Massachusetts inspects every assisted living residence at least once every two years. At its most recent compliance review on February 11, 2025, the state cited 5 findings at Benchmark Senior Living at Clapboardtree. 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
5 findings · 3 repeatEmergency call responseIn the month of December 2023 there were 497 e-call response times over the 12 minutes required by the Residence policy.Repeat finding▼
How quickly staff answer a resident's emergency call button.
AGE reviewed response times and tests of the emergency response system from the calendar years 2023 and 2024 to determine compliance with Service Coordination requirements.
In the month of December 2023 there were 497 e-call response times over the 12 minutes required by the Residence policy.
In the month of May 2024 there were 330 e-call response times over the 12 minutes required by the Residence policy.
In the month of December 2024 there were 172 e-call response times over the 15 minutes required by the Residence policy.
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 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 nine Resident Records reviewing documentation through the date of the Compliance Review to determine compliance with the requirements for Screenings, Assessments and Service Plan Development and Requirements.
Two records were without documentation to confirm that assessments noted the name and scope of any Legal Representative.
Five records were missing documentation of assessment results for Resident allergies.
Five records were missing documentation of assessment results for Resident diagnosis.
Five records were without documentation confirming the description of services not affiliated with the Assisted Living Residence.
Three SCR records were missing documentation that Residents have supervised access to a heating element.
Five records were missing documentation of the presence of Resident behaviors.
Three records were missing documentation of an Initial Service Plan.
Three records were missing documentation of a Service Plan reassessment required within 30-days after the commencement of residency.
General Requirements for an ALR: Screening and Assessment Service Plan Development and Requirements
651 CMR 12.04(1)(d) 651 CMR 12.04(6)(b) 651 CMR 12.04(7) 651 CMR 12.04(7)(a)(1.)(2.)(6.) 651 CMR 12.04(7)(b) 651 CMR 12.04 (8)(a)(2.)(c.) 651 CMR 12.04 (8)(c)
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.
AGE reviewed documentation to ensure the Residence has established an effective, ongoing quality improvement and assurance program for Service Planning, Resident Safety and Medication Quality for the calendar years 2023 and 2024.
Resident Safety Assurances
Documentation of target date for follow up concerning findings was missing for the 2023 calendar year reviewed.
This was also cited at the previous compliance review.
General Requirements for ALR-Service and Service Coordination: Quality Assurance and Performance Improvement
651 CMR 12.04(10)(b)
Incident reportingThe Residence filed 55 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.
AGE reviewed the Residence records and submitted incident reports from September 14, 2023 through February 11, 2025 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 AGE within 24 hours after the occurrence of the incident or accident.
The Residence filed 55 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)
Staff trainingMissing documentation of semiannual PCA skills evaluations.▼
Training and skills checks the residence must give and document for its staff.
AGE reviewed the records of four PCA personnel to verify a qualified nurse shall, at least once every six months, evaluate the Personal Care Services and his or her awareness of SAMM regulations and applicable policies and verifies his or her demonstrated ability to comply with SAMM regulations and related Residence policies and procedure provided by personal care staff of the Residence or by contracted providers.
Documentation of the nurse signature for PCA skills evaluations every six months of calendar year 2024 were missing for four PCA records reviewed.
Corrective Actions.
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 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.