Massachusetts inspects every assisted living residence at least once every two years. At its most recent compliance review on May 15, 2025, the state cited 4 findings at Benchmark Senior Living at Forge Hill. 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
4 findings · 4 repeatMedication assistance · Emergency call responseDuring the months of July 2024 and March 2025, there were 86 e-call response times over the fifteen-minute limit in accordance with the Resident’s policy.Repeat finding▼
Medication assistance: How staff help residents take their medication.
Emergency call response: How quickly staff answer a resident's emergency call button.
The state cited these together under one finding.
AGE reviewed the records of two Residents utilizing family-filled medication cassettes for SAMM:
Two records were missing the current form used by the Residence to provide full written disclosure and consent for family-filled medication cassettes to outline all possible risks associated with this practice.
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 July 2024 and March 2025, there were 86 e-call response times over the fifteen-minute limit in accordance with the Resident’s policy.
AGE reviewed seven Resident Records reviewing documentation from April 2023 through the date of the Compliance Review to determine compliance with the requirements for Screenings, Assessments and Service Plan Development and Requirements.
Six records were missing documentation of an initial assessment being completed by a nurse.
This was also cited at the previous compliance review.
General Requirements for an ALR: -Self-administered Medication Management (SAMM) -Emergency Response
651 CMR12.04(2)(6)(2.)(d.) 651 CMR 12.04(2)(6)(3.)(b.)
Resident care plansInconsistent with documenting all requirements of Assessments and Service Plans.Repeat finding▼
The written plan describing the care each resident is assessed to need.
Four records were missing documentation of a service plan review required within 30 days after the commencement of residency.
Three records were missing documentation of a service plan review required every six months or after a change in Resident conditions.
This was also cited at the previous compliance review.
General Requirements for an ALR: Service Plan Development and Requirements
651 CMR12.04(6)(a) 651 CMR 12.04(7)(6) 651 CMR 12.04(8)(c)
Quality assurance programUnsafe SAMM and 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 March 2023, through the date of the Compliance Review.
AGE observed one PC staff and two nurses providing medication assistance to seven Residents to ensure the Residence has developed and implemented systems that support and promote safe SAMM / LMA.
AGE observed one Resident’s medication storage unit contained expired medication
AGE observed the PC staff failed to document on the medication observation sheet after providing SAMM assistance.
AGE observed one Resident’s medication storage unit contained medication to be provided [redacted] which should be locked separately as per the Residence policy on medication storage.
AGE observed one Resident’s medication storage unit contained medication without an order from an authorized prescriber.
AGE observed one Resident’s medication storage unit contained two medications that were not from a pharmacy-filled and pharmacy-labeled container.
AGE observed one Resident’s medication storage unit contained expired medication.
AGE observed one nurse documented on the Medication Administration Record prior to administering the medication for three Residents.
AGE observed one nurse who did not perform hand hygiene prior to one Resident’s medication administration.
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)
Incident reportingThe Residence filed 23 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 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 23 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)(a)(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.