Massachusetts inspects every assisted living residence at least once every two years. At its most recent compliance review on May 1, 2025, the state cited 6 findings at Blaire House of Milford. 1 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 · 1 repeatEmergency call responseDuring the months of December 2023, June 2024 and April 2025, there were 277 e-call response times over the 7-minute limit.Repeat finding▼
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, June 2024 and April 2025, there were 277 e-call response times over the 7-minute limit.
Documentation that the Residence monitor e-call response times over the seven-minute limit was missing for the months of December 2023, June 2024 and April 2025.
This was also cited at the previous compliance review.
General Requirements for an ALR: Emergency Response
651 CMR 12.04(2)(b)(2)(d)
Resident screening and assessmentMissing Bed Rail Assessments.▼
Checking, before and during residency, that the residence can meet a resident's needs.
AGE reviewed the documentation of five Resident Records from March 2023 through the date of the Compliance Review to determine compliance with the requirements for Screenings, Assessments and Service Plan Development and Requirements.
AGE reviewed the Residence records of three Residents utilizing bed rails / U-bars or similar devices for the period of 2023 through the date of the Compliance Review to determine compliance with the required assessment by a physical/occupational therapist every six months.
Two records were missing documentation of a current assessment noting that the Resident can independently navigate around a bed rail/ U-bar.
General Requirements for an ALR: Screening and Assessment
651 CMR 12.08(1)(s)
Quality assurance programMissing or incomplete components of the Quality Assurance and Performance Improvement requirements. Unsafe SAMM.▼
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 23, 2023, through the date of the Compliance Review.
Documentation of the date the audit was completed was missing for the 2023 calendar year reviewed.
Resident Safety Assurances
Documentation of the date the audit was completed was missing for the 2023 and 2024 calendar years reviewed.
AGE reviewed the Residence’s quarterly medication documentation audits from March 23, 2023, through the date of the Compliance Review to ensure compliance with SAMM and Residence policies.
AGE observed two Personal Care (PC) staff providing medication assistance to four Residents to ensure the Residence has developed and implemented systems that support and promote safe SAMM.
AGE observed that both PC staff did not properly perform hand hygiene when providing SAMM medications to Residents.
AGE observed unidentified one loose pill in two Resident’s medication storage units.
AGE observed one PC staff provide one pill to one Resident after the pill had fallen on the floor. The PC staff did not know the procedure of how to handle situations of potential medication contamination. The same Resident’s blister pack for one medication had compromised medication blisters.
Age observed one Resident’s current medication administration record was missing from the medication storage unit.
General Requirements for an ALR- Service and Service Coordination: Quality Assurance and Performance Improvement (QAPI)
651 CMR 12.04(10)(a), (b), (c), (d), (e)
Incident reportingLate submissions of Resident-specific incidents reports.▼
Telling the state, on time, when something happens to a resident.
AGE reviewed the Residence records and incident reports from March 23, 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 eight incident reports greater than 24 hours after the occurrence of the incident or accident.
Emergency Preparedness Plan and Reporting Requirements: Reporting Resident Specific Emergencies
651 CMR 12.04(11)(a)(4)
Controlled medication handlingNot following CS policy and procedure.▼
How tightly the residence tracks medications that are subject to abuse.
AGE reviewed the Controlled Substance (CS) policy and procedure for Residents who participate in SAMM.
AGE observed care staff not following the Residence’s CS policies and procedures intended to prevent theft or diversion.
General Requirements for an ALR: Controlled Substances (CS)
651 CMR 12.04(14)
Resident progress notesMissing documentation of significant events.▼
The running notes staff keep on how each resident is doing day to day.
AGE reviewed five Residents’ records to determine compliance with record requirements.
Documentation of significant occurrences in the Progress Notes was missing for two Residents.
Resident Record: Progress Notes
651 CMR 12.05(1)(c)
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:
Documentation confirming a completed and current assessment of all Residents using a bed rail or u-bar.
Documentation that all nursing and Personal Care Staff have had training regarding Controlled Substance policy and procedures.