Massachusetts inspects every assisted living residence at least once every two years. At its most recent compliance review on March 7, 2024, the state cited 4 findings at Waterstone at Wellesley. 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
4 findingsEmergency call responseIn the months of November 2022, June 2023 and February 2024 there were 76 e-call response times over the ten (10) minutes required by Residence policy.▼
How quickly staff answer a resident's emergency call button.
EOEA reviewed the Personalized Emergency Response procedures developed to provide timely assistance to a Resident in the event of an emergency needs situation.
In the months of November 2022, June 2023 and February 2024 there were 76 e-call response times over the ten (10) minutes required by Residence policy.
General Requirements for an ALR: Emergency Response
651 CMR 12.04(2)(b)(3)(b)
Quality assurance programMissing or incomplete components of the Quality Assurance and Performance Improvement requirements.▼
The residence's own program for auditing and improving the care it gives.
EOEA reviewed documentation to ensure the Residence has established an effective, ongoing quality improvement and assurance program for Resident Safety Assurances, and Medication Quality for the calendar years 2022 through the date of the Compliance Review.
Resident Safety Assurances
Documentation of clear findings was missing for the 2022 calendar year reviewed.
Documentation of a target date and the staff person responsible for follow up action to findings was missing for the 2023 calendar year reviewed.
EOEA reviewed the Residence’s quarterly medication documentation audits for the calendar year 2022 through the date of Compliance Review to ensure compliance with SAMM protocols and Residence policies.
Documentation of the person completing the audit was missing for the last quarter of 2022 and all four (4) quarters of the 2023 calendar year reviewed.
General Requirements for an ALR- Service and Service Coordination: Quality Assurance and Performance Improvement
651 CMR 12.04(10)(b)(c)(2),(d)(e)
Incident reportingLate submissions of Resident-specific incidents reports.▼
Telling the state, on time, when something happens to a resident.
EOEA reviewed the Residence records and incident reports from September 2022 through the date of the Compliance Review to determine whether the Residence complied with the requirement to qualifying incidents to EOEA within 24 hours after the occurrence of the incident or accident.
The Residence filed four (4) 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)(e)
Resident recordsInconsistent documentation of information necessary for the continuity of care.▼
Records that keep a resident's care information complete and available to staff.
EOEA reviewed the documentation maintained in a 90-day correspondence log to communicate information necessary to maintain the continuity of care for Residents in the Residence.
The log did not consistently document all significant or pertinent information necessary to maintain the continuity of care for all Residents.
Record Requirements: Correspondence Log
651 CMR 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.