Massachusetts inspects every assisted living residence at least once every two years. At its most recent compliance review on September 17, 2024, the state cited 4 findings at Clifton Assisted Living Community. 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
4 findings · 1 repeatQuality 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.
EOEA reviewed documentation to ensure the Residence has established an effective, ongoing quality improvement and assurance program for Service Planning, Resident Safety Assurances and Medication Quality for the calendar years 2022, 2023 and 2024.
Documentation of a target date for follow up action and staff member responsible for follow up action was missing for the 2023 calendar year.
Resident Safety Assurances
Documentation of a set target date for follow up action to the findings identified and person responsible for follow up was missing for the 2023 calendar year.
Documentation of a set target date for follow up action to the findings identified, identifying the staff person responsible to ensure completion of the follow-up action, and a clear outcome was missing for the 2023 calendar year.
EOEA observed four PCA staff providing medication assistance to four Residents to ensure the Residence has developed and implemented systems that support and promote safe SAMM:
Three Resident’s medication administration records (MAR) were missing documentation of initials.
One Resident had one medication bottle found outside of the medication storage unit.
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)-(c)
Incident reportingResident specific incident reports submitted late to EOEA.▼
Telling the state, on time, when something happens to a resident.
EOEA reviewed the Residence records and submitted incident reports from October 4, 2022 through September 17, 2024 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 EOEA 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 during the period reviewed.
General Requirements for an ALR - Emergency Preparedness Plan and Reporting Requirements: Reporting Resident Specific Emergencies
651 CMR 12.04(11)(e)
Controlled medication handlingControlled Substance policy is not being followed.▼
How tightly the residence tracks medications that are subject to abuse.
EOEA reviewed the Controlled Substance (CS) policy and procedure to prevent the theft or diversion of controlled substances prescribed to Residents who participate in SAMM / LMA.
Upon review of the controlled substance practices of the Residence, it was discovered that the Residence was inconsistent in documenting a controlled substance count for one Resident prescribed a controlled substance in accordance with the Residence policy.
General Requirements for an ALR: Controlled Substances
651 CMR 12.04(14)(a)
StaffingMissing documentation of employee Vaccination Requirements.▼
Who the residence employs and what it must document about them.
EOEA reviewed six personnel records, to determine compliance.
Four records were missing documentation to confirm receipt or declination of the seasonal influenza vaccine.
Corrective Actions.
Staffing Requirements: Contagious Disease and Vaccination Requirements
651 CMR 12.06(8)(e)
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.▼
Submit to EOEA the following:
Documentation that an in-service for all applicable staff concerning Controlled Substance policies and procedures has been completed.