Massachusetts inspects every assisted living residence at least once every two years. At its most recent compliance review on July 15, 2025, the state cited 3 findings at Cohen Florence Levine Estates. 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
3 findings · 1 repeatEmergency call responseDuring the months of December 2023, August 2024, and June 2025, there were 16 e-call response times over the eight-minute limit in accordance with the Resident’s policy.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, August 2024, and June 2025, there were 16 e-call response times over the eight-minute limit in accordance with the Resident’s policy.
This was also cited at the previous compliance review.
General Requirements for an ALR: Emergency Response
651 CMR 12.04(2)(b)(3)
Quality assurance programMissing or incomplete components of the Quality Assurance and Performance Improvements requirements.▼
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 last quarter of calendar year 2023, through the date of the Compliance Review.
Documentation that the Residence identified the date the audit was conducted, name of the person who conducted each audit, a target date for follow-up action, staff responsible for follow-up were missing for calendar year 2025.
AGE reviewed the Residence’s quarterly medication documentation audits from the last quarter of calendar year 2023 through the date of the Compliance Review to ensure compliance with SAMM and LMA Residence policies.
Documentation that the Residence identified a target date for follow-up action, staff responsible for follow-up were missing for calendar year 2024 and second quarter of calendar year 2025.
AGE reviewed five Resident Records reviewing documentation from November 2023 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 missing documentation of the Legal Representative and the scope of authority.
AGE reviewed the Residence records of 27 Residents utilizing bed rails / U-bars or similar devices for the period of last quarter of calendar year 2023 through the date of the Compliance Review to determine compliance with the required assessment by a physical/occupational therapist every six months.
Documentation of an assessment conducted by a physical/occupational therapist every six months for five Residents noting that the Resident can independently navigate around a bed rail/ U-bar for the calendar years reviewed was missing.
General Requirements for an ALR: Quality Assurance and Performance Improvement
651 CMR 12.04(10)(c)
Resident care plansInconsistent with documenting all requirements of Assessments and Service Plans. Missing Bedrail assessment.▼
The written plan describing the care each resident is assessed to need.
General Requirements for an ALR: Service Plan Development and Requirements
651 CMR 12.04(7) 651 CMR 12.08(1)(s)
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.▼
B. Specific Corrective Actions.
Documentation confirming that all applicable residents have a current bed rail assessment and that bed rails have been removed from Residents who have been assessed to not need bedrails.