Massachusetts inspects every assisted living residence at least once every two years. At its most recent compliance review on June 5, 2025, the state cited 6 findings at Cornerstone at Canton. 3 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 · 3 repeatEmergency call responseDuring the months of December 2023, July 2024, and April 2025, there were 103 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, July 2024, and April 2025, there were 103 e-call response times over the eight-minute limit in accordance with the Resident’s policy.
The Residence has chosen to manually document hourly safety checks of Residents living in the Special Care Residence (SCR) to comply with the regulation to provide timely assistance to a Resident in the event of an emergency needs situation.
Documentation of hourly safety checks for May 2025 had multiple instances where staff failed to document the hourly safety checks of the SCR Residents during the hours of 7:00 p.m. and 7:00 a.m.
AGE reviewed seven Resident Records reviewing documentation from May 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 an initial assessment being completed by a nurse.
This was also cited at the previous compliance review.
General Requirements for an ALR: Emergency Response
651 CMR 12.04(2)(b)(3.)(b.)(c.)
Resident care plansInconsistent with documenting all requirements of Assessments and Service Plans.▼
The written plan describing the care each resident is assessed to need.
Two records were missing documentation of a service plan review required within 30 days after the commencement of residency.
Three records were missing documentation of the disclosure of 24/7 awake staffing in the Special Care Residence.
General Requirements for an ALR: Service Plan Development and Requirements
651 CMR 12.04(6)(a) 651 CMR 12.04(7)(b) 651 CMR 12.04(8)(a)(2.)(a.)
Quality assurance programMissing or incomplete components of the Quality Assurance and Performance Improvement requirements. Unsafe SAMM. Missing Falls Prevention Program data.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 May 2023, through the date of the Compliance Review.
Documentation of the person responsible for the follow-up action was missing for the 2023 calendar year.
Resident Safety Assurances
Documentation of Evidence Informed Falls Prevention Program monitoring was missing for the calendar years 2023 and 2024.
AGE reviewed the Residence’s quarterly medication documentation audits from May 2023, through the date of the Compliance Review to ensure compliance with SAMM, LMA and Residence policies.
Documentation of the person responsible for the follow-up action was missing for all four quarters of the 2023 and 2024 calendar years
AGE observed one PC staff providing medication assistance to six Residents to ensure the Residence has developed and implemented systems that support and promote safe SAMM.
AGE observed one PC staff did not document on the Medication Observation Record after observing the medication pass for one Resident.
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 73 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 May 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 73 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)
Resident recordsInconsistent documentation of information necessary for the continuity of care.▼
Records that keep a resident's care information complete and available to staff.
AGE reviewed the current Correspondence Log, for both the Traditional and Special Care Residence, required to communicate information necessary to maintain the continuity of care for all Residents.
The Residence did not use the Traditional and Special Care Correspondence Logs to communicate all significant or pertinent information necessary.
Record Requirements: Correspondence Log
651 CMR 12.05(4)
Staff trainingInconsistent documentation of Introductory Visits. Biannual SAMM and skills evaluations were not consistently documented for all PC staff.▼
Training and skills checks the residence must give and document for its staff.
AGE reviewed the records of seven Residents to determine compliance with the requirements that a nurse reviews the Resident’s service plan with all relevant personal care workers within the 48 hours after the provision of service or with any change of condition for the Resident:
Three records were without documentation to support that Introductory Visits were consistently conducted with all applicable staff.
AGE reviewed the records of three Personal Care (PC) staff to determine compliance with SAMM skills and Personal Care evaluation requirements in the calendar year 2024 through the date of the Compliance Review.
Documentation confirming the completion of SAMM and skills evaluations every six months was missing from two records for the 2024 calendar year reviewed.
Training Requirements: -Introductory Visits and Review -Supervision
651 CMR 12.07(7) 651 CMR 12.07(8)
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.
Submit to AGE the following:
Documentation of a Falls Prevention Program monitoring review has been completed.
Documentation to support that Introductory Visits were consistently conducted with all applicable staff.
Documentation confirming current biannual SAMM and skills evaluations have been completed by a nurse for all PC staff.