Massachusetts inspects every assisted living residence at least once every two years. At its most recent compliance review on April 10, 2025, the state cited 5 findings at Grace Morgan House. 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
5 findingsResident care plansInconsistent with documenting all requirements of Assessments and Service Plans. Missing Bed Rail Assessments.▼
The written plan describing the care each resident is assessed to need.
AGE reviewed four Resident Records reviewing documentation from September 2024 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 evaluation, conducted within three months prior to move-in by the Resident’s physician or authorized practitioner.
Three records were missing documentation of signatures of the Resident and/or their Legal Representative on service plan reviews.
AGE reviewed the Residence records of three Residents utilizing bed rails / U-bars or similar devices from September 2024 through the date of the Compliance Review to determine compliance with the required assessment by a physical/occupational therapist every six months.
Each of the three records were missing documentation of a current assessment noting that the Resident can independently navigate around a bed rail/ U-bar were missing.
General Requirements for an ALR: Service Plan Development and Requirements
651 CMR 12.04(7) 651 CMR 12.04(8)(b) 651 CMR 12.08(1)(s)
Incident reportingResident-specific incident reports not reported to AGE▼
Telling the state, on time, when something happens to a resident.
AGE reviewed the Residence records and incident reports from September 18, 2024, 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.
Two incidents documented in the Residence records were not reported to AGE.
Emergency Preparedness Plan and Reporting Requirements: Reporting Resident Specific Emergencies
651 CMR 12.04(11)(e)
RecordkeepingInconsistent documentation of personnel record requirements.▼
Records the residence is required to keep.
AGE reviewed the personnel records of four staff members to determine compliance with personnel record requirements.
Three records were missing documentation of a signed job description.
Record Requirements: Personnel Record Requirements
651 CMR 12.05(3)(a)
Staff health screeningMissing documentation of employee Health Screening Requirements.▼
Health checks the residence must document for the people it employs.
AGE reviewed the personnel records of four staff members to determine compliance with Health Screening requirements.
Two records were missing documentation to confirm seasonal influenza vaccinations or declination statements.
Staffing Requirements: Health Screening Requirements
651 CMR 12.06(8)(e)1.
Staff trainingMissing Training Needs assessments.▼
Training and skills checks the residence must give and document for its staff.
AGE reviewed the Residence records to determine compliance with annual training needs assessment requirements.
Documentation of an annual training needs assessment was missing for calendar year 2024.
Training Requirements: Training Needs Assessment
651 CMR 12.07(5)
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 confirming a completed and current assessment of all Residents using a bed rail or u-bar.
Evidence that all critical incidents identified by AGE during the Compliance Review not previously reported are submitted via the AGE (Dynamics) on-line incident reporting system.
Documentation of completion of all Personnel Record requirements for all personnel.
Documentation of an Annual Training Needs Assessment.