Massachusetts inspects every assisted living residence at least once every two years. At its most recent compliance review on February 25, 2025, the state cited 6 findings at The Parc at Harbor View Senior Living. 4 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 · 4 repeatEmergency call responseDuring the months of October 2024 and January 2025, there were 138 e-call response times over the seven (7) minute limit.▼
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 needs situation.
The policy developed by the Residence does not specify what constitutes a prompt response and timely assistance to Residents. Residence management stated the maximum response time is seven (7) minutes.
During the months of October 2024 and January 2025, there were 138 e-call response times over the seven (7) minute limit.
AGE reviewed seven (7) Resident Records reviewing documentation from April 2024 through the date of the Compliance Review to determine compliance with the requirements for Screenings, Assessments and Service Plan Development and Requirements.
AGE reviewed the Residence records of 16 Residents utilizing bed rails / U-bars or similar devices for the period of 2024 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 three (3) Residents noting that the Resident can independently navigate around a bed rail/ U-bar was missing.
General Requirements for an ALR: Emergency Response
651 CMR 12.04(2)(b)(3)(b)
Resident screening and assessmentMissing Bed Rail Assessments.Repeat finding▼
Checking, before and during residency, that the residence can meet a resident's needs.
This was also cited at the previous compliance review.
General Requirements for an ALR: Screening and Assessment
651 CMR 12.08(1)(s)
Quality assurance programMissing or incomplete components of the Quality Assurance and Performance Improvement requirements. Unsafe SAMM.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 April 1, 2024, through the date of the Compliance Review.
Resident Safety Assurances
Documentation of the review identifying a staff person for follow-up action was missing for 2024.
AGE reviewed the Residence’s quarterly medication documentation audits from April 1, 2024, through the date of the Compliance Review to ensure compliance with SAMM, LMA and Residence policies.
Documentation of the review identifying a target date for follow-up action was missing for the last quarter of 2024.
Documentation of the review identifying a staff person for follow-up action was missing for the last three quarters of 2024.
Documentation of the review stating clear outcomes was missing for the second and fourth quarters of 2024.
AGE observed one (1) Personal Care (PC) staff and one (1) nurse providing medication assistance to six (6) Residents to ensure the Residence has developed and implemented systems that support and promote safe SAMM / LMA.
AGE observed the PC staff leave unsecured medications in one (1) Resident's unit while the PC staff left the room to get a glass of water for the Resident.
Medication Administration Record documentation was missing from one (1) Resident’s medication storage container.
This was also cited at the previous compliance review.
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 reportingThe Residence filed 19 incident reports greater than 24 hours after the occurrence of the incident or accident.▼
Telling the state, on time, when something happens to a resident.
AGE reviewed the Residence records and incident reports from April 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.
The Residence filed 19 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 personnel record requirements. Missing information for every 24-hour period.Repeat finding▼
Records that keep a resident's care information complete and available to staff.
AGE reviewed the personnel records of seven (7) staff members to determine compliance with personnel record requirements.
Two (2) personnel records were missing documentation of a signed job description.
AGE reviewed the 90- Day correspondence log documentation maintained in one (1) SCR log and one (1) Traditional log to communicate necessary information to maintain the continuity of care for Residents.
The Traditional log did not document communication every 24 hours.
The SCR log did not consistently document all significant or pertinent information necessary to maintain the continuity of care for all Residents.
This was also cited at the previous compliance review.
Record Requirements: - Personnel Record Requirements - Correspondence Log
651 CMR 12.05(3)(a), (4)
Staff trainingMissing or incomplete components of staff orientation. Missing Training Needs assessments. Inconsistent documentation of Introductory Visits. Biannual SAMM evaluations were not consistently documented for all PC staff.Repeat finding▼
Training and skills checks the residence must give and document for its staff.
AGE reviewed the personnel records of seven (7) staff members to determine compliance with orientation requirements.
Documentation of General Orientation for two (2) staff records were missing.
AGE reviewed the Residence records to determine compliance with annual training needs assessment requirements.
Documentation of annual training needs assessments was missing for 2024.
AGE reviewed the records of seven (7) 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:
Six (6) records were without documentation to support that Introductory Visits were consistently conducted with all applicable staff prior to or within 48 hours, at the time of move-in or at the time of change in the Resident’s condition.
AGE reviewed the records of four (4) 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 four (4) records for the 2024 calendar year reviewed.
This was also cited at the previous compliance review.
Training Requirements: - General Orientation - Training Needs Assessment - Introductory Visits and Review - Supervision
651 CMR 12.07(1-2), (5), (7), (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 confirming a completed and current assessment of all Residents using a bed rail or u-bar.
Documentation confirming current Introductory Visits for all Residents have been completed by an ALR nurse for all PC staff.
Documentation confirming current biannual SAMM and skills evaluations have been completed by a nurse for all PC staff.