3
Findings
below the state median of 6
2
Repeat findings
cited at the previous review too
June 18, 2024
Last state review

Massachusetts inspects every assisted living residence at least once every two years. At its most recent compliance review on June 18, 2024, the state cited 3 findings at Harbor Point at Centerville. 2 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

Owner
KRE-BSL Huskey Centerville Operations LLC
Action taken
Plan of correction required
Initial certification
7/27/1998
Current certification
Certified through 7/27/2024
Previous compliance review
9/29/2022

What the state found

3 findings · 2 repeat
Quality 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.

What the inspector found

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 to 2024.

Documentation of a specific target date for follow-up and staff responsible for follow-up actions were missing for the third and fourth quarter of calendar year 2022.

EOEA observed two nurses providing medication administration to six Residents to ensure the Residence has developed and implemented systems that support and promote safe LMA:

One Resident had one medication storage area that was not labeled with the Resident’s photo and name.

One Resident had one blister pack with one compromised blister.

This was also cited at the previous compliance review.

General Requirements for an ALR: Quality Assurance and Performance Improvement
651 CMR 12.04(10)(c)

Incident reportingResident specific incident reports submitted late to EOEA.▼

Telling the state, on time, when something happens to a resident.

What the inspector found

EOEA reviewed the Residence records and submitted incident reports from September 29, 2022 through June 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 five 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)

Staff trainingInconsistent documentation of Introductory Visits.
Repeat finding
▼

Training and skills checks the residence must give and document for its staff.

What the inspector found

EOEA reviewed the records of six Residents to determine compliance with the requirements that a nurse review 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.

Two records were missing signature documentation to support that Introductory Visits have been conducted with all applicable staff prior to or within 48 hours after the provision of Personal Care services.

Corrective Actions.

This was also cited at the previous compliance review.

Training Requirements: Introductory Visit and Review
651 CMR 12.07(7)

Glossary

Abbreviations the state uses without explaining them
EOEAExecutive Office of Elder Affairs — the former name of AGE, used in older reports.
LMALimited medication administration — staff handing a resident their medication.
What 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 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.