2
Findings
below the state median of 6
2
Repeat findings
cited at the previous review too
May 9, 2024
Last state review

Massachusetts inspects every assisted living residence at least once every two years. At its most recent compliance review on May 9, 2024, the state cited 2 findings at Sugar hill. 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
Sugar Hill ALF LLC
Action taken
Plan of correction required
Initial certification
6/03/2022
Current certification
Certified through 6-3-2024
Previous compliance review
11/8/2022

What the state found

2 findings · 2 repeat
Incident reportingThe Residence filed 19 incident reports greater than 24 hours after the occurrence of the incident during the period reviewed.
Repeat finding
▼

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

What the inspector found

EOEA reviewed the Residences records and submitted incident reports from 2022 through the day of the compliance review 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 during the period reviewed.

The Residence filed 19 incident reports greater than 24 hours after the occurrence of the incident during the period reviewed.

This was also cited at the previous compliance review.

General Requirements for an ALR-Emergency Preparedness Plan and Reporting Requirements: Reporting Resident Specific Emergencies
651 CMR 12.04(11) (e)

Emergency call responseIn the months of November 2022, April 2023, and January 2024 there were 123 e-call response times over the 10 minutes required by the Residence policy.
Repeat finding
▼

How quickly staff answer a resident's emergency call button.

What the inspector found

EOEA reviewed the Personalized Emergency Response procedures developed to provide timely assistance to a Resident in the event of an emergency needs situation.

In the months of November 2022, April 2023, and January 2024 there were 123 e-call response times over the 10 minutes required by the Residence policy.

The Residence has chosen to manually document hourly safety checks of Residents living in the Special Care Residence (SCR) to comply with the regulations to provide timely assistance to a Resident in the event of an emergency needs situation.

Documentation of hourly checks in November 2023 and December 2023 had multiple instances where staff failed to document the hourly safety checks of the SCR Residents during the hours of 7:00pm and 7:00am.

This was also cited at the previous compliance review.

General Requirements for an ALR - Service and Service Coordination Requirements: Emergency Response
651 CMR 12.04(2)(b)(3.)(b.)(c.)

Glossary

Abbreviations the state uses without explaining them
EOEAExecutive Office of Elder Affairs — the former name of AGE, used in older reports.
e-callThe emergency call system a resident uses to summon staff.
SCRSpecial care residence — a unit for residents living with dementia.
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.