Massachusetts inspects every assisted living residence at least once every two years. At its most recent compliance review on April 3, 2025, the state cited 7 findings at All American Assisted Living at Wareham. 7 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
7 findings · 7 repeatEmergency call responseDuring the months of December 2023, June 2024 and February 2025, there were 273 e-call response times over the ten-minute limit.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, June 2024 and February 2025, there were 273 e-call response times over the ten-minute limit.
This was also cited at the previous compliance review.
General Requirements for an ALR: Emergency Response
651 CMR 12.04(2)(b) (2)(d), (3)(b)
Resident care plansInconsistent with documenting all requirements of Assessments and Service Plans.Repeat finding▼
The written plan describing the care each resident is assessed to need.
AGE reviewed nine Resident Records reviewing documentation from March 2023 through the date of the Compliance Review to determine compliance with the requirements for Screenings, Assessments and Service Plan Development and Requirements.
Three records were missing documentation that Residents have supervised access to a heating element.
Four records were missing documentation of Resident goals.
Three records were missing documentation of individualized enrichment activities provided to the Special Care Residence Residents.
Four records were missing documentation of signatures of the Resident and/or their Legal Representative on service plan reviews.
This was also cited at the previous compliance review.
General Requirements for an ALR: Service Plan Development and Requirements
651 CMR 12.04(1)(d) 651 CMR 12.04(8)(a)(2) 651 CMR 12.04(8)(a)(3) 651 CMR 12.04(8)(b)
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.
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 March 2023, through the date of the Compliance Review.
Documentation of the audit was missing for the 2023 calendar year.
Documentation of the target date and person responsible for follow up action were missing for the 2024 calendar year.
AGE reviewed the Residence’s quarterly medication documentation audits from March 2023, through the date of the Compliance Review to ensure compliance with SAMM, LMA and Residence policies.
Documentation of the target date and staff person responsible for the follow-up was missing for the 2023 calendar year.
Documentation of a staff person responsible for follow-up was missing for the first two quarters and the fourth quarter of the 2024 calendar year.
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)(c)
Incident reportingThe Residence filed 41 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 March 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 41 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)(e)
Resident recordsInconsistent documentation of information necessary for the continuity of care.Repeat finding▼
Records that keep a resident's care information complete and available to staff.
AGE reviewed the current Correspondence Logs, 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 Correspondence Log to communicate 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: Correspondence Log
651 CMR 12.05(4)
Staff health screeningMissing documentation of employee Health Screening Requirements.Repeat finding▼
Health checks the residence must document for the people it employs.
AGE reviewed the personnel records of nine staff members to determine compliance with Health Screening requirements.
Two records were missing documentation to confirm seasonal influenza vaccinations or declination statements for the 2024/2025 flu season.
This was also cited at the previous compliance review.
Staffing Requirements: Health Screening Requirements
651 CMR 12.06(8)(e)1.
Staff trainingInconsistent documentation of Introductory Visits. Biannual SAMM and PC 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 records of nine 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:
Two 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 2023 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 2023 calendar year and from three records for the 2024 calendar year.
This was also cited at the previous compliance review.
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.▼
Submit to AGE the following:
Documentation to support that Introductory Visits were consistently conducted with all applicable staff.
Documentation confirming the completion of SAMM and skills evaluations for all PCA staff.