Massachusetts inspects every assisted living residence at least once every two years. At its most recent compliance review on November 6, 2025, the state cited 7 findings at Adelaide of Newton Centre. 6 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 · 6 repeatEmergency call responseDuring the months of August 2024 and October 2025, there were 42 e-call response times over the 10-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 month of December 2025, there were 36 e-call response times over the 10-minute limit. During the months of August 2024 and October 2025, there were 42 e-call response times over the 10-minute limit.
This was also cited at the previous compliance review.
General Requirements for an ALR: Emergency Response
651 CMR 12.04(2)(b)(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 the documentation of five Resident Records from June 2023 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 individualized enrichment activities provided to the Residents in the SCR.
This was also cited at the previous compliance review.
General Requirements for an ALR: Service Plan Development and Requirements
651 CMR 12.04(8)(a)(3)
Quality assurance programMissing or incomplete components of the Quality Assurance and Performance Improvement requirements. Unsafe LMA.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 June 29, 2023, through the date of the Compliance Review.
Documentation of the date the audit was completed was missing for the 2023 and 2024 calendar years.
AGE observed two nurses providing medication assistance to six Residents to ensure the Residence has developed and implemented systems that support and promote safe LMA.
AGE observed one nurse provide medication to a Resident in a common area.
AGE observed one nurse sign medication administration record prior to the administration of one Resident’s medication.
AGE observed two loose unidentified pills in one Resident’s medication storage unit.
AGE observed unopened medication blisters from previous administration dates in two Resident’s medication storage units.
Age observed a discontinued medication in one Resident’s medication storage unit.
AGE observed a compromised CS medication blister, covered by tape, during CS count.
This was also cited at the previous compliance review.
General Requirements for an ALR- Service and Service Coordination: Quality Assurance and Performance Improvement (QAPI)
651 CMR 12.04(10)(a), (c), (d), (e)
Emergency drills · Incident reportingThe Residence filed 17 incident reports greater than 24 hours after the occurrence of the incident or accident.Repeat finding▼
Emergency drills: Fire and elopement drills the residence must run and document on every shift.
Incident reporting: Telling the state, on time, when something happens to a resident.
The state cited these together under one finding.
AGE reviewed the Residence’s Emergency Plan to ensure compliance that the Residence can address potential disasters and emergencies.
Documentation of a third shift elopement drill was missing for the 2024 calendar year reviewed.
Documentation of a third shift fire drill was missing for the 2023 calendar year reviewed.
AGE reviewed the Residence records and incident reports from June 29, 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 17 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: Evacuation Drills and Rehearsals Reporting Resident Specific Emergencies
651 CMR 12.04(11)(a)(4), (e)
Controlled medication handlingInconsistent CS count procedures.Repeat finding▼
How tightly the residence tracks medications that are subject to abuse.
AGE reviewed the Controlled Substance (CS) policy and procedure for Residents who participate in LMA.
Documentation of CS count procedure by staff was inconsistent.
Improper documentation of count errors.
Declination of CS medications not recorded at the time of administration.
This was also cited at the previous compliance review.
General Requirements for an ALR: Controlled Substances (CS)
651 CMR 12.04(14)(a)(b)
Resident recordsMissing information necessary for the continuity of care.Repeat finding▼
Records that keep a resident's care information complete and available to staff.
AGE reviewed all current Correspondence Logs required to communicate information necessary to maintain the continuity of care for all Residents.
Both SCR logs did not consistently document all significant or pertinent information.
This was also cited at the previous compliance review.
Record Requirements: Correspondence Log
651 CMR 12.05(4)
Staff trainingBiannual skills evaluations were not consistently documented for all PC staff.▼
Training and skills checks the residence must give and document for its staff.
AGE reviewed the records of four 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 skills evaluations every six months was missing from three records for the 2024 and 2025 calendar years reviewed.
Training Requirements: Supervision
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.▼
Specific Corrective Actions.
Submit to AGE the following:
Documentation of a completed training concerning CS count policies and procedures.
Documentation confirming current biannual skills evaluations has been completed by a nurse for all PC staff.