Massachusetts inspects every assisted living residence at least once every two years. At its most recent compliance review on September 4, 2024, the state cited 5 findings at Wingate Residences at Haverhill. 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
5 findings · 4 repeatIncident reportingThe Residence filed 23 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.
EOEA reviewed the Residences records and submitted incident reports from the last quarter of calendar year 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 23 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 October 2022, August 2023 and July 2024 there were 125 e-call response times over the ten minutes required by the Residence policy.Repeat finding▼
How quickly staff answer a resident's emergency call button.
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 October 2022, August 2023 and July 2024 there were 125 e-call response times over the ten minutes required by the Residence policy.
The Residence is not consistently monitoring the reasons for late e-call response times in order to meet the service needs of Residents.
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.
The Residence is not demonstrating an effective means of monitoring hourly safety checks to ensure staff is available to provide “timely assistance to Residents and prompt response to urgent or emergency needs” during those times when they are not visible in the common areas of the community
This was also cited at the previous compliance review.
General Requirements for an ALR - Service and Service Coordination Requirements: -Emergency Response
651CMR12.04(2)(b)(3.)(b.)(c.)
Quality assurance programEOEA observed 3 Resident Care Assistant (RCA) staff and one Nurse providing medication assistance to six Residents to ensure the Residence has developed and implemented systems that support and promote safe SAMM and LMA:Repeat finding▼
The residence's own program for auditing and improving the care it gives.
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 year of 2022(last quarter) and 2023.
Documentation of staff responsible for follow-up on was missing in 2022 and 2023 calendar years.
The Residence was missing staff responsible for follow-up in calendar years 2023 and 2024.
EOEA observed 3 Resident Care Assistant (RCA) staff and one Nurse providing medication assistance to six Residents to ensure the Residence has developed and implemented systems that support and promote safe SAMM and LMA:
Two Residents were missing the required name label on the Family filled medication cassettes.
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)
Resident screening and assessmentInconsistent with documenting components of Assessments and Service Plans.Repeat finding▼
Checking, before and during residency, that the residence can meet a resident's needs.
EOEA reviewed six Resident Records to determine compliance with requirements for the Screening and Assessment, Service Plan Development and Service Plan Requirements.
Five records were missing documentation of the Legal Representative and the scope of authority.
This was also cited at the previous compliance review.
General Requirements for an ALR: -Screening and Assessment
651 CMR 12.04(8)(b)
Memory care unitChemicals not secured in the common kitchen areas in SCR units. Exit Doors in the common use areas within Special Care Residences were not secured.▼
Extra requirements that apply to units caring for residents with dementia.
EOEA reviewed the Special Care Unit. All Special Care Residences shall be administered in accordance with the following safeguards: 1. The Residence shall develop and implement policies and procedures to assess and reduce the risk of potential hazards in the physical environment related to the special characteristics of the population. 2.Entry and exit doors in the common use areas within Special Care Residences shall be secured in accordance with local, state, and federal laws and regulations. All doors must automatically unlock in case of fire, power outage or emergency situation. Such policies and procedures must include an annual written statement describing in detail how the physical characteristics of any Special Care Residence have been or will be modified to promote the safety of its Residents.
EOEA observed the Special Care Unit:
The Special Care Unit, EOEA noted chemicals not secured in the common kitchen area in the Special Care Unit.
The Special Care Unit exit doors in the common areas within the Special Care Residence were not secured with alarms at the time of the Compliance Review.
General Requirements for an ALR- -Special Care- Physical Plant
651 CMR 12.04(4)(a)4, 1
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 EOEA the following:
1.Documentation of secure unit testing of exit doors. Documentation of training for all staff regarding safeguard secure storage with chemicals on the Special Care Units.