Massachusetts inspects every assisted living residence at least once every two years. At its most recent compliance review on October 31, 2024, the state cited 10 findings at Artisan at Hudson. 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. Where the state withheld private details, such as a resident's medication or the date of an incident, the text reads [redacted].
Facility details
What the state found
10 findings · 4 repeatEmergency call responseDuring the month of September 2024 there were 195 e-call response times over the 10 (10) minutes required by 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.
During the month of September 2024 there were 195 e-call response times over the 10 (10) minutes required by Residence policy.
This was also cited at the previous compliance review.
General Requirements for an A.LR: Emergency Response
651 CMR 12.04(2)(b)(3)(b)
Memory care unitSafety issues identified in the Special Care Residence (SCR).▼
Extra requirements that apply to units caring for residents with dementia.
EOEA reviewed the Special Care Residence (SCR) operations on the date of the Compliance Review to verify that the SCR is complying with all the required safeguards.
EOEA identified issues with operational safeguards related to entry / exit doors and procedures to reduce the risk of potential hazards in the physical environment:
The main SCR entry door time-delay release was not operating.
E-call pull cords in the public bathrooms were wrapped around grab bars limiting their ability to be triggered.
An Unlabeled cleaning bottle filled with an unknown liquid was found unsecured on top of a refrigerator.
General Requirements for an A.LR: Special Care
651 CMR 12.04(4)(a)(1)(4)
Resident screening and assessment · Resident care plansInconsistent with documenting all requirements of Assessments and Service Plans.Repeat finding▼
Resident screening and assessment: Checking, before and during residency, that the residence can meet a resident's needs.
Resident care plans: The written plan describing the care each resident is assessed to need.
The state cited these together under one finding.
EOEA reviewed eight (8) Resident Records reviewing documentation from October 2022 through the date of the Compliance Review to determine compliance with the requirements for Screenings, Assessments and Service Plan Development and Requirements.
Three (3) records were missing documentation of an initial assessment being completed by a nurse.
Documentation of individualized enrichment activities provided to the resident was missing in three (3) Special Care Residence (SCR) records.
This was also cited at the previous compliance review.
General Requirements for an A.LR: Screening and Assessment Service Plan Development and Requirements
651 CMR 12.04(6)(a) 651 CMR 12.04(8)(a)(3)
Quality assurance programMissing or incomplete components of the Quality Assurance and Performance improvement requirements. Unsafe SA.MM I 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, Safety Assurances, and Medication Quality from October 18, 2023, through the date of the Compliance Review.
Resident Safety Assurances
Documentation of the staff person responsible for follow-up action was missing for the 2023 and 2024 calendar years reviewed.
EOEA reviewed the Residence’s quarterly medication documentation audits from October 18, 2022, through the date of the Compliance Review to ensure compliance with SAMM and Residence policies.
Documentation of a quarterly medication review was missing for the fourth quarter of the 2022 calendar year.
Documentation of the target date for follow up and staff person responsible for follow-up action was missing for the last three quarters of 2023 and the second and third quarters 2024 calendar years reviewed.
EOEA observed four (4) Personal Care (PC) staff and one (1) nurse providing medication assistance to seven (7) Residents to ensure the Residence has developed and implemented systems that support and promote safe SAMM / LMA.
EOEA observed a family filled medication cassette missing a proper label and [redacted] in one (1) Resident’s medication storage unit.
EOEA observed a PCA confused a medication package for a different medication package before EOEA brought it to the PCAs attention.
EOEA observed two (2) unidentified loose pills in one (1) Resident’s medication storage unit.
EOEA observed [redacted] without documented open dates and one compromised pharmacy filled medication pack in one (1) Resident’s medication storage unit.
This was also cited at the previous compliance review.
General Requirements for an A.LR-Service and Service Coordination: Quality Assurance and Performance Improvement
651 CMR 12.04(10)(a)(b)(c)(2),(d)(e)
Incident reportingThe Residence filed 15 incident reports greater than 24 hours after the occurrence of the incident or accident.▼
Telling the state, on time, when something happens to a resident.
EOEA reviewed the Residence records and incident reports from October 2022 through the date of the Compliance Review to determine whether the Residence complied with the requirement to report qualifying incidents to EOEA within 24 hours after the occurrence of the incident or accident.
The Residence filed 15 incident reports greater than 24 hours after the occurrence of the incident or accident.
Emergency Preparedness Plan and Reporting Requirements: Reporting Resident Specific Emergencies
651 CMR 12.04(11)(e)
Resident progress notesInconsistent documentation of significant events.▼
The running notes staff keep on how each resident is doing day to day.
EOEA reviewed eight (8) Residents’ records to determine compliance with record requirements.
Inconsistent documentation of significant occurrences in the Progress Notes for two (2) Residents.
Resident Record: Progress Notes
651 CMR 12.05(1)(c)
Resident recordsMissing information necessary for the continuity of care.▼
Records that keep a resident's care information complete and available to staff.
EOEA reviewed the documentation maintained in two 90-day correspondence logs to communicate information necessary to maintain the continuity of care for Residents.
The Traditional log did not consistently document all significant or pertinent information necessary to maintain the continuity of care for all Residents.
Record Requirements: Correspondence Log
651 CMR 12.05(4)
StaffingMissing documentation of Staffing Level Reviews.▼
Who the residence employs and what it must document about them.
EOEA reviewed the Residence records to determine compliance with Staffing Level requirements.
Documentation to confirm the Residence conducted quarterly staffing level assessments was missing for the fourth quarter of 2022.
Staffing Requirements: Staffing Levels
651 CMR 12.06(4)(a)
Staff health screeningMissing documentation of employee Health Screening Requirements.Repeat finding▼
Health checks the residence must document for the people it employs.
EOEA reviewed the personnel records of eight (8) staff members to determine compliance with Health Screening requirements.
Two (2) records were missing documentation to confirm seasonal influenza vaccinations or declination statements for the 2023/2024 flu season.
This was also cited at the previous compliance review.
Staffing Requirements: Health Screening Requirements
651 CMR 12.06(8)(e)(1)
Compliance review processAccess to records was not provided or timely.▼
How the state's own review of the residence was carried out.
EOEA reviewed Resident records as required by 651 CMR 12.09.
By the completion of the compliance review the following requested Residence documentation and / or records had not been presented to EOEA:
E-call response times for December 2022 and June 2023.
Corrective Actions
Compliance Reviews of Assisted Living Residences: Compliance Review Requirements
651 CMR 12.09(3)(e)(f)
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 EOEA the following:
1. Documentation of an SCR operational safeguards review related to secure entry and exit doors and procedures to reduce the risk of potential hazards in the physical environment.