Massachusetts inspects every assisted living residence at least once every two years. At its most recent compliance review on September 24, 2024, the state cited 4 findings at Waterstone at Lexington. 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
4 findingsIncident reportingThe Residence filed 8 incident reports greater than 24 hours after the occurrence of the incident during the period reviewed.▼
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 8 incident reports greater than 24 hours after the occurrence of the incident during the period reviewed.
EOEA reviewed the Residence’s emergency management plan to ensure compliance that the Residence can address potential disasters and emergencies.
General Requirements for an ALR-Emergency Preparedness Plan and Reporting Requirements: Reporting Resident Specific Emergencies
651 CMR 12.04(11) (e)
Emergency call responseEvidence of ALR management testing system to ensure functionality not compliant with ALR policy.▼
How quickly staff answer a resident's emergency call button.
EOEA reviewed response times and tests of the emergency response system from the calendar years last quarter of 2022 through the day of the compliance review to determine compliance with Service Coordination requirements.
Documentation of the ALR management testing the system to ensure functionality as required by the Residence policy was missing for the calendar years reviewed.
General Requirements for an ALR - Service and Service Coordination Requirements: Emergency Response
651 CMR 12.04(2)(b)(3.)(b.)(c.)
Quality assurance programEOEA observed one Certified Nursing Assistant and one Nurse staff providing medication assistance to 5 Residents to ensure the Residence has developed and implemented systems that support and promote safe SAMM and LMA.▼
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.
Two records were without documentation to confirm the initial assessment was conducted by a nurse.
Three records were missing documentation to assess the ability of the Resident to manage medication, including the ability to take medication on an as-needed basis
EOEA observed one Certified Nursing Assistant and one Nurse staff providing medication assistance to 5 Residents to ensure the Residence has developed and implemented systems that support and promote safe SAMM and LMA.
One resident had a [redacted] missing in the LMA locked medication box missing the date [redacted] were opened.
General Requirements for an ALR: Quality Assurance and Performance Improvement
651 CMR 12.04(10)(a)(c)
Emergency drillsInsufficient documentation that drills, to meet potential disasters and emergencies, were conducted for all shifts.▼
Fire and elopement drills the residence must run and document on every shift.
Documentation that all applicable staff from all shifts participated in elopement drills was missing for the 2022 calendar year reviewed.
Documentation that all applicable staff from all shifts participated in evacuation drills was missing for the 2022 calendar year reviewed.
Corrective Actions.
Emergency Preparedness Plan and Reporting Requirements: Missing person and Evacuation Drills
651 CMR 12.04(1l)(a)(4), (d), (e)
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:
Documentation confirming a newly completed Elopement Drill and Fire Drill for all staff on all shifts.