Massachusetts inspects every assisted living residence at least once every two years. At its most recent compliance review on March 27, 2025, the state cited 7 findings at The Delaney at the Vale. 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
7 findingsEmergency call responseMissing system functionality testing required by Residence policy.▼
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.
Documentation of the Residence’s management testing the system to ensure functionality as required by the Residence policy was missing for the 2024 calendar year reviewed.
General Requirements for an ALR: Emergency Response
651 CMR 12.04(2)(b)(3)(b)
Memory care unitIssues with physical hazards identified in the Special Care Residence missing operations reviews.▼
Extra requirements that apply to units caring for residents with dementia.
AGE reviewed the Special Care Residence (SCR) operations review from calendar year 2024 through the date of the Compliance Review to verify that the SCR is being administered with all the required safeguards:
Documentation to support all the required components of the SCR operations were reviewed for the first half of calendar year 2024 was missing.
Age identified deficiencies with operational safeguards related to the risk of potential hazards in the physical environment:
-The heating elements in the common area of the SCR were found to be operational without the required safeguards of supervised access only.
General Requirements for an ALR: Special Care
651 CMR 12.04(4)(a)(4) 651 CMR 12.04(4)(d)
Resident care plansInconsistent with documenting all requirements of Assessments and Service Plans.▼
The written plan describing the care each resident is assessed to need.
AGE reviewed the documentation of six Resident Records from March 2024 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.
Two records were missing documentation of a Service Plan reassessment required within 30-days after the commencement of residency.
Three records were missing documentation of the way the Residence shall provide for personal emergency response devices or procedures.
Two records were missing documentation confirming the description of services not affiliated with the Assisted Living Residence.
General Requirements for an ALR: Service Plan Development and Requirements
651 CMR 12.04(1)(d) 651 CMR 12.04(7)(b) 651 CMR 12.08(a)(2.)(a.) 651 CMR 12.04 (8)(a)(2.)(c.)
Quality assurance programAGE observed one Personal Care (PC) staff and one nurse providing medication assistance to 6 Residents to ensure the Residence has developed and implemented systems that support and promote safe SAMM / LMA.▼
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 18, 2024, through the date of the Compliance Review.
Documentation of the audit was missing for the 2024 calendar year reviewed.
Resident Safety Assurances
Documentation of the audit was missing for the 2024 calendar year reviewed.
Documentation of an Evidenced Informed Falls Prevention Program review being included in the annual safety review process was missing for the 2024 calendar year reviewed.
AGE reviewed the Residence’s quarterly medication documentation audits from March 2024, through the date of the Compliance Review to ensure compliance with SAMM, LMA and Residence policies.
Documentation of the audits for all four quarters were missing for the 2024 calendar year reviewed.
AGE observed one Personal Care (PC) staff and one nurse providing medication assistance to 6 Residents to ensure the Residence has developed and implemented systems that support and promote safe SAMM / LMA.
AGE observed unsecured over the counter medications in one Resident’s unit.
AGE observed LMA medications were not stored separately from SAMM in one Resident’s medication storage unit as required by the Residence policy.
AGE observed unsecured over the counter medication in one Resident’s unit.
One Resident’s medication storage unit contained one over the counter medication not on the prescribed medication list.
One Resident’s medication storage unit contained one expired medication.
One Resident’s medication storage unit contained [redacted] without a pharmacy label and without a marked open date.
One Resident’s Medication Administration Record did not record the area of placement of [redacted] after administration to the Resident.
General Requirements for an ALR: Quality Assurance and Performance Improvement
651 CMR 12.04(10)(a)-(c)
Staff trainingMissing annual training needs assessment.▼
Training and skills checks the residence must give and document for its staff.
AGE reviewed the Residence’s documentation for evidence of compliance with training needs assessment regulations.
Documentation to support that the Residence has conducted a training needs assessment in the 2024 calendar year was missing.
Resident Rights and Disclosures- Resident Disclosures
AGE reviewed six Resident records to confirm compliance with the Disclosure of Rights and Services requirements.
The required Disclosure forms and notification of the right to bring a Representative prior to the first meeting, were not signed by the Resident, Resident Legal Representative and/or Residence prior to the move-in date in six records.
Training Requirements: Training Needs Assessment
651 CMR 12.07(5)
Information given to residentsMissing Disclosure of Rights.▼
What the residence must tell residents in writing about services, costs and rights.
Resident Rights and Disclosures: Resident Disclosures
651 CMR 12.08
Records given to the stateRecords of monthly SCR safety checks and LMA administration were missing.▼
Providing the inspector the records the review requires.
AGE reviewed the Residence’s records including all documents that should be maintained in relation to the operations of the Residence.
Three Resident’s monthly safety check records were intermittently missing from the time of move-in to the date of compliance review.
Two Resident’s monthly LMA administration records were intermittently missing from the time of move-in to the date of compliance review.
Compliance Reviews of Assisted Living Residences: Record Review
651CMR 12.09(3)(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 AGE the following:
Documentation confirming management has tested the functionality of the emergency response system.
Documentation confirming the completion of a current Quarterly Medication Audit.
Documentation confirming the completion of a current Safety Assurances Review including monitoring the effectiveness of the Falls Prevention program.
Documentation confirming the completion of a current Service Plan Review.
Documentation confirming the completion of a current Annual Training Needs Assessment.