Southwood At Norwell Nursing Ctr

Inspection Results

Nursing Homes Massachusetts Norwell Southwood At Norwell Nursing Ctr

Southwood At Norwell Nursing Ctr has been cited for a total of 60 deficiencies since we began saving each survey. We believe it is worthwhile to show how things are and were. Some improve and some get worse. Rather than a snapshot, we take s longer view than most. A longer view, we believe, paints a better and more worthwhile picture. We start from them most recent and go back as you scroll down.

Tip: Surveys happen throughout the year and you may want to check with the location or here to see if more recent data is available for Southwood At Norwell Nursing Ctr.

Since we bagan longer term (multi year tracking, numbers will naturally be higher than 3 (or so surverys).
There are 367 nursing homes in Massachusetts with a total of 22,497 deficiencies resulting in an average of 61.30 deficiencies per nursing home.

The following table describes how deficiencies are scored. An easy way to remember the severity of a deficiency's scope is that the further along in the alphabet (A through L) the scope value is, the more severe the deficiency is.
Additionally, A through F means no actual harm has happened.

Table describing the severity and scope of deficiencies

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Deficiency Cited, Scope, survery date, stems from a complaint, and Date of Correction

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-09-29

Corrected:

2023-11-06

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-09-29

Corrected:

2023-11-06

Ensure services provided by the nursing facility meet professional standards of quality.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-09-29

Corrected:

2023-11-06

Provide safe and appropriate respiratory care for a resident when needed.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-09-29

Corrected:

2023-11-06

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-09-29

Corrected:

2023-11-06

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-09-29

Corrected:

2023-11-06

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-09-29

Corrected:

2023-11-06

Keep residents' personal and medical records private and confidential.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-01-04

Corrected:

2022-02-25

Keep residents' personal and medical records private and confidential.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-01-04

Corrected:

2022-02-25

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-16

Corrected:

2021-05-21

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-16

Corrected:

2021-05-21

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-16

Corrected:

2021-05-21

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-16

Corrected:

2021-05-21

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-16

Corrected:

2021-05-21

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-04-16

Corrected:

2021-05-21

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-04-20

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-04-20

Assess the resident when there is a significant change in condition

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-04-20

Ensure each resident receives an accurate assessment.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-04-20

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-08-09

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-08-09

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-04-20

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-04-20

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-08-09

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-04-20

Ensure medication error rates are not 5 percent or greater.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-04-20

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-04-20

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-04-20

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-04-20

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-08-09

Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-04-20

Have policies on smoking.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-04-20

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-04-20

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-04-20

Assess the resident when there is a significant change in condition

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-04-20

Ensure each resident receives an accurate assessment.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-04-20

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-08-09

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-08-09

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-04-20

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-04-20

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-08-09

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-04-20

Ensure medication error rates are not 5 percent or greater.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-04-20

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-04-20

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-04-20

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-04-20

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-08-09

Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-04-20

Have policies on smoking.

Category:

Environmental Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-03-06

Corrected:

2019-04-20

Give the resident's representative the ability to exercise the resident's rights.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-10-10

Corrected:

2017-11-19

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-10-10

Corrected:

2017-11-19

Keep each resident free from physical restraints, unless needed for medical treatment.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-10-10

Corrected:

2017-11-19

Provide activities to meet the interests and needs of each resident.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-10-10

Corrected:

2017-11-19

Ensure each resident receives an accurate assessment by a qualified health professional.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-10-10

Corrected:

2017-11-19

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-10-10

Corrected:

2017-11-19

Allow residents the right to participate in the planning or revision of care and treatment.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-10-10

Corrected:

2017-11-19

Ensure services provided by the nursing facility meet professional standards of quality.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-10-10

Corrected:

2017-11-19

Ensure residents maintain acceptable nutritional status.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-10-10

Corrected:

2017-11-19

Store, cook, and serve food in a safe and clean way.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-10-10

Corrected:

2017-11-19

Give or get quality laboratory services/tests in a timely manner to meet the needs of residents.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2017-10-10

Corrected:

2017-11-19

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Southwood At Norwell Nursing Ctr

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