Pope Nursing Home

Inspection Results

Nursing Homes Massachusetts Weymouth Pope Nursing Home

Pope Nursing Home has been cited for a total of 52 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 Pope Nursing Home.

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

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

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-12-02

Corrected:

2023-01-05

Ensure that residents are fully informed and understand their health status, care and treatments.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-12-02

Corrected:

2023-01-05

Honor the resident's right to manage his or her financial affairs.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-12-02

Corrected:

2022-12-05

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-12-02

Corrected:

2022-12-05

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-12-02

Corrected:

2022-12-05

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-12-02

Corrected:

2022-12-06

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:

2022-12-02

Corrected:

2022-12-05

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

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-12-02

Corrected:

2023-01-05

Ensure that residents are fully informed and understand their health status, care and treatments.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-12-02

Corrected:

2023-01-05

Honor the resident's right to manage his or her financial affairs.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-12-02

Corrected:

2022-12-05

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-12-02

Corrected:

2022-12-05

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-12-02

Corrected:

2022-12-05

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-12-02

Corrected:

2022-12-06

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:

2022-12-02

Corrected:

2022-12-05

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-10-14

Corrected:

2020-11-10

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-10-09

Corrected:

2020-11-10

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-10-17

Corrected:

2019-12-25

Assure that each resident�s assessment is updated at least once every 3 months.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-10-17

Corrected:

2019-12-25

Encode each resident�s assessment data and transmit these data to the State within 7 days of assessment.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-10-17

Corrected:

2019-12-25

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:

2019-10-17

Corrected:

2019-12-25

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:

2019-10-17

Corrected:

2019-12-25

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-10-17

Corrected:

2019-12-25

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category:

Nursing and Physician Services Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-10-17

Corrected:

2019-12-25

Observe each nurse aide's job performance and give regular training.

Category:

Nursing and Physician Services Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-10-17

Corrected:

2019-12-25

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:

2019-10-17

Corrected:

2019-12-25

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-10-17

Corrected:

2019-12-25

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:

2019-10-17

Corrected:

2019-12-25

Have a plan that describes the process for conducting QAPI and QAA activities.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-10-17

Corrected:

2019-12-25

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-10-17

Corrected:

2019-12-25

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:

2019-10-17

Corrected:

2019-12-25

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-10-17

Corrected:

2019-12-25

Assure that each resident�s assessment is updated at least once every 3 months.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-10-17

Corrected:

2019-12-25

Encode each resident�s assessment data and transmit these data to the State within 7 days of assessment.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-10-17

Corrected:

2019-12-25

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:

2019-10-17

Corrected:

2019-12-25

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:

2019-10-17

Corrected:

2019-12-25

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-10-17

Corrected:

2019-12-25

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category:

Nursing and Physician Services Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-10-17

Corrected:

2019-12-25

Observe each nurse aide's job performance and give regular training.

Category:

Nursing and Physician Services Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-10-17

Corrected:

2019-12-25

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-10-17

Corrected:

2019-12-25

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Category:

Nutrition and Dietary Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-10-17

Corrected:

2019-12-25

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:

2019-10-17

Corrected:

2019-12-25

Have a plan that describes the process for conducting QAPI and QAA activities.

Category:

Administration Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-10-17

Corrected:

2019-12-25

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-10-17

Corrected:

2019-12-25

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:

2019-10-17

Corrected:

2019-12-25

Assure that each resident�s assessment is updated at least once every 3 months.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-04

Corrected:

2018-10-30

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-04

Corrected:

2018-10-30

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-04

Corrected:

2018-10-30

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-04

Corrected:

2018-10-30

Assure that each resident�s assessment is updated at least once every 3 months.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-04

Corrected:

2018-10-30

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-04

Corrected:

2018-10-30

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-04

Corrected:

2018-10-30

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2018-10-04

Corrected:

2018-10-30

Learn more about Pope Nursing Home at the following resources

Inspection Results Penalty Enforcements Maps and Directions
Staff Size Medicare Ratings Ratings Comparison
or return to the main profile page for
Pope Nursing Home

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