Williamstown Commons Nursing & Rehab

Inspection Results

Nursing Homes Massachusetts Williamstown Williamstown Commons Nursing & Rehab

Williamstown Commons Nursing & Rehab has been cited for a total of 61 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 Williamstown Commons Nursing & Rehab.

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

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-09-22

Corrected:

2023-10-14

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2023-09-22

Corrected:

2023-10-14

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:

2023-08-09

Corrected:

2023-09-09

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-10-18

Corrected:

2022-11-18

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:

2022-10-18

Corrected:

2022-11-18

Ensure each resident receives an accurate assessment.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-10-18

Corrected:

2022-11-18

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:

2022-10-18

Corrected:

2022-11-18

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-10-18

Corrected:

2022-11-18

Provide appropriate treatment and care according to orders, resident�s preferences and goals.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-10-18

Corrected:

2022-11-18

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-10-18

Corrected:

2022-11-18

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

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-10-18

Corrected:

2022-12-02

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-10-18

Corrected:

2022-11-18

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-10-18

Corrected:

2022-11-18

Ensure that residents are free from significant medication errors.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-10-18

Corrected:

2022-11-18

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:

2022-10-18

Corrected:

2022-11-18

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category:

Resident Rights Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-10-18

Corrected:

2022-11-18

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:

2022-10-18

Corrected:

2022-11-18

Ensure each resident receives an accurate assessment.

Category:

Resident Assessment and Care Planning Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-10-18

Corrected:

2022-11-18

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:

2022-10-18

Corrected:

2022-11-18

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-10-18

Corrected:

2022-11-18

Provide appropriate treatment and care according to orders, resident�s preferences and goals.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-10-18

Corrected:

2022-11-18

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-10-18

Corrected:

2022-11-18

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

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-10-18

Corrected:

2022-12-02

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-10-18

Corrected:

2022-11-18

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-10-18

Corrected:

2022-11-18

Ensure that residents are free from significant medication errors.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2022-10-18

Corrected:

2022-11-18

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:

2022-10-18

Corrected:

2022-11-18

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:

2022-09-29

Corrected:

2022-10-20

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:

2022-09-29

Corrected:

2022-10-20

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-11-02

Corrected:

2021-11-18

Provide and implement an infection prevention and control program.

Category:

Infection Control Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2021-11-02

Corrected:

2021-11-18

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-01-09

Corrected:

2020-01-23

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:

2020-01-09

Corrected:

2020-01-23

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:

2020-01-09

Corrected:

2020-01-23

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

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-01-09

Corrected:

2020-01-23

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-01-09

Corrected:

2020-01-23

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:

2020-01-09

Corrected:

2020-01-23

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-01-09

Corrected:

2020-01-23

Provide or obtain dental services for each resident.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-01-09

Corrected:

2020-01-23

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:

2020-01-09

Corrected:

2020-01-23

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category:

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-01-09

Corrected:

2020-01-23

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:

2020-01-09

Corrected:

2020-01-23

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:

2020-01-09

Corrected:

2020-01-23

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

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-01-09

Corrected:

2020-01-23

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-01-09

Corrected:

2020-01-23

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-01-09

Corrected:

2020-01-23

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-01-09

Corrected:

2020-01-23

Provide or obtain dental services for each resident.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2020-01-09

Corrected:

2020-01-23

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:

2020-01-09

Corrected:

2020-01-23

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:

2019-01-04

Corrected:

2019-02-11

Provide activities to meet all resident's needs.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-01-04

Corrected:

2019-02-11

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:

2019-01-04

Corrected:

2019-02-11

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-01-04

Corrected:

2019-02-11

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:

2019-01-04

Corrected:

2019-02-11

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:

2019-01-04

Corrected:

2019-02-11

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:

2019-01-04

Corrected:

2019-02-11

Provide activities to meet all resident's needs.

Category:

Quality of Life and Care Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-01-04

Corrected:

2019-02-11

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:

2019-01-04

Corrected:

2019-02-11

Category:

Pharmacy Service Deficiencies

Scope:

From Complaint:

Standard:

Survey Date:

2019-01-04

Corrected:

2019-02-11

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:

2019-01-04

Corrected:

2019-02-11

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:

2019-01-04

Corrected:

2019-02-11

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Williamstown Commons Nursing & Rehab

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