Care One at Millbury

MI Elder Abuse Free Legal ConsultationDid someone you love suffer elder abuse or neglect at Care One at Millbury? Our lawyers can help.

Abuse of the elderly is not acceptable and we fight hard in these types of cases. If you suspect a nursing home or caregiver has caused harm to your loved one in someone elses’ care, contact our law firm today for a free legal consultation.

Talking to us does not obligate you to anything, but we may be able to tell you if you have a claim and the value of your case. If we accept your case, you pay no fee unless we recover for you.

About Care One at Millbury

Care One at Millbury is a for profit, 154-bed Medicare/Medicaid certified skilled nursing facility that provides services to the residents of Leicester, Millbury, Shrewsbury, Holden, Grafton, Sutton,  Spencer, Oxford, Northborough, and the other towns in and surrounding Worcester County, Massachusetts.

Care One at Millbury
312 Millbury Ave,
Millbury, MA 01527

Phone: (508) 793-0088
Website: http://ma.care-one.com/locations/careone-at-millbury/

CMS Star Quality Rating

The Centers for Medicare and Medicaid (CMS) rates all nursing homes that accept medicare or medicaid benefits. CMS created a 5 Star Quality Rating System—1 star is the lowest rating and 5 stars is the highest—that look at three areas.

As of 2017, Care One in Millbury, Massachusetts received a rating of 5 out of 5 stars.

Performance Area Rating
Overall Rating 5 out of 5 (Much Above Average)
State Health Inspections 4 out of 5 (Above Average)
Staffing 3 out of 5 (Average)
Quality Measures 5 out of 5 (Much Above Average)

Fines and Penalties

Our Nursing Home Accident Lawyers inspected government records and discovered Care One at Millbury committed the following offenses:

Failed to provide care by qualified persons according to each resident's written plan of care.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on observations, interviews and record reviews, the facility staff failed to follow the plan of care for 4 sampled residents (#5, #16, #18 and #20), in a total of 24 residents.

Findings include:

1. For Resident #5, the facility staff failed to provide supervision with ambulation and transfers as care planned. The resident experienced 3 unwitnessed falls and one witnessed fall by non-nursing personnel.

Review of the Falls Care Plan, initiated on 2/2/15, indicated that Resident #5 was at risk for falls due to impaired balance, cognitive impairment, [MEDICAL CONDITION] with delusions, antipsychotic use, and poor coordination. Interventions at this time included: use of a rolling walker, provide assistance with transfers as needed when weak, and supervision with ambulation.

Review of the Activities of Daily Living (ADL) Care Plan, initiated on 2/2/15, indicated the resident required supervision with ambulation and locomotion, and utilized a rolling walker.

Review of the Quarterly Minimum Data Set (MDS) Assessment, dated 9/19/16, indicated the resident had a Brief Interview for Mental Status (BIMS) score of 5 out of 15 (severe cognitive impairment), required supervision with transfers and ambulation, and utilized a walker.

Review of the nurse’s notes, dated 11/18/16, indicated the resident had a fall at 5:30 P.M. The note indicated the resident had just completed the evening meal and had ambulated to the hallway with his/her rolling walker. The note further indicated the resident appeared to have attempted to sit on a chair across from the nurses station and missed the chair. The resident was found lying on his/her left side. Review of the facility Incident/Accident Report, dated 11/18/16, indicated that the fall was unwitnessed. Review of the ADL care plan, revised 11/18/16, indicated to provide the resident with supervision with ambulation and locomotion with the use of the rolling walker, and to provide assistance if behavioral.

Review of the Physical Therapy (PT) Progress Notes and Discharge report, dated 12/1/16, indicated the resident was evaluated, and upon discharge was able to ambulate 200 feet on a level surface requiring standby assistance/supervision with use of a rolling walker. Review of the Occupational Therapy (OT) Progress and Discharge report, dated 12/1/16, indicated the resident had a quick pace with ambulation, leaned forward and tended to pick up his/her walker. Upon discharge of OT services on 12/1/16, the therapist indicated that the resident had the ability to alter his/her pace of ambulation to a slower pace when ambulating when provided with verbal instruction/cues.

Review of the nurse’s notes, dated 12/5/16, indicated that the resident experienced a fall at 5:45 P.M. Review of the facility Incident/Accident Report, dated 12/5/16, indicated that the fall was unwitnessed and had occurred in the day room.

Review of the PT evaluation, dated 12/7/16, indicated that the staff reported the resident was very lethargic at the time of the fall, which may have contributed to the loss of balance. The Physical Therapist indicated upon discharge that the resident was recommended to have standby assistance/supervision with transfers (from the bed/chair), and was to continue to have standby assistance/supervision with use of rolling walker for ambulation. Review of the nurse’s notes, dated 1/20/17, indicated that the resident experienced a fall in his/her room.

Review of the Incident/Accident Report, dated 1/20/17, indicated the resident was yelling and found on the floor, by a visitor, in the doorway to his/her bathroom, at 6:00 P.M. The report further indicated that the resident’s walker with not in use at the time of the fall.

Review of the OT evaluation, dated 1/23/17, indicated the resident was referred to therapy after an unwitnessed fall. The therapist indicated on the evaluation that the resident continued to remain a high fall risk and recommended that the resident be supervised. Review of the nurse’s note, dated 3/8/17, indicated the resident was observed to be agitated and was pacing very quickly up and down the halls. The resident was administered [MEDICATION NAME] (an antidepressant) at 6:30 P.M., which was documented by the nurse to have poor effect. The nurse’s note further indicated that the resident was exit seeking and was unable to be redirected. At 8:00 P.M., the resident was observed on the floor by the laundry personnel, in another resident’s room. The resident was near the bed and sustained an abrasion on the left side of his/her head.

Review of the Incident/Accident Report, dated 3/8/17, indicated that the resident experienced a fall at 7:45 P.M. in another resident’s room. The bed in the room was noted to be in the high position. The laundry personnel indicated in the investigation that the resident was attempting to sit on the bed, which was in the high position, missed and fell to the floor. The report indicated that the laundry personnel notified nursing staff of the resident’s fall. Review of the Quarterly MDS Assessment, dated 3/15/17, indicated the resident required supervision of one staff to ambulate in his/her room, required limited assistance of one staff to ambulate in the corridor, and required supervision of one staff for locomotion on/off the unit.

Review of the current CNA care card, indicated the following: encourage resident to come out of his/her room after a.m. care; bed alarm; remind resident to use rolling walker at all times; redirect resident to supervised areas; when exhibiting exit seeking behaviors, redirect to an appropriate area and provide supervision; assist of one person with ambulation when behavioral, otherwise ambulates with walker and supervision. On 6/16/17 at 10:20 A.M. to 10:28 A.M., the surveyor observed Resident #5 ambulating in the hallway with his/her rolling walker independently. The resident was observed to have nonsensical vocalizations. The surveyor observed the resident ambulate to his/her room, ambulate around his/her room and proceed to enter the bathroom independently. The surveyor observed the resident exit the bathroom with his/her walker, and ambulate independently out of the room down the hallway. The surveyor observed that no staff were present in the resident’s room or within sight during the observation.

During an interview on 6/16/17 at 3:50 P.M. CNA #1 said the the resident is independent with ambulation, has no safety concerns and does not have alarms. During an interview on 6/20/17 at 9:45 A.M., the Rehabilitation Director said that supervision status means that staff are near the resident, but do not have to be shoulder to shoulder with the resident. She further said that supervision can also mean that the resident is within the line of sight of staff. During an interview on 6/20/17 at 1:30 P.M., Unit Manager (UM) #1 said that the resident care plan indicated the resident required supervision with ambulation. She further said that unless a resident is one to one supervision, she could not provide supervision with ambulation and transfers. UM #1 said that Resident #5 has had falls during the sun-downing time (period of increased confusion in the evening), and if the falls were unwitnessed, then the resident was not being supervised.

2. For Resident #18, the facility staff failed to follow the physician’s orders [REDACTED].

Resident #18 was admitted to the facility in 1/2015 with [DIAGNOSES REDACTED]. Review of the Quarterly MDS Assessment, dated 3/7/17, indicated the resident had a BIMS score of 5 out of 15 (severe cognitive impairment), required extensive assistance of one staff for ADLs, and had upper and lower extremity impairment on one side. Review of the Treatment Administration Record (TAR), dated 6/2017, indicated the resident had worn the left thigh blue cushion as ordered, without documentation to indicate refusal on the TAR.

Review of the 6/2017 physician’s orders [REDACTED]. During an observation on 6/20/17 at 9:30 A.M., Resident #18 was seated in his/her wheelchair in the hallway. The resident was dressed and wearing shoes. The resident had a covered beverage on a tray table in front of him/her. The resident had his/her left leg crossed over the right leg. No blue cushion was observed around the resident’s left leg, as ordered by the Physician.

During an observation on 6/20/17 at 10:41 A.M., Resident #18 was seated in the wheelchair, in the hallway. The resident had his/her left leg crossed over the right leg. No blue cushion was observed around the resident’s left leg, as ordered by the Physician. During an interview on 6/20/17 at 11:15 A.M., Nurse #1 said that the resident tends to lean in the wheelchair and has no special device except the wedge cushion. During an interview on 6/20/17 at 11:20 A.M., UM #1 said that the physician’s orders [REDACTED]. The order should have been discontinued. Review of a physician’s orders [REDACTED].

3. For Resident #20, the facility staff failed to ensure a chair alarm was implemented as ordered. Resident #20 was admitted to the facility in 5/2017 with [DIAGNOSES REDACTED]. Review of the Falls Care Plan, initiated 5/5/17, indicated the resident was at risk for falls related to impaired balance/poor coordination, sensory deficit and unsteady gait. An intervention included was a chair alarm. Review of the Initial MDS Assessment, dated 5/11/17, indicated that the resident had moderate cognitive impairment, was an extensive assist of one staff for ADLs, and utilized a wheelchair and walker. Review of the current CNA resident care card, indicated that Resident #20 had a bed and chair alarm for safety, and staff were to check the placement and function every shift and as needed.

Review of the current Treatment physician’s orders [REDACTED]. Review of the Treatment Record, dated 6/2017, indicated an order for [REDACTED].M. to 3:00 P.M. shift on 6/20/17. During an observation on 6/20/17 at 2:40 P.M., the resident was seated in the wheelchair with leg rests. The resident was observed being assisted by a staff member down the hallway. The resident was dressed and had shoes and a hat on. No chair alarm was observed by the surveyor. During an interview on 6/20/17 at 2:45 P.M., CNA #2 said that resident care card indicated that the resident was supposed to have a bed and chair alarm in place. During an interview on 6/20/17 at 2:50 P.M., Nurse #2 said that the resident did not utilize any alarms that she was aware of. During an interview on 6/20/17 at 3:00 P.M., the MDS Coordinator said that the chair alarm was to be utilized for Resident #20.

4. For Resident #16, the facility staff failed to follow the fall prevention care plan relative to a sign to be placed in the resident’s room.

Resident #16 was admitted to the facility in 2/2012 with [DIAGNOSES REDACTED]. Review of the care plan for fall prevention indicated an intervention, dated 1/9/15, to have a Call Before You Fall sign.

Review of the Annual MDS Assessment, dated 8/31/16, indicated the resident had moderate cognitive impairment as evidenced by a Brief Interview for Mental Status score of 10 of 15, and required extensive assistance for transfers and toileting. On 6/20/17 at 10:45 A.M., the surveyor, accompanied by Unit Manager (UM) #2, observed Resident #16 in bed. The Call Before You Fall sign was not visible. UM #1 said the sign was not posted in the room.

Failed to make sure that residents with reduced range of motion get propertreatment and services to increase range of motion.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on observation, interview and record review, the facility staff failed to implement appropriate treatment and services to prevent further decrease in range of motion (ROM) of the hands for 1 (#19) resident, of 12 applicable residents, in a total sample of 24 residents.

Findings include:

For Resident #19, the facility failed to obtain and implement hand rolls to prevent a further decrease in ROM of both hands.

Resident #19 was admitted to the facility in 1/2014 with [DIAGNOSES REDACTED]. Review of a Occupational Therapist (OT) Progress and Discharge Summary, dated 1/3/17, indicated the resident had been receiving OT treatment and therapy for contracture management of both hands utilizing hand splints. Because the resident had been admitted to Hospice services, OT was being discontinued. Positioning would be completed with towel rolls while awaiting the arrival of cones which had already been ordered. Review of a Significant Change in Status Minimum Data Set (MDS) Assessment, dated 1/10/17, indicated the resident had severe cognitive impairment, limitations in ROM of both upper and lower extremities, and was on Hospice.

Review of the 4/2017 Physician’s orders did not indicate an order for [REDACTED].>On 6/20/17 at 1:00 P.M. the resident was observed in the main dining room seated in a reclining chair. He/she had bilateral hand contractures. No splints or hand rolls were observed.

On 6/20/17 at 1:10 P.M. during an observation of the resident’s room with Certified Nurses Aide #1, a hand splint and a carrot cone were observed on a chair next to the resident’s bed. CNA #3 said the therapy staff told her to try and use the hand splint and the carrot cone. If it was causing the resident any pain, don’t use them. She stated she did not know anything about hand rolls.

On 6/20/17 at 2:30 P.M. during an interview with the Director of Nurses and the Director of Rehabilitation, they said the hand cones were never ordered. They thought maybe it was because the resident was on Hospice, or that the family had not wanted them, but didn’t know for sure. They could not show documentation to indicate the family had declined the use of the hand rolls.

Failed to make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on observation, interviews, policy and record reviews, the facility staff failed to provide adequate supervision to prevent falls for 1 sampled resident (#5), of 8 applicable residents, in a total of 24 sampled residents.

Findings include:

Resident #5 was admitted to the facility in 6/2012 with [DIAGNOSES REDACTED]. Review of the Falls Management Program, revised 1/2012, indicated the facility would provide each resident with appropriate interventions to reduce the risk of falls. Review of the Falls Care Plan, initiated on 2/2/15, identified Resident #5 was at risk for falls due to impaired balance, cognitive impairment, psychosis with delusions, antipsychotic use, and poor coordination. The interventions implemented at this time included: slipper socks when in bed, bed alarm, use of a rolling walker, have commonly used articles within reach, low bed, place rolling walker away from the resident after he/she in is seated in the dining room, provide assistance with transfers as needed when weak, supervision with ambulation, reinforce need to call for assistance and therapy evaluation and treatment as ordered.

Review of the Activities of Daily Living (ADL) care plan, initiated on 2/2/15, indicated the resident required supervision with ambulation and locomotion with the use of a rolling walker. Review of the Quarterly Minimum Data Set (MDS) Assessment, dated 9/19/16, indicated the resident had a Brief Interview for Mental Status (BIMS) score of 5 out of 15 (severe cognitive impairment), required supervision with transfers and ambulation, and utilized a walker.

Review of the nurse’s notes, dated 11/18/16, indicated the resident had a fall at 5:30 P.M. The note indicated the resident had just completed the evening meal and had ambulated to the hallway with his/her rolling walker. The note further indicated the resident appeared to have attempted to sit on a chair across from the nurses station and missed the chair. The resident was found lying on his/her left side. The resident complained of left back pain and rib pain. The Physician was updated and an X-ray was ordered. Review of the Incident/Accident Report, dated 11/18/16, indicated the fall was unwitnessed. The intervention added to the resident’s plan of care at this time was to add wider base chairs in the hall, and to assist the resident with sitting in chairs when leaving the dining room when he/she was restless.

Review of the ADL care plan, revised 11/18/16, indicated an intervention to provide the resident with supervision with ambulation and locomotion with the use of the rolling walker, and to provide assistance if behavioral. Review of the Falls care plan, revised 11/18/16, indicated an intervention for PT (Physical Therapy)/OT (Occupational Therapy) evaluation and treatment. Review of the nurse’s note, dated 11/19/16 at 6:24 A.M., indicated X-ray results were negative. The nurse’s note also indicated that the resident was pacing back and forth from his/her room to the nurses station. The resident was described as being agitated and complained of back pain. The resident was medicated with Tylenol (a pain reliever) and Trazodone (an antidepressant).

Review of the nurse’s notes, dated 11/19/16, indicated the resident experienced a witnessed fall, in the hallway outside of his/her room at 6:15 P.M. The resident sustained [REDACTED]. The indicated documentation that the resident had increased anxiety at the time of the fall. The Physician was updated and a urinalysis was ordered. Review of the Incident/Accident Report, dated 11/19/16, indicated the Certified Nurse Aide(CNA), who witnessed the incident, observed the resident in the hallway walking when he/she suddenly lost balance and fell .

Review of the nurse’s note, dated 11/20/16, indicated the urinalysis was reported to the Physician. The resident was started on an antibiotic. Review of the PT Progress Notes and Discharge Report, dated 12/1/16, indicated the resident was evaluated and upon discharge was able to ambulate 200 feet on a level surface, requiring standby assistance/supervision using a rolling walker.

Review of the OT Progress and Discharge Report, dated 12/1/16, indicated the resident was evaluated and demonstrated a quick pace when ambulating, leaned forward and tended to pick up his/her walker. Upon discharge of OT services on 12/1/16, the therapist indicated that the resident had the ability to alter to a slower pace when ambulating when he/she was provided with verbal instruction/cues. Review of the nurse’s notes, dated 12/5/16, indicated that the resident experienced a fall at 5:45 P.M. A PT evaluation was added to the care plan.

Review of the Incident/Accident Report, dated 12/5/16, indicated the fall was unwitnessed and occurred in the day room. Review of the facility staff statements pertaining to the incident indicated the resident was observed to be sitting in the day room watching television prior to the fall. Review of the PT evaluation, dated 12/7/16, indicated the resident was being evaluated related to a fall. The evaluation indicated the staff reported the resident was very lethargic at the time of the fall which may have contributed to his/her loss of balance. The PT notes, upon discharge, indicated the resident was recommended to have standby assistance/supervision with transfers (from the bed/chair), and continue to have standby assistance/supervision with use of a rolling walker for ambulation. Review of the Annual MDS Assessment, dated 12/16/16, indicated the resident had a BIMS score of 4 out of 15 (severe cognitive impairment), required supervision with ambulation/transfers, utilized a walker, and experienced multiple falls since the last assessment.

Review of the nurse’s notes, dated 1/20/17, indicated that the resident experienced a fall in his/her room. Review of the Incident/Accident Report, dated 1/20/17, indicated the resident was yelling and found on the floor, by a visitor, in the doorway to his/her bathroom at 6:00 P.M. The report further indicated the resident’s walker was not in use at the time of the fall. The interventions added to the plan of care included: redirect the resident to supervised areas, remind him/her to use the walker at all times, and a PT evaluation.

Review of the OT evaluation, dated 1/23/17, indicated the resident was referred to therapy after an unwitnessed fall. The therapist indicated on the evaluation that the resident continued to remain a high fall risk and recommended that the resident be supervised. Review of the nurse’s note, dated 3/8/17, indicated the resident was noted to be agitated and was pacing very quickly up and down the halls. The resident was administered Trazodone at 6:30 P.M., which was documented by the nurse to have poor effect. The nurse’s note further indicated that the resident was exit seeking and was unable to be redirected. At 8:00 P.M., the resident was observed on the floor, by laundry personnel, in another resident’s room. The resident was near the bed and sustained an abrasion on the left side of his/her head.

Review of the Incident/Accident Report, dated 3/8/17, indicated the resident experienced a fall at 7:45 P.M. in another resident’s room. The bed in the room was observed to be in the high position. The laundry personnel indicated in the investigation that the resident was attempting to sit on the bed, which was in the high position, missed and fell to the floor. The intervention added to the plan of care was to put the beds on the unit in low position when not occupied. Review of the Quarterly MDS Assessment, dated 3/15/17, indicated the resident required supervision of one staff to ambulate in his/her room, required limited assistance of one staff to ambulate in the corridor, and required supervision of one staff for locomotion on/off the unit. Review of the current CNA care card, indicated the following: slipper socks when in bed; encourage resident to come out of his/her room after am care, bed alarm, remind resident to use rolling walker at all times, redirect resident to supervised areas, when exhibiting exit seeking behaviors redirect to an appropriate area and provide supervision, assist of one person with ambulation when behavioral, otherwise ambulates with walker and supervision.

On 6/16/17 at 10:20 A.M. to 10:28 A.M., the surveyor observed Resident #5 ambulating in the hallway with his/her rolling walker independently. The resident was observed to have nonsensical vocalizations. The surveyor observed the resident ambulate to his/her room and enter the bathroom independently. The surveyor observed the resident exit the bathroom with his/her walker, and ambulate independently out of the room down the hallway. The surveyor observed that no staff were present in the resident’s room or within sight during the observation.

During an interview on 6/16/17 at 3:50 P.M. CNA #1 said the the resident was independent with ambulation, had no safety concerns and did not use alarms. During an interview on 6/20/17 at 9:45 A.M., the Rehabilitation Director said that supervision status means that staff are near the resident, but do not have to be shoulder to shoulder with the resident. She further said that supervision can also mean that the resident is within the line of sight of staff. During an interview on 6/20/17 at 1:30 P.M., Unit Manager (UM) #1 said that the resident care plan indicated the resident required supervision with ambulation. She further said that unless resident is a one to one, she cannot provide supervision with ambulation and transfers. UM #1 said that Resident #5 had falls during the sun-downing time (a period of increased confusion in the evening), and if the falls were unwitnessed, the resident was not being supervised.

Failed to prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

Based on observations, test tray temperatures, interviews and record reviews, the facility failed to ensure that food was of proper temperature and served timely for 3 of 4 of dining areas.

Findings include:

Review of the Meal Service Schedule provided to the surveyor upon entrance to the survey on 6/13/17 at 8:30 A.M., indicated the following times:

Breakfast: Sutton Truck #4- 7:45 A.M. – 7:50 A.M.
Grafton Truck #1- 7:50 A.M.- 7:55 A.M.
Sutton Truck #5 – 7:55 A.M. – 8:00 A.M.
Grafton Truck #2 – 8:00 A.M. – 8:05 A.M.
Sutton Truck #6 – 8:05 A.M. – 8:10 A.M.
Grafton Truck #3 – 8:10 A.M. – 8:15 A.M.
Shrewsbury Truck #7 – 8:10 A.M. – 8:15 A.M.
Shrewsbury Truck #8 – 8:15 A.M. – 8:20 A.M.
Activity Room Truck #9 – 8:20 A.M. – 8:25 A.M.

Review of the Test Tray form, undated, indicated the following Standard Temperature of food/beverages 20 minutes after the meal truck is delivered from the kitchen:

Hot Foods:
Soup/Hot Cereal – 150 degrees Fahrenheit (F)
Entree – 135 degrees F Starch – 135 degrees F
Vegetable – 135 degrees F
Hot Beverage – 150 degrees F

Cold Foods:
Salad – 41 degrees F
Dessert -41 degrees F
Fruit – 41 degrees F
Milk – 41 degrees F
Cold Beverage – 41 degrees F

During a group interview on 6/13/17 from 1:30 P.M.-2:40 P.M. with the surveyor, 8 residents (who were identified by the Activity Director as alert, interviewable and reliable for information), said that the hot food was not always hot due to the location of the meal, and when the meal was served by staff. Three of the eight residents also said that because the meals are served late, they impede on activities. On 6/14/17 at 9:00 A.M. in the Activity Room, the surveyor observed the meal truck had been delivered, but no breakfast trays had been passed at this time. The surveyor observed 10 residents present. The surveyor observed one Certified Nurse Assistant (CNA) and Unit Manager (UM) #1 begin the tray pass.

On 6/16/17 at 7:50 A.M. through 8:20 A.M., the surveyor observed tray service for the breakfast meal in the kitchen. The surveyor observed the first tray was plated at 7:55 A.M. At 8:20 A.M., Sutton Truck #5, left the kitchen, and arrived at the Sutton unit at 8:22 A.M.

The 1st tray from the cart was served at 8:22 A.M. The surveyor retrieved the test tray, which was the last tray served, at 8:30 A.M., and conducted test tray temperatures (using the facility thermometer), with the Administrator, as follows:
Oatmeal- 130.0 degrees Fahrenheit (F), warm to taste;
Waffle- 104 degrees F, room temperature to taste;
Sausage link- 104 degress F, slightly warm to taste;
Ground sausage -100 degrees F, room temperature;
Coffee-138 degrees F, warm;
Orange juice- 44 degrees F, cool;
Milk- 44 degrees F, cool

At 8:34 A.M., Grafton Truck #2 arrived on the Grafton Unit. The surveyor retrieved the test tray, which was the last tray served. at 8:41 A.M., and conducted test tray temperatures (using the facility thermometer) with the Assistant Director of Nurses (ADON), as follows:
Waffle- 78 degrees F, soft;
Sausage link- 82 degrees F, warm
Coffee- 160 degrees F;
Orange juice- 50 degrees F;
Milk- 42 degrees F

At 8:50 A.M., Activity Truck #9, arrived in the Activity Room. The 1st tray from the truck was served at 8:55 A.M. The surveyor retrieved the test tray, which was the last tray served, at 9:05 A.M., and conducted test tray temperatures (using the facility thermometer) with Activity Assistant #1, as follows:
Oatmeal- 132 degrees F, warm; Waffle- 100 degrees F, room temperature; Sausage link- 110 degrees F, slightly warm; Ground Sausage- 100 degrees F, room temperature; Coffee- 148 degrees F, hot Orange Juice- 40 degrees F, cool; Milk- 44 degrees F, cool

During an interview on 6/20/17 at 11:30 A.M., the Food Service Director (FSD) said that here was no policy regarding meal service/temperatures, but test trays are conducted weekly, and the temperatures vary based on how the meals are served by the staff. The FSD said that the meal trays are passed by the nursing staff. She also said that phone calls to the kitchen during meals can delay the meal service.

Care One at Millbury, Nursing Home Neglect and Elder Abuse Lawyers

If someone you love has suffered neglect or elder abuse by a senior caregiver, nursing home, or other care facility, our lawyers may be able to help. Regardless of whether or not criminal charges are filed against an alleged abuser, you may still be able to pursue compensation in a civil claim. Compensation in elder abuse cases may be awarded if someone in the care of another suffers harm due to intentional or negligent actions (including failure to take action).

Abuse of the elderly is not acceptable and we fight hard in these types of cases. If you suspect a nursing home or caregiver has caused harm to your loved one in someone elses’ care, contact our law firm today for a free legal consultation. Talking to us does not obligate you to anything, but we may be able to tell you if you have a claim and the value of your case. If we accept your case, you pay no fee unless we recover for you.

Oftentimes, victims of abuse either cannot or will not speak up for themselves out of fear. If you notice any warning signs or symptoms of neglect of abuse an an elderly person, it is important you contact an elder abuse lawyer immediately. Not only are there statute of limitations on filing a claim, but the sooner we start helping you, the easier it will be to collect evidence and talk to any witnesses before important details are lost, hidden, or forgotten.

Boston Personal Injury Lawyers for Elder Abuse Cases

We offer a free, no-obligation legal consultation to help you understand your rights and the value of your case. Our personal injury law firm takes cases involving elder abuse and neglect. We offer legal service to clients in Massachusetts, Rhode Island and New Hampshire.


Sources:

Medicare Nursing Home Profiles and Reports – Care One at Millbury

Inspection Report for Care One at Millbury – 06/20/2017

Page Last Updated: April 9th, 2018

Call Now Button