Westford House

Westford House

MI Elder Abuse Free Legal ConsultationDid someone you love suffer elder abuse or neglect at Westford House? 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 Westford House

Westford House is a for profit, 123-bed Medicare/Medicaid certified skilled nursing facility that provides services to the residents of Maynard,  Acton, Sudbury, Concord, Hudson, Wayland, Marlborough, Westford, Weston, Bedford, and the other towns in and surrounding Middlesex County, Massachusetts.

Westford House
3 Park Drive
Westford, MA 01886

Phone: (978)392-1144
Website: http://www.genesishcc.com/WestfordHouse

CMS Star Quality Rating

Westford HouseThe 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 2018, Westford House in Westford, Massachusetts received a rating of 1 out of 5 stars.

Performance Area Rating
Overall Rating 1 out of 5 (Much Below Average)
State Health Inspections 1 out of 5 (Much Below Average)
Staffing 3 out of 5 (Average)
Quality Measures 1 out of 5 (Much Below Average)

Fines Against Westford House

The Federal Government fined Westford House $48,735 on 09/13/2016, $5,597 on 11/01/2017,and $11,703 on 11/01/2017 for health and safety violations.

Fines and Penalties

Our Nursing Home Accident Lawyers inspected government records and discovered Westford House committed the following offenses:

 

Keep residents' personal and medical records private and confidential.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation and interview the facility staff failed to provide privacy during a medical treatment for one sampled Resident (#85) out of a total of 22 sampled residents.

Findings include:

Resident #85 was admitted to the facility in 1/2017 with [DIAGNOSES REDACTED]. Review of the 12/2017 Medication Administration Record [REDACTED].

During an observation on 12/01/17 at 07:46 A.M., the surveyor observed Nurse #2 do a FSBS with Resident #85 in the hallway near the nurses station, in front of staff and other residents. She verbalized the results of the test out loud in a common area.

During an interview on 12/01/17 at 08:17 A.M., Nurse #2 said that was her first day at the facility since she worked through a staffing agency, and every place was different. She said she had since been told that she should not have done a fingerstick blood sugar in a common area.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on records reviewed and interviews, for one of 22 sampled residents (Resident #61), the facility staff failed to ensure that an allegation of physical abuse was reported to the Department of Public Health (DPH) within two hours as required. It was alleged that on 11/10/17, Certified Nurse Aide (CNA) #1 heard Resident #61 accuse CNA #2 of slapping him/her, but did not report the alleged incident until 10 days later.

Findings include:

Resident #61 was admitted to the Facility in 7/2013 with [DIAGNOSES REDACTED]. The Quarterly Minimum Data Set Assessment, dated 10/17/17, indicated that Resident #61 had severe cognitive impairment.

There was no documentation at the time of survey to indicate that Resident #61 had known accusatory behaviors.

The Abuse Prohibition Policy, reviewed 10/23/17 and revised 11/28/17, indicated that anyone who witnessed an incident of suspected abuse was to report the incident to his/her supervisor immediately.

The Surveyor interviewed CNA #1 at 2:24 P.M. on 12/07/17. CNA #1 said that on 11/10/17, she and CNA #2 were providing care to Resident #61.

CNA #1 said she turned her back to CNA #2 and Resident #61 for a brief period, and said she heard Resident #61 say Why don’t you like me? Why did you slap me?, or words to that effect. CNA #1 said CNA #2 was not standing close enough to Resident #61 to slap him/her, and said she did not observe any physical signs that Resident #61 was slapped. CNA #1 said she knew she should have reported the alleged incident that day, but did not report the allegation until several days later.

The Facility’s internal investigation, dated 11/20/17, indicated that CNA #1 did not report the allegation made by Resident #61 that CNA #2 slapped him/her on 11/10/17 until 11/20/17, 10 days later. The investigation indicated that there were no documented signs or symptoms of physical and/or mental injury, and the allegation was unsubstantiated. There was no documentation at the time of survey that CNA #1 reported an allegation of physical abuse prior to 11/20/17, 10 days after the alleged incident occurred.

Assess the resident when there is a significant change in condition

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview the facility staff failed to ensure that one sampled Resident (#92) out of a total of 22 sampled residents, was comprehensively assessed following a significant change in status.

Findings include:

Resident #92 was admitted to the facility in 11/2016 with [DIAGNOSES REDACTED]. Review of the Quarterly Minimum Data Set (MDS) Assessment, dated 8/1/17, indicated the following:

The resident had no cognitive impairments with a Brief Interview for Mental Status (BIMS) score of 13 out of 15, required limited assist of one person for bed mobility, transfers, and toilet use; was non-ambulatory, and was independent for locomotion on and off of the unit.

Review of the Annual MDS Assessment, dated 10/31/17, indicated the following: the resident had moderate cognitive impairment with a BIMS score of 9 out of 15, required extensive assist of one person for bed mobility, transfers, toilet use, hygiene, and locomotion on the unit; and was dependent of one person for locomotion off of the unit. During an interview on 12/06/17 at 12:10 P.M., MDS Nurse #1 said that the MDS in (MONTH) should have been a significant change in status assessment and not an annual assessment.

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

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview the facility staff failed to document injection sites for [MEDICATION NAME] (blood thinner) and ensure the sites were rotated for one sampled Resident (#85) out of a total sample of 22 residents.

Findings include:

Review of the facility’s policy for Injectable Medication Administration, dated 12/8/14, indicated the following:

-Following the administration of a subcutaneous (sc) (tissue between skin and muscle) injection .document the administration and the site of medication.

Resident #85 was admitted to the facility in 1/2017 with [DIAGNOSES REDACTED]. Review of the 11/2017 Medication Administration Record (MAR) indicated an order to administer [MEDICATION NAME] 150 milligrams (mg)/ milliliter (ml) inject 140 mg sc every 12 hours.

Further review indicated the [MEDICATION NAME] was administered twice daily from 11/1/17-11/13/17 and no injection sites were documented. During an interview on 12/07/17 at 12:14 P.M. Unit Manager #1 reviewed the 11/2017 MAR and said there were no injection sites for [MEDICATION NAME] documented. She said they should have been documented to ensure rotation of sites.

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

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility staff failed to provide appropriate treatment and services to prevent a decline in continence for one sampled Resident (#19) out a total of 25 sampled residents.

Findings include:

Review of the facility’s policy for Continence Management, with a revision date of 3/15/16, indicated the following:

– A Urinary Incontinence Assessment .and Three Day Continence Management Diary will be completed if the patient is incontinent upon admission .and with a change in condition or change in continence status.

– If the patient is incontinent, complete the Urinary Incontinence Assessment.

– Address transient causes for incontinence.

– Initiate Three Day Continence Management Diary if incontinence is not resolved.

– Develop plan of care based on information from assessments and diaries.

Resident #19 was admitted to the facility in 3/1/17 with [DIAGNOSES REDACTED]. Review of the Admission Minimum Data Set (MDS) Assessment, dated 3/7/17, indicated the resident was cognitively intact with a score of 13 out of 15 on the Brief Interview for Mental Status (BIMS). Further review indicated the resident was occasionally incontinent of urine and was not on a toileting program. Review of the Care Area Assessment for urinary incontinence indicated bladder retraining would be unrealistic due to the resident’s cognitive impairment (the resident was not cognitively impaired).

Review of the Quarterly MDS Assessment, dated 6/6/17, indicated the resident was cognitively intact with a score of 13 out of 15 on the BIMS, was frequently incontinent of urine (a decline from the previous MDS assessment), and was not on a toileting program. Review of the Quarterly MDS Assessment, dated 9/5/17, indicated the resident was cognitively intact with a score of 13 out of 15 on the BIMS, was frequently incontinent of urine, and was not on a toileting program. Review of the care plan, initiated 3/1/17 with a goal date of 12/14/17, indicated the resident was at risk for skin breakdown due to incontinence. The goal was the resident would not have skin breakdown and one of the interventions was to provide incontinence care as needed.

During an interview on 12/01/17 at 08:11 A.M. the Resident said he/she was incontinent at night due to not always being aware of toilet needs. The Resident said he/she was usually aware of bathroom needs during the day, and would put the necessary supplies on the walker and bring them to the bathroom. Review of the quarterly nursing assessment for incontinence indicated that the Resident was occasionally incontinent of urine on 3/7/17, and frequently incontinent of urine on the 6/6/17 and 9/5/17 assessments. During an interview on 12/7/17 at 11:04 A.M., Clinical Specialist #1 said there should have been a bladder assessment done once it was determined the resident was incontinent, which would have prompted a 3 day bladder patterning and a plan would be determined. She said that wasn’t done and it should have been.

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation and interview the facility staff failed to ensure emergency medication kits were replaced in a timely manner on two out of three units.

Findings include:

Review of the facility’s policy for Interim/Stat/Emergency Supply Medications, with a revision date of [DATE], indicated the following:

Emergency medication boxes remain on the nursing unit until either an item is withdrawn or one of its contents is about to expire. In either case, the pharmacy is contacted and a .prepared box .is delivered in exchange for the opened or expired on e on the unit. On [DATE] at 12:40 P.M., during tour of the Abbot Unit medication room with Unit Manager (UM) #1, the only emergency (ekit) for insulin was opened and 4 out 5 vials of insulin were missing. UM #1 said the insulin kit should have been replaced when the first vial was removed and it wasn’t.

On [DATE] at 12:50 P.M., during tour of the Edgewood Unit medication room with UM #2, two insulin ekits were opened and both were missing 4 out of 5 vials of insulin. UM #2 said the ekits should have been reordered when they were opened and they weren’t.

Westford House, 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 – Westford House

Inspection Report for Westford House – 12/08/2017

Page Last Updated: October 14, 2018

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