Life Care Center Of Merrimack Valley Inspection Report, Violations & Safety Grade (BILLERICA, Massachusetts)

80 BOSTON ROAD, BILLERICA, Massachusetts 01862

Phone: 9786672166

CMS Overall:3/5

Overview & Bed Count

Certified Beds

124

Avg Residents/Day

103.6

Ownership

For profit - Limited Liability company

Provider Type

Medicare and Medicaid

County

Middlesex

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall3/5

Health2/5

Staffing4/5

Quality5/5

Nurse Staffing Check

Metric	This Facility	Massachusetts Avg	Difference
RN Hours per Resident per Day	0.68	0.66	+0.03
Total Nurse Hours per Resident per Day	4.18	3.94	+0.24
CMS Staffing Rating	4/5	3.1/5	-
Nursing Staff Turnover	31.7%	37.6%	-

Health Citation History

27 health citations on record

Date	Category	Description	Severity
2026-04-23	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D – Moderate Harm Potential
2025-12-10	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	E – Moderate Harm Potential
2025-12-10	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	E – Moderate Harm Potential
2025-12-10	Pharmacy Service Deficiencies	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.	D – Moderate Harm Potential
2025-12-10	Nutrition and Dietary Deficiencies	Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.	D – Moderate Harm Potential
2025-08-14	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	E – Moderate Harm Potential
2024-12-04	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	H – Actual Harm
2024-12-04	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	H – Actual Harm
2024-12-04	Nursing and Physician Services Deficiencies	Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.	H – Actual Harm
2024-12-04	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	G – Actual Harm
2024-12-04	Nursing and Physician Services Deficiencies	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.	E – Moderate Harm Potential
2024-12-04	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E – Moderate Harm Potential
2024-12-04	Administration Deficiencies	Administer the facility in a manner that enables it to use its resources effectively and efficiently.	E – Moderate Harm Potential
2024-12-04	Administration Deficiencies	Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.	E – Moderate Harm Potential
2024-12-04	Administration Deficiencies	Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.	E – Moderate Harm Potential
2024-12-04	Administration Deficiencies	Have a plan that describes the process for conducting QAPI and QAA activities.	E – Moderate Harm Potential
2024-12-04	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E – Moderate Harm Potential
2024-12-04	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D – Moderate Harm Potential
2024-12-04	Quality of Life and Care Deficiencies	Provide for the safe, appropriate administration of IV fluids for a resident when needed.	D – Moderate Harm Potential
2024-12-04	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D – Moderate Harm Potential
2024-12-04	Pharmacy Service Deficiencies	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.	D – Moderate Harm Potential
2024-12-04	Administration Deficiencies	Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.	D – Moderate Harm Potential
2024-12-04	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D – Moderate Harm Potential
2023-11-22	Pharmacy Service Deficiencies	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.	E – Moderate Harm Potential
2023-11-22	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D – Moderate Harm Potential
2023-11-22	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	D – Moderate Harm Potential
2023-11-22	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D – Moderate Harm Potential

Fire Safety Citation History

1 fire safety citation on record

Date	Category	Description	Severity
2023-11-22	Emergency Preparedness Deficiencies	Implement emergency and standby power systems.	C – Minimal Harm Potential

Total Penalties & Fines

$161,920

Total Fine Amount (CMS)

Number of Fines

Total Penalties

Date	Type	Fine Amount	Payment Denial
2024-12-04	Fine	$161,920	-

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3-Year Complete Report ($19)

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