SeniorHomeViolations
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Our Island Home Inspection Report, Violations & Safety Grade (NANTUCKET, Massachusetts)

EAST CREEK ROAD, NANTUCKET, Massachusetts 02554

Phone: 5082280462

CMS Overall:5/5

Overview & Bed Count

Certified Beds
45
Avg Residents/Day
35.1
Ownership
Government - City
Provider Type
Medicare and Medicaid
County
Nantucket
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health4/5
Staffing5/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityMassachusetts AvgDifference
RN Hours per Resident per Day0.890.66+0.24
Total Nurse Hours per Resident per Day4.003.94+0.06
CMS Staffing Rating5/53.1/5-
Nursing Staff Turnover32.4%37.6%-

Health Citation History

11 health citations on record

DateCategoryDescriptionSeverity
2026-04-09Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.E – Moderate Harm Potential
2026-04-09Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.E – Moderate Harm Potential
2026-04-09Resident Rights DeficienciesGive the resident's representative the ability to exercise the resident's rights.D – Moderate Harm Potential
2026-04-09Pharmacy Service DeficienciesEnsure 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
2026-04-09Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-05-08Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.E – Moderate Harm Potential
2025-05-08Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-05-09Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.E – Moderate Harm Potential
2024-05-09Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2024-05-09Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-05-09Infection Control DeficienciesInclude as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.D – Moderate Harm Potential

Fire Safety Citation History

16 fire safety citations on record

DateCategoryDescriptionSeverity
2026-04-09Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).E – Moderate Harm Potential
2026-04-09Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.E – Moderate Harm Potential
2026-04-09Emergency Preparedness DeficienciesConduct testing and exercise requirements.E – Moderate Harm Potential
2026-04-09Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.E – Moderate Harm Potential
2026-04-09Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2026-04-09Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2026-04-09Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.E – Moderate Harm Potential
2026-04-09Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.E – Moderate Harm Potential
2025-05-08Egress DeficienciesHave properly located and lighted "Exit" signs.F – Moderate Harm Potential
2025-05-08Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2025-05-08Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2025-05-08Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2025-05-08Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.F – Moderate Harm Potential
2025-05-08Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2025-05-08Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2025-05-08Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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