B+
84/100

COPLEY AT STOUGHTON NURSING CARE CENTER Inspection Report, Violations & Safety Grade (STOUGHTON, Massachusetts)

380 SUMNER STREET, STOUGHTON, Massachusetts 02072

Phone: 7813412300

CMS Overall:4/5

Overview & Bed Count

Certified Beds
123
Avg Residents/Day
94.3
Ownership
For profit - Partnership
Provider Type
Medicare and Medicaid
County
Norfolk
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health3/5
Staffing5/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityMassachusetts AvgDifference
RN Hours per Resident per Day0.820.66+0.17
Total Nurse Hours per Resident per Day4.373.94+0.43
CMS Staffing Rating5/53.1/5-
Nursing Staff Turnover16.5%37.6%-

Health Citation History

22 health citations on record

DateCategoryDescriptionSeverity
2026-01-14Resident Rights DeficienciesEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D – Moderate Harm Potential
2025-12-03Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2025-12-03Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D – Moderate Harm Potential
2025-12-03Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-12-03Pharmacy Service DeficienciesEnsure 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
2025-12-03Pharmacy 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
2025-12-03Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-12-03Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.B – Minimal Harm Potential
2024-10-08Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2024-10-08Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E – Moderate Harm Potential
2024-10-08Pharmacy Service DeficienciesImplement 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.E – Moderate Harm Potential
2024-10-08Resident Rights DeficienciesGive the resident's representative the ability to exercise the resident's rights.D – Moderate Harm Potential
2024-10-08Resident Assessment and Care Planning DeficienciesDevelop 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
2024-10-08Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2024-10-08Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.B – Minimal Harm Potential
2024-10-08Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.B – Minimal Harm Potential
2023-07-31Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2023-07-31Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.E – Moderate Harm Potential
2023-07-31Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.D – Moderate Harm Potential
2023-07-31Resident Assessment and Care Planning DeficienciesDevelop 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
2023-07-31Nutrition and Dietary DeficienciesEnsure 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
2023-07-31Resident Assessment and Care Planning DeficienciesSafeguard 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

20 fire safety citations on record

DateCategoryDescriptionSeverity
2025-12-03Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2025-12-03Gas, Vacuum, and Electrical Systems DeficienciesHave proper fire barriers, ventilation and signs for the transfilling of oxygen.F – Moderate Harm Potential
2025-12-03Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2024-10-08Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.F – Moderate Harm Potential
2024-10-08Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2024-10-08Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2023-07-31Emergency Preparedness DeficienciesEstablish roles under a Waiver declared by secretary.F – Moderate Harm Potential
2023-07-31Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2023-07-31Emergency Preparedness DeficienciesImplement emergency and standby power systems.F – Moderate Harm Potential
2023-07-31Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.F – Moderate Harm Potential
2023-07-31Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.F – Moderate Harm Potential
2023-07-31Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2023-07-31Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2023-07-31Services DeficienciesHave an externally vented heating system.F – Moderate Harm Potential
2023-07-31Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2023-07-31Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2023-07-31Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2023-07-31Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).E – Moderate Harm Potential
2023-07-31Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.E – Moderate Harm Potential
2023-07-31Miscellaneous DeficienciesProvide a written emergency evacuation plan.E – 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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