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Merrimack Valley Health Center

📍 22 Maple Street, Amesbury, MA 01913 📞 (978) 388-4682 🛏️ 130 beds

Inspection History Overview

Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

June 25, 2024 Health Inspection

Fines and Penalties by Year

2022 3 penalties totaling $23,501

$13,497
Jun 22, 2022

Fine

$10,004
Jan 12, 2022

Fine

$0
Jan 12, 2022

Payment Denial

2021 5 penalties totaling $455,369

$655
Dec 27, 2021

Fine

$301,409
Sep 29, 2021

Fine

$0
Sep 29, 2021

Payment Denial

$148,051
Jun 11, 2021

Fine

$5,254
Jan 11, 2021

Fine

2020 1 penalties totaling $44,769

$44,769
Jan 24, 2020

Fine

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Health Violations by Year

2025 2 violations

Tag 0656 D Feb 11, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 18, 2025
Tag 0842 D Feb 11, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Mar 18, 2025

2024 14 violations

Tag 0552 D Jun 25, 2024

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Aug 6, 2024
Tag 0580 K Jun 25, 2024

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Aug 6, 2024
Tag 0607 D Jun 25, 2024

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Aug 6, 2024
Tag 0656 D Jun 25, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 6, 2024
Tag 0677 D Jun 25, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Aug 6, 2024
Tag 0684 K Jun 25, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Aug 6, 2024
Tag 0686 D Jun 25, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Aug 6, 2024
Tag 0689 D Jun 25, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Aug 6, 2024
Tag 0699 D Jun 25, 2024

Provide care or services that was trauma informed and/or culturally competent.

✓ Corrected: Aug 6, 2024
Tag 0726 K Jun 25, 2024

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.

✓ Corrected: Aug 6, 2024
Tag 0756 D Jun 25, 2024

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Aug 6, 2024
Tag 0812 E Jun 25, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Aug 6, 2024
Tag 0825 D Jun 25, 2024

Provide or get specialized rehabilitative services as required for a resident.

✓ Corrected: Aug 6, 2024
Tag 0842 D Jun 25, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Aug 6, 2024
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2023 23 violations

Tag 0550 D Jul 28, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Sep 1, 2023
Tag 0552 D Jul 28, 2023

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Sep 1, 2023
Tag 0558 D Jul 28, 2023

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Sep 1, 2023
Tag 0585 D Jul 28, 2023

Honor 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.

✓ Corrected: Sep 1, 2023
Tag 0604 D Jul 28, 2023

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Sep 1, 2023
Tag 0610 D Jul 28, 2023

Respond appropriately to all alleged violations.

✓ Corrected: Sep 1, 2023
Tag 0656 E Jul 28, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Sep 1, 2023
Tag 0658 D Jul 28, 2023

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

✓ Corrected: Sep 1, 2023
Tag 0677 D Jul 28, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Sep 1, 2023
Tag 0689 E Jul 28, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Sep 1, 2023
Tag 0695 D Jul 28, 2023

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Sep 1, 2023
Tag 0698 D Jul 28, 2023

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Sep 1, 2023
Tag 0730 F Jul 28, 2023

Observe each nurse aide's job performance and give regular training.

✓ Corrected: Sep 1, 2023
Tag 0757 D Jul 28, 2023

Ensure each resident’s drug regimen must be free from unnecessary drugs.

✓ Corrected: Sep 1, 2023
Tag 0758 D Jul 28, 2023

Implement 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.

✓ Corrected: Sep 1, 2023
Tag 0759 D Jul 28, 2023

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Sep 1, 2023
Tag 0761 D Jul 28, 2023

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.

✓ Corrected: Sep 1, 2023
Tag 0812 E Jul 28, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Sep 1, 2023
Tag 0842 D Jul 28, 2023

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Sep 1, 2023
Tag 0880 D Jul 28, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 1, 2023

2022 21 violations

Tag 0550 D Aug 4, 2022

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Sep 15, 2022
Tag 0582 B Aug 4, 2022

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Sep 15, 2022
Tag 0610 D Aug 4, 2022

Respond appropriately to all alleged violations.

✓ Corrected: Sep 15, 2022
Tag 0655 D Aug 4, 2022

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Sep 15, 2022
Tag 0656 E Aug 4, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Sep 15, 2022
Tag 0677 E Aug 4, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Sep 15, 2022
Tag 0679 D Aug 4, 2022

Provide activities to meet all resident's needs.

✓ Corrected: Sep 15, 2022
Tag 0689 D Aug 4, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Sep 15, 2022
Tag 0690 D Aug 4, 2022

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

✓ Corrected: Sep 15, 2022
Tag 0692 D Aug 4, 2022

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Sep 15, 2022
Tag 0791 D Aug 4, 2022

Provide or obtain dental services for each resident.

✓ Corrected: Sep 15, 2022
Tag 0804 F Aug 4, 2022

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Sep 15, 2022
Tag 0812 F Aug 4, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Sep 15, 2022
Tag 0842 D Aug 4, 2022

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Sep 15, 2022
Tag 0881 D Aug 4, 2022

Implement a program that monitors antibiotic use.

✓ Corrected: Sep 15, 2022
Tag 0689 G Jun 22, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jul 7, 2022
Tag 0842 D Jun 22, 2022

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Jul 7, 2022
Tag 0684 D Jan 19, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Mar 2, 2022
Tag 0690 D Jan 19, 2022

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

✓ Corrected: Mar 2, 2022
Tag 0880 D Jan 12, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 14, 2022
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2021 44 violations

Tag 0550 D Sep 29, 2021

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Nov 8, 2021
Tag 0561 D Sep 29, 2021

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Nov 8, 2021
Tag 0580 D Sep 29, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Nov 8, 2021
Tag 0600 J Sep 29, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Sep 29, 2021
Tag 0604 D Sep 29, 2021

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Dec 6, 2021
Tag 0609 E Sep 29, 2021

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

✓ Corrected: Nov 8, 2021
Tag 0610 E Sep 29, 2021

Respond appropriately to all alleged violations.

✓ Corrected: Nov 8, 2021
Tag 0637 D Sep 29, 2021

Assess the resident when there is a significant change in condition

✓ Corrected: Nov 8, 2021
Tag 0641 D Sep 29, 2021

Ensure each resident receives an accurate assessment.

✓ Corrected: Nov 8, 2021
Tag 0656 E Sep 29, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Nov 8, 2021
Tag 0658 D Sep 29, 2021

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

✓ Corrected: Nov 8, 2021
Tag 0677 D Sep 29, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Nov 8, 2021
Tag 0686 G Sep 29, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Dec 6, 2021
Tag 0689 H Sep 29, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Nov 8, 2021
Tag 0692 G Sep 29, 2021

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Dec 6, 2021
Tag 0695 D Sep 29, 2021

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Dec 6, 2021
Tag 0725 J Sep 29, 2021

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Nov 8, 2021
Tag 0726 J Sep 29, 2021

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.

✓ Corrected: Nov 8, 2021
Tag 0740 D Sep 29, 2021

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

✓ Corrected: Nov 8, 2021
Tag 0755 D Sep 29, 2021

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

✓ Corrected: Nov 8, 2021

2020 8 violations

Tag 0689 G Feb 4, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Mar 23, 2020
Tag 0550 D Jan 24, 2020

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Sep 28, 2020
Tag 0677 D Jan 24, 2020

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Sep 28, 2020
Tag 0695 D Jan 24, 2020

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Mar 9, 2020
Tag 0697 G Jan 24, 2020

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Mar 9, 2020
Tag 0761 D Jan 24, 2020

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.

✓ Corrected: Mar 9, 2020
Tag 0790 G Jan 24, 2020

Provide routine and 24-hour emergency dental care for each resident.

✓ Corrected: Mar 9, 2020
Tag 0880 D Jan 24, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 9, 2020
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2019 8 violations

Tag 0554 D Feb 19, 2019

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Mar 29, 2019
Tag 0636 D Feb 19, 2019

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Mar 29, 2019
Tag 0656 D Feb 19, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 29, 2019
Tag 0690 D Feb 19, 2019

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

✓ Corrected: Mar 29, 2019
Tag 0756 D Feb 19, 2019

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Mar 29, 2019
Tag 0758 D Feb 19, 2019

Implement 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.

✓ Corrected: Mar 29, 2019
Tag 0812 E Feb 19, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Mar 29, 2019
Tag 0842 D Feb 19, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Mar 29, 2019

2018 1 violations

Tag 0725 E Oct 11, 2018

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Oct 30, 2018
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2017 3 violations

Tag 0328 D Nov 2, 2017

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

✓ Corrected: Dec 4, 2017
Tag 0371 D Nov 2, 2017

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Dec 4, 2017
Tag 0441 D Nov 2, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Dec 4, 2017

2016 1 violations

Tag 0431 E Oct 27, 2016

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Nov 16, 2016
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