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Complaint Investigation

Park Avenue Health Center

August 28, 2025 · Arlington, MA · 146 Park Avenue
Citations 1
CMS Rating 2/5
Beds 89
Provider ID 225584
Healthcare Facility
Park Avenue Health Center
Arlington, MA  ·  View full profile →
Inspection Summary

PARK AVENUE HEALTH CENTER in ARLINGTON, MA — inspection on August 28, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0726
Nursing and Physician Services Deficiencies
Potential for More Than Minimal Harm

During a telephone interview on [DATE] at 11:44 A.M., Nurse #4 said that she came to work on [DATE] at approximately 6:15 A.M., however said she does not recall ever hearing a Code Bue being paged.Nurse #4 said that if she had heard a Code Blue, she would have stopped what she was doing and go to the location announced to help with whatever was needed.

Nurse #4 said that the nurse needs to call a Code Blue so that other staff can assist with the emergency.During an interview on [DATE] at 3:53 P.M., the Assistant Director of Nurses (ADON) said that the Facility has not had a Staff Development Coordinator for some time and Mock Code Blue's were not being done on a regular basis.The ADON said that she was not aware Nurse #1 had not called a Code Blue and said if he had, licensed staff would have responded to assist.

During an interview on [DATE] at 1:40 P.M., the Interim Director of Nurses (DON, who also serves as the Regional Clinical of Operations), said that she was not aware that Nurse #1 had not called or instructed anyone else to call a Code Blue.The interim DON said that she assumed that a Code Blue was paged and had not realized only three (3) staff members (1 Nurse and 2 CNA's) were involved with the emergency incident.

The interim DON said that if Nurse #1 had called a Code Blue other licensed staff would have been available to help.The interim DON said the Facility's expectation is that if a resident is found unresponsive, the responding Nurse is to assess the resident, call out for help, and instruct the first staff member to arrive to page a Code Blue.The interim DON said as staff arrives to assist, the Nurse should instruct each staff member as what to do, retrieve the code cart, AED, resident's chart, call 911, and anything else needed until EMS arrives and takes over the situation.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in ARLINGTON, MA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from PARK AVENUE HEALTH CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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