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Complaint Investigation

Life Care Center Of Merrimack Valley

August 14, 2025 · Billerica, MA · 80 Boston Road
Citations 1
CMS Rating 2/5
Beds 124
Provider ID 225546
Healthcare Facility
Life Care Center Of Merrimack Valley
Billerica, MA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Life Care Center Of Merrimack Valley in BILLERICA, MA — inspection on August 14, 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.

Inspection Findings

FF0552
Resident Rights Deficiencies

Sertraline (Antidepressant) 100 mg tablet, start date 08/12/25, take two tablets by mouth at bedtime

and Sertraline HCL.Review of Resident #2's Informed Consent for Psychotropic Administration Form,

not obtained until the day of Survey, on 08/14/25 (three (3) days after he/she had already been administrated the medications).3) Resident #3 was admitted to the Facility in August 2025, diagnoses included, but were not limited to, Chronic Obstructive Pulmonary Disease, Anxiety Disorder, Chronic Respiratory Failure and Emphysema.Review of Resident #3's Physician's Orders, dated Active Orders as of 08/12/25, indicated to administer the following;- Lorazepam (Anxiolytics) 0.5 milligram (mg), start date 08/12/25, give one tablet by mouth every 8 hours as needed for Anxiety;- Olanzapine (Antipsychotic) 2.5 mg tablet, start date 08/12/25, give one tablet by mouth twice a day for Anxiety; and- Olanzapine (Antipsychotic) 2.5 mg tablet, start date 08/12/25, give one tablet by mouth every six (6) hours as needed for Anxiety.Review of Resident #3's Medication Administration Record (MAR), dated August 2025, indicated he/she had been administered three (3) doses of Lorazepam and four (4) doses of Olanzapine.However, review of Resident #3's Informed Consent for Psychotropic Administration Form, indicated that signed written consent for the administration of his/her psychotropic medications was not obtained until the day of Survey, on 08/14/25 (three (3) days after he/she had already been started on the medications).

During an interview on 08/14/25 at 4:58 P.M., the Director of Nurses (DON) said there was no Informed Consent for Psychotropic Administration obtained related to Resident #1's Fluoxetine, Hydroxyzine and Trazodone, during his/her admission.The DON said Informed Consent for Psychotropic Administration for Resident #2's Bupropion XL, Haloperidol, Hydroxyzine HCL and Sertraline were not obtained upon admission or prior to administration.

The DON said Informed Consent for Psychotropic Administration for Resident #3's Lorazepam and Olanzapine were not obtained upon admission or prior to administration.The DON said that it is the Facility's expectation that the Nurse admitting each resident obtain informed written consents for psychotropic medication from either the resident or the resident's responsible party, prior to administering any psychotropic medications.

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 BILLERICA, 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 Life Care Center Of Merrimack Valley or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.