Care Village At Parkway
Care Village at Parkway in BOSTON, MA — inspection on November 17, 2025.
Found 2 citations. 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
transferred to the Hospital Emergency Department on 09/21/25.Review of Resident #1's Hospital Record, dated 09/21/25, also indicated he/she had a Deep Tissue Injury (DTI) on his/her right heel upon admission to the Hospital.Further review of Resident #1's Medical Record indicated there was no documentation to support that his/her Physician was notified of the pressure injury on his/her right heel.
During an interview on 11/17/25 at 08:58 A.M., The Director of Nurses (DON) said Nurse Supervisor #1 should have notified Resident #1's physician or the on-call physician of the new pressure injury on his/her right heel but had not.On 11/17/25, the Facility was found to be in Past Non-Compliance and presented the Surveyor with a plan of correction, with an effective date of 10/02/25, which addressed the area(s) of concern as evidenced by:A. 09/30/25, The Facility conducted an Ad-Hoc Quality Assurance Performance Improvement meeting, which indicated the Facility Leadership developed an action plan to correct the deficient practice, and ensure that nursing notifies the physician of any new skin alteration to determine if a treatment order is necessary, that a progress note is written in the resident's medical record documenting this notification including details of any new order.B. 09/30/25, The Regional Director of Clinical Operations conducted a Facility wide audit of all skin assessments.C. 09/30/25, The Regional Director of Clinical Operation ensured that notification was made to the providers of any newly identified skin concerns, and any new orders were implemented.D. 09/30/25, The Director of Nurses (DON)/designee re-educated licensed staff and CNAs to the Facility's policy Change in Condition or Status Notification and educated licensed staff to document a progress note that included physician notification for any Resident change in condition.E. 10/02/25, Resident #1 was re-admitted to the Facility, the Physician was notified of his/her skin alterations, and a Plan of Care was developed and implemented including treatment to his/her right heel pressure injury.F.
The DON/designee will conduct daily audits of all skin checks performed to ensure any newly identified skin integrity concerns have been reported to the provider and the notification has been documented in the medical record.G.
The DON/designee will bring the results of the audits to the QAPI committee monthly for three months or until the desired outcome is achieved.H.
The DON/designee is responsible for ongoing compliance.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/17/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Care Village at Parkway
1190 Vfw Parkway Boston, MA 02132
SUMMARY STATEMENT OF DEFICIENCIES
notification including details of any new order.B. 09/30/25, The Regional Director of Clinical Operations conducted a Facility wide audit of all skin assessments.C. 09/30/25, The Regional Director of Clinical Operation ensured that notification was made to the providers of any newly identified skin concerns, and any new orders were implemented.D. 09/30/25, The Director of Nurses (DON)/designee re-educated licensed staff and CNAs to the Facility's policy Change in Condition or Status Notification and educated licensed staff to document a progress note that included physician notification for any Resident change in condition.E. 10/02/25, Resident #1 was re-admitted to the Facility, the Physician was notified of his/her skin alterations, and a Plan of Care was developed and implemented including treatment to his/her right heel pressure injury.F.
The DON/designee will conduct daily audits of all skin checks performed to ensure any newly identified skin integrity concerns have been reported to the provider and the notification has been documented in the medical record.G.
The DON/designee will bring the results of the audits to the QAPI committee monthly for three months or until the desired outcome is achieved.H.
The DON/designee is responsible for ongoing compliance.
Facility ID:
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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.