Bostonian Nursing Care & Rehabilitation Center
Inspection Findings
F-Tag F 0656
F 0656 - Dated 11/22/24: Wanderguard to right ankle. Check function daily, every shift, replace Wanderguard bracelet per expiration date located on device. Level of Harm - Minimal harm or potential for actual harm Review of Resident #62's Elopement Risk Assessment Form dated 4/14/25 indicated that the Resident scored 16. The Assessment indicated that a score above 10 indicates a high risk to wander. Residents Affected - Few
Review of Resident #62's care plan dated 10/5/23 indicated the following:
- Problem: Resident #62 is an elopement risk/wanderer and has a Wanderguard in place to left ankle.
- Intervention: Wanderguard.
During an interview on 5/28/25, Unit Manager #1 said Resident #62 wanders up and down the unit all the time and he/she should have a Wanderguard on his/her ankle. Unit Manager #1 and the surveyor reviewed Resident #62's physician's orders and Unit Manager #1 said she would expect the Wanderguard to be in place. Unit Manager #1 and the surveyor observed Resident #62 sitting in his/her bed, the Resident was barefoot and no Wanderguard was observed on either ankle. Unit Manager #1 asked for permission to look for it in the Resident's room, Unit Manager #1 was unable to locate the Wanderguard. Unit Manager #1 said if staff noticed Resident #62 not wearing a Wanderguard she would expect to be notified.
During an interview on 5/28/25 at 2:17 P.M., the Director of Nursing said Resident #62 should have been wearing a Wanderguard per the physician's orders.
During an interview on 5/29/25 at 7:54 A.M., Social Worker #1 said Resident #62 wanders up and down the hallway all the time.
FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 2 of 2 225436
BOSTONIAN NURSING CARE & REHABILITATION CENTER in DORCHESTER, MA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 DORCHESTER, 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 BOSTONIAN NURSING CARE & REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.