Seven Hills Pediatric Center
Seven Hills Pediatric Center in GROTON, MA — inspection on May 27, 2026.
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
detached from the mechanical lift when she lifted Resident #1 up out of his/her wheelchair, and
before he/she hit his/her head on the floor. CNA #1 said she thought she had fully secured all loops
since the right upper loop (strap) came undone during the transfer.During a telephone interview on 05/27/26 at 1:28 P.M., Nurse #1 said that on 04/22/26, after CNA #1 called him into Resident #1's room, he saw him/her lying on the floor with the mechanical lift sling pad underneath him/her.
Nurse #1 said Resident #1 had a small area of swelling over his/her right eyebrow, and a little blood on his/her lip, but no other injuries.
During an interview on 05/27/26 at 2:25 P.M., the Assistant Director of Nurses (ADON) said she had CNA #1 reenact the incident with the overhead mechanical lift and determined that CNA #1 had not fully secured the upper right loop (strap) of the mechanical lift pad to the lift which caused Resident #1 to begin slipping out of the top right corner of the lift pad once CNA #1 lifted him/her from the wheelchair.
The ADON said CNA #1 had moved the wheelchair out of the way once she had lifted Resident #1 from it (wheelchair), and that is when Resident #1 began to slip out of the mechanical lift pad causing him/her to hit his/her head on the floor as (CNA #1) lowered him/her to the floor.
The ADON said that other than a small area of swelling on Resident #1's right eyebrow area and a little blood on his/her lip, he/she did not sustain any injuries.
The ADON said this incident was a result of user error, and that CNA #1 should have double-checked to make sure she had fully attached all mechanical lift pad loops (straps) to the lift, but she had not.
During an interview on 05/27/27 at 2:47 P.M., the Director of Nurses (DON) said that after she completed their investigation, she determined that CNA #1 had not fully secured the mechanical lift pad loops (straps) to the lift, which caused the right side loop (strap) of the lift pad to come loose (detached) from the lift once CNA #1 had raised Resident #1 up from the wheelchair.
The DON said they revised the Facility's Mechanical Lift Policy to include annual reeducation for all nursing staff.On 04/27/26, the Facility was found to be in Past Noncompliance and presented the Surveyor with a plan of correction, with an effective date of 05/07/26, which addressed the area(s) of concern as evidenced by:A. On 04/22/26, Resident #1 was immediately evaluated, found to have no significant injuries, and remained at the Facility. Resident #1's overhead mechanical lift and lift sling were inspected by the Therapy Department and found to have no issues.B. On 04/22/26, CNA #1 reenacted the transfer incident with Resident #1 for the DON and/or designee, and it was determined that CNA #1 had not fully attached all of the mechanical lift pad loops (straps) to the lift, which caused Resident #1's right upper body to slip out from the pad during the transfer.C. On 04/23/26, the Therapy Department reeducated and completed a mechanical lift competency skills check for CNA #1.D. On 4/23/26, the Therapy Department audited all mechanical lift slings for integrity and correct size.E. On 04/23/26, the DON revised the mechanical lift policy to include yearly reeducation for all nursing staff.F. On 04/23/26 through 04/28/26, the Therapy Department educated all nursing staff on the revised mechanical lift policy.G. On 04/23/26 through 05/01/26, the Therapy Department completed mechanical lift competencies with all nursing staff.H. On 04/23/26, an Ad Hoc Quality Assurance Performance Improvement (QAPI) meeting was held to develop and institute a corrective action plan, and results will be reviewed at monthly QAPI meetings to determine compliance.I. On 05/06/26, the DON and/or designee began observational audits of mechanical lift use by nursing staff which will continue weekly for four weeks, bi-weekly for two weeks, and then monthly for three weeks or until substantial compliance is met.J.
The DON and/or Designee are responsible for overall compliance.
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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.