Aspen Hill Rehabiliation & Healthcare Center
ASPEN HILL REHABILIATION & HEALTHCARE CENTER in HAVERHILL, MA — inspection on January 16, 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
Review of the most recent Minimum Data Set (MDS) assessment, dated 12/5/24, indicated Resident #7 scored a 15 out of 15, indicating intact cognition.
Review of the active diagnoses list indicated Resident #7 has a diagnosis of PTSD.
Review of the facility document titled Social Services Assessment - V 4, dated 5/12/23, indicated that Resident #7 did not experience a past trauma.
Review of the current active care plan indicated a focus for PTSD related to family discord/abuse.
Further review indicated the following interventions:
-Accept my current level of function. Be consistent, positive, honest and nonjudgmental while working with me.
-Assist me with identifying coping/calming mechanisms to manage anxiety or correct misunderstandings conditioned at the time of trauma/stress, such as relaxation techniques, deep breathing, visualization, removing myself from the situation.
-My strengths are: enjoys playing guitar and is very good at it.
-Provide spiritual/religious support as needed.
Further review failed to indicate triggers or interventions specific to Resident #7.
2. Resident #85 was admitted to the facility in February 2024 with diagnoses including PTSD, dementia and depression.
Review of the most recent Minimum Data Set (MDS) assessment, dated 12/23/24, indicated Resident #85 has a diagnosis of PTSD.
The MDS indicated Resident #85 scored a 6 out of a possible 15 on the Brief Interview for Mental Status exam, indicating severe cognitive impairment.
Review of the current active care plan indicated a focus for PTSD related to (blank).
225404
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 225404 B.
Wing 01/16/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Aspen Hill Rehabiliation & Healthcare Center 190 North Avenue Haverhill, MA 01830
Review of the Minimum Data Set (MDS) assessment, dated 10/31/24, indicated Resident #95 scored a 15 out of a possible 15 on the Brief Interview for Mental Status exam, indicating intact cognition.
Review of the MDS indicated Resident #95 requires partial to moderate assistance with all activities of daily living.
During review of the a grievance filed on 11/27/24, written by the Administrator, indicates Resident #95 reported to the Unit Manager that a C.N.A. (certified nursing aide) did not follow her preferences for transferring.
The grievance also indicated Resident had reported that a CNA pulled his/her arm too hard during a transfer.
Resident said he/she felt safe and had no concerns and wants the Unit Manager to train her (staff member) on his/her (the Resident) preferences for transfer.
225404
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 225404 B.
Wing 01/16/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Aspen Hill Rehabiliation & Healthcare Center 190 North Avenue Haverhill, MA 01830
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 HAVERHILL, 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 ASPEN HILL REHABILIATION & HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.