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Health Inspection

Oxford Rehabilitation & Health Care Center

February 27, 2025 · Haverhill, MA · 689 Main Street
Citations 2
CMS Rating 1/5
Beds 120
Provider ID 225218
Healthcare Facility
Oxford Rehabilitation & Health Care Center
Haverhill, MA  ·  View full profile →
Inspection Summary

OXFORD REHABILITATION & HEALTH CARE CENTER in HAVERHILL, MA — inspection on February 27, 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.

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Inspection Findings

FF609
Minimal harm or Few Based on interviews and records reviewed, the facility failed to report an allegation of abuse to the State affected

Review of the most recent Minimum Data Set (MDS) assessment, dated 2/14/25, indicated that Resident #55 was cognitively intact as evidenced by a Brief Interview for Mental Status score of 15 out of 15.

This MDS indicated Resident #55 required supervision or touching assistance with walking.

On 2/25/25 at 8:32 A.M., the surveyor reviewed the two grievance forms dated 2/24/25.

The grievance forms indicated the following:

225218

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 225218 B.

Wing 02/27/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

The Oxford Rehabilitation & Health Care Center 689 Main Street Haverhill, MA 01830

Review of Resident #92's most recent Minimum Data Set Assessment (MDS) dated [DATE] indicated that the Resident had a Brief Interview for Mental Status score of 12 out of 15 indicting moderate cognitive impairment.

Further review of the Resident's MDS indicated that he/she has a colostomy and requires substantial/maximum assistance with toileting.

During an interview on 2/24/25 at 8:36 A.M., Resident #92 said he/she wants his/her colostomy bag removed as he/she has had it for over one year and it really bothers him/her.

The surveyor observed a colostomy bag on the lower left side of Resident #92's stomach.

During a follow-up interview with Resident #92 on 2/26/25 at 10:00 A.M., Resident #92 said he/she wants his/her colostomy reversed and it is bullshit and it should have been reversed a long time ago. He/she continued to say it smells bad and it leaks sometimes.

The Resident said he/she does not want to go out in public at times because it is embarrassing, especially if it smells.

The Resident continued to say that he/she has been staying in his/her room more because of the colostomy bag.

Review of Resident #92's Colostomy care plan dated 1/4/24 included interventions which indicated the following: Follow up with GI Consult if indicated.

Refer to ostomy specialist as/if needed.

Review of Resident #92's progress note written by the facility's Substance Abuse Counselor indicated the following:

225218

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 225218 B.

Wing 02/27/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

The Oxford Rehabilitation & Health Care Center 689 Main Street 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 OXFORD REHABILITATION & HEALTH CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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