Timothy Daniels House
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
unharmed.During an interview on 11/25/25 at 3:50 P.M., the Maintenance Director said he does not check
the functioning of wander guard system regularly and said he could not provide any documentation that indicated he had ever checked it. The Maintenance Director said the exit door near Resident #1's should lock if a resident with a wander guard bracelet attempts to open it. The Director of Maintenance said that he checked all doors the night Resident #1 eloped but could not provide documentation on whether or not the system was functioning properly.During a telephone interview on 11/25/25 at 12:06 P.M., Nurse #1 said Resident #1 had a wander guard bracelet on his/her walker and said he checked it the night Resident #1 eloped. Nurse #1 said that nursing checks to see if Resident #1's wander guard bracelet is working by having him/her walk by the elevator and listening for the alarm. Nurse #1 said that around dinner time Resident #1 told him that he/she was going to his/her room, but then a little while later, Nurse #1 said he was unable to locate him/her. Nurse #1 said he and other staff were unable to locate Resident #1 so he called 911. Nurse #1 said the wander guard system had not alarmed, alerting them that a resident was near an exit door and said he does not know how Resident #1 was able to exit the Facility undetected by staff. Nurse #1 said Resident #1 returned to the Facility unharmed after Police located him/her in the Facility's neighborhood.During an interview on 11/25/25 at 2:52 P.M., the Director of Nurses (DON) said that Resident #1 requires continual supervision for ambulation and staff should therefore have eyes on him/her at all times when he/she is ambulating. The DON said Resident #1 was an elopement risk and had previously cut the wander guard bracelet off his/her wrist, so it had been attached to his/her walker. The DON said that she did an investigation and had no idea how Resident #1 was able to get out of the Facility.
The DON said no one saw Resident #1 leave the Facility and no alarm sounded to alert staff, but it should have. During an interview on 11/25/25 at 3:42 P.M., the Administrator said staff had not seen Resident #1 leave the Facility, and no one heard the wander guard system alarm. The Administrator said she did not know how Resident #1 was able to get out of the Facility.
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Timothy Daniels House in HOLLISTON, 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 HOLLISTON, 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 Timothy Daniels House or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.