Mount Carmel Care Center
MOUNT CARMEL CARE CENTER in LENOX, MA — inspection on April 23, 2025.
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
Review of Resident #56's Admission Fall Risk assessment dated [DATE], indicated the following:
-in the last 90 days the Resident experienced 1-2 falls.
-Most recent fall - 11/26/24
-Ambulates with issues and with devices (unsteady, lurching, slow gait)
-Only able to stabilize with physical assistance, not steady
Review of the Fall Care Plan, initiated on 11/30/24 indicated the Resident had an increased fall risk, had a history of falls and had impaired mobility.
The following were identified as interventions:
-Resident required prompt responses to all requests for assistance.
-Follow facility fall protocol.
-Monitor for proper placement and functioning of tab alarm when in wheelchair every shift, initiated 12/23/24 and resolved (discontinued) 4/7/25.
-Offer to toilet Resident upon rising, before and after meals, and at bedtime, initiated 4/5/25.
Review of the medical record indicated Resident #56 experienced a fall on the following dates: 12/1/24, 2/9/25, 3/4/25, 3/13/25 (resulted in skin tears), 3/31/25 (resulted in a skin tear), 4/5/25 (unwitnessed fall, resulted in being sent to the emergency room for evaluation and a head laceration), 4/6/25, and 4/13/25.
Review of the medical record failed to indicate documented evidence that when Resident #56 experienced a fall, the Fall Care Plan had been reviewed and/or updated with new interventions on the following dates: 2/9/25, 3/4/25, 3/13/25, 3/31/25 and 4/13/25.
225581
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 225581 B.
Wing 04/23/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Mount Carmel Care Center 320 Pittsfield Road Lenox, MA 01240
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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.