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Health Inspection

Mount Carmel Care Center

April 23, 2025 · Lenox, MA · 320 Pittsfield Road
Citations 1
CMS Rating 3/5
Beds 69
Provider ID 225581
Healthcare Facility
Mount Carmel Care Center
Lenox, MA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)  ·  16 pages
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

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

FF712
Minimal harm or Few Based on record review, and interviews, the facility failed to ensure one Resident (#56) out of a total sample affected

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

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 LENOX, 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 MOUNT CARMEL CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

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.