Foremost At Sharon Llc

F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

why the physician was not notified of the Wound Nurse Practitioners' recommendations. During a telephone

interview on 01/05/26 at 12:32 P.M., Physician #1 said that Resident #1 had a wound to his/her coccyx and that the Facility has a Wound Nurse Practitioner who consults with the Facility and makes recommendations for wound care. Physician #1 said that she expects that the Facility notify her of the Wound Nurse Practitioners recommendations for wound care and said she could not recall if the Facility notified her of the recommendations for wound care for Resident #1's coccyx wound. Physician #1 said that

she would have implemented the Wound Nurse Practitioner's recommendations for wound care for Resident #1's coccyx wound if she had been notified. During an interview on 12/30/25 at 3:30 P.M., the Director of Nurses (DON) said that Resident #1 was seen by the Wound Nurse Practitioner and new treatment recommendations were made for Resident #1's coccyx wound. The DON said that it is her expectation that nurses notify the physician of the Wound Nurse Practitioners recommendations and obtain

an order from the physician to implement the wound treatment recommendations. The DON said she could not explain why the physician was not notified of the Wound Nurse Practitioners' recommendations and why

the recommendations were not implemented.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

12/30/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Foremost at Sharon LLC

259 Norwood Street Sharon, MA 02067

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

and the Director of Nurses to develop a resident care plan and update the care plan as needed.During an

interview on 12/30/25 at 3:30 P.M., the Director of Nurses (DON) said that Resident #1 had an open area to his/her coccyx. The DON said that both the staff nurses and the MDS Nurse were responsible for developing the initial care plans and that the MDS nurse updates the care plans with any new interventions.

The DON said it was her expectation that all care plans are comprehensive and any actual wound care plan identifies the location of the wound and be updated with new interventions.2) Review of a Nurse Progress Note, dated 08/22/25, indicated that an x-ray of Resident #1's left shoulder was obtained, showed a left clavicle fracture and Resident #1 was transferred to the Hospital Emergency Department (ED) for evaluation.Review of a Hospital ED Discharge summary, dated [DATE REDACTED], indicated that Resident #1 was seen in the ED for evaluation of left shoulder pain after a fall. The Summary indicated that an x-ray of the left shoulder showed a midshaft fracture of the left clavicle and to manage the fracture, wear a simple sling

on the left arm. The Summary further indicated to check skin around the sling every day, loosen it if your fingers [NAME] or become numb, turn cold and blue and not to put weight on left arm until seen by an orthopedic doctor.Review of Resident #1's Medical Record from 08/23/25 through 09/03/25, indicated there was no documentation to support a Care Plan related to his/her left clavicle fracture, use of a sling to the left arm, non-weight bearing status to his/her left arm and monitoring the left arm for numbness, with interventions, treatment, goals and outcomes, had been developed and implemented by nursing to meet his/her needs.Review of a Nurse Progress Note, dated 09/03/25, indicated that Resident #1 returned from

an orthopedic appointment and had new recommendations for weight bearing (to left arm) as tolerated with

a walker.During an interview on 12/30/25 at 3:30 P.M., the DON said that Resident #1 fell and fractured his/her left clavicle and returned from the ED with a sling. The DON said that it was her expectation that a care plan for a fractured left clavicle, use of a sling, non-weight bearing status and monitoring of the left arm, was developed and implemented by nursing upon Resident #1's return from the ED.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

12/30/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Foremost at Sharon LLC

259 Norwood Street Sharon, MA 02067

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

cold and blue and not to put weight on left arm until seen by an orthopedic doctor.Review of Resident #1's Medical Record which included but was not limited to his/her Treatment Administration Record (TAR), Medication Administration Record (MAR) and Nursing Progress Notes from 08/23/25 through 09/03/25, indicated there was no documentation to support that nursing monitored Resident #1's left arm, that non-weightbearing status was maintained, and that a sling was provided to him/her and implemented.Review of a Nurse Progress Note, dated 09/03/25, indicated that Resident #1 returned from

an orthopedic appointment and had new recommendations for weight bearing as tolerated with a walker.During an in-person interview on 12/30/25 at 2:40 P.M. and a subsequent telephone interview on 01/12/26 at 9:41 A.M, Nurse #1 said that she was familiar with and was assigned to care for Resident #1 many times during his/her stay at the facility. Nurse #1 said that she was unaware that Resident #1 sustained a fall at the facility and fractured his/her left clavicle. Nurse #1 said she was unaware that Resident #1 returned from the Hospital ED with orders for a sling, non-weight bearing of the left arm and to monitor his/her left arm and could not recall him/her wearing a sling. Nurse #1 said that when a resident has a fractured arm and is in a sling, nursing should monitor the arm for Circulation Sensation Motion (CSM) of the extremity and document it in the medical or treatment administration record.During an

interview on 12/30/25 at 3:30 P.M., the DON said that Resident #1 fell and fractured his/her left clavicle and returned from the ED with a sling. The DON said that it was her expectation that staff implement the orders from the Hospital ED Discharge Summary and that nursing documents in the medical record the use of a sling and monitoring of the left arm following his/her fracture.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

12/30/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Foremost at Sharon LLC

259 Norwood Street Sharon, MA 02067

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

that the nurses assess the wound and document the description of the wound in the Medical Record after

they perform the treatment to the wound.2) Review of a Nurse Progress Note, dated 08/22/25, indicated that an x-ray of Resident #1's left shoulder was obtained, showed a left clavicle fracture and Resident #1 was transferred to the Hospital Emergency Department (ED) for evaluation.Review of a Hospital ED Discharge summary, dated [DATE REDACTED], indicated that Resident #1 was seen in the ED for evaluation of left shoulder pain after a fall. The Summary indicated that an x-ray of the left shoulder showed a midshaft fracture of the left clavicle and to manage the fracture, wear a simple sling on the left arm. The Summary further indicated to check skin around the sling every day, loosen it if your fingers [NAME] or become numb, turn cold and blue and not to put weight on left arm until seen by an orthopedic doctor.Review of Resident #1's Physician Orders, dated August 2025 and September 2025, indicated there was no documentation to support that a Physician's order related to the Hospital ED Discharge Summary orders for Resident #1's left arm to be in a sling, monitoring of his/her left arm and non-weight bearing status, ere obtained. Review of Resident #1's Treatment Administration Records, dated August 2025 and September 2025, indicated there was no documentation to support that his/her left arm was in a sling, monitored by nursing staff and non-weight bearing status was maintained.Review of Resident #1's Nurse Progress Notes, dated 08/23/25 through 09/02/25, indicated there was no documentation to support that his/her left arm was placed in a sling, monitored by nursing staff and non-weight bearing status was maintained.Review of an Orthopedic Consult, dated 09/03/25, indicated that Resident #1 could bear weight to his/her left arm as tolerated.During an in-person interview on 12/30/25 at 2:40 P.M. and a subsequent telephone interview on 01/12/26 at 9:41 A.M, Nurse #1 said that she was familiar with and was assigned to care for Resident #1 many times during his/her stay at the facility. Nurse #1 said she was unaware that Resident #1 returned from the Hospital ED with orders for a sling, non-weight bearing of the left arm and to monitor his/her left arm. Nurse #1 said she could not recall him/her wearing a sling. Nurse #1 said that when a resident has a fractured arm and is in a sling, nursing should monitor the arm for Circulation Sensation Motion (CSM) of

the extremity and document it in the Medical Record.During an interview on 12/30/25 at 3:30 P.M., the DON said that Resident #1 fell and fractured his/her left clavicle and returned from the ED with a sling. The DON said that it was her expectation that staff implement the orders from the Hospital ED Discharge Summary and that nursing documents in the medical record the use of a sling and monitoring of the left arm.

Event ID:

Facility ID:

If continuation sheet