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Complaint Investigation

Blue Hills Health And Rehabilitation Center

Inspection Date: January 29, 2026
Total Violations 1
Facility ID 225444
Location STOUGHTON, MA
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Inspection Findings

F-Tag F0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Actual Harm

F 0600 Level of Harm - Actual harm Residents Affected - Few

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

Agent (HCA) notified and were made aware of the incident and injury.D) The Administrator and the Director of Nurses (DON) reviewed/submitted an internal investigation and personnel record review indicated that CNA #1 was immediately suspended following the alleged incident and subsequently terminated.E) On 01/14/26, the DON and other management staff began interviewing all residents able to be interviewed to elicited feedback regarding care and treatment provided by facility staff members. F) On 01/14/26, the DON and other management staff began monitoring residents that are unable to be interviewed for signs and symptoms of behavior, physical and/or functional changes for indicators of potential concerns of abuse.G)

On 01/16/26 the Staff Development Coordinator (SDC) initiated mandatory staff training on the Facility Patient Abuse Policies and Caring for residents with Dementia.H) The Facility Educator and/or designee will conduct random validation quizzes for up to ten (10) employees to ensure comprehension of the Abuse Policy three times per week for three (3) weeks, then monthly for two (2) months to ensure compliance. I)

The Facility Staff Educator and/or designee will conduct random interviews for residents able to be interviewed for up to 10 residents to ensure satisfaction and safety three times per week for three weeks, then for two months to ensure compliance. J) The areas of concerns were discussed by administration and management staff, related to the need for an Ad [NAME] Quality Assurance and Performance Improvement (QAPI) meeting to implement immediate corrective action.K) The results/data from the staff training and the resident's interviews will be presented at the next monthly QAPI meeting and quarterly reporting will continue.L) The DON and/or designee are responsible for overall compliance.

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📋 Inspection Summary

BLUE HILLS HEALTH AND REHABILITATION CENTER in STOUGHTON, MA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 STOUGHTON, 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 BLUE HILLS HEALTH AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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