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Complaint Investigation

Blaire House Of Tewksbury

April 30, 2026 · Tewksbury, MA · 10 Erlin Terrace
Citations 2
CMS Rating 1/5
Beds 131
Provider ID 225548
Healthcare Facility
Blaire House Of Tewksbury
Tewksbury, MA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
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

BLAIRE HOUSE OF TEWKSBURY in TEWKSBURY, MA — inspection on April 30, 2026.

Found 2 citations. 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

FF0656
Resident Assessment and Care Planning Deficiencies

mechanical lift with two staff members as reflected in his/her Plan of Care, but that the CNA's

when changes are made to the Plan of Care.

225548 04/30/2026

Blaire House of Tewksbury 10 Erlin Terrace Tewksbury, MA 01876

Review of Resident #1's Quarterly Minimum Data Set (MDS) assessment indicated it had been completed with an Assessment Reference Date (ARD) of 03/11/26.

Further review of Resident #1's medical record indicated his/her Care Plan Meeting occurred on 02/19/26 (prior to MDS assessment completion) and that the Care Plan was checked off as having been updated.

Review of Resident #1's Comprehensive Care Plans indicated it identified Problems/Strengths, Goals (with an Estimated Date), and Interventions, which included but were not limited to the following concern areas:- Cognitive loss and risk of decline in communication (initiated 12/20/24) - Vision impairment (initiated 12/16/24)- Risk of decline in communication (initiated 01/03/25)- Bladder and bowel incontinence (initiated 12/20/24)- Risk of alterations in mood state (initiated 01/03/25)- Mechanically altered diet (initiated 03/10/25)- Skin breakdown (initiated 12/20/24)- Psychotropic medication (initiated 12/20/24)- Alteration in activities of daily living (initiated 12/14/24)- Hard of hearing (initiated 03/14/25)- Risk of Falls (initiated 12/16/24)Although the Care Plan Meeting on 02/19/26 indicated the Care Plans were updated, Resident #1's Care Plan had an Estimated Date for Goals to be met as 02/27/26. 2.

Review of Resident #2's Annual MDS assessment indicated it had been completed with an ARD of 03/27/26.

Further review of the medical record indicated Resident #2's Care Plan Meeting occurred on 03/19/26, prior to the MDS assessment completion, and that the Care Plans were checked off as having been updated.Review of Resident #2's Comprehensive Care Plans indicated it identified Problems/Strengths, Goals (with an Estimated Date), and Interventions, which included but were not limited to the following concern areas:- Cognitive loss and risk of decline in communication (initiated 07/08/22)- Hearing deficits (initiated 07/08/22)- Bladder and bowel incontinence (initiated 07/08/22)- Long term placement (initiated 09/15/25)- [NAME] for alterations in mood state (initiated 09/15/25)- History of behaviors (initiated 09/15/25)- Risk for Falls (initiated 08/24/23)- At risk for potential nutrition problem (initiated 07/01/22)- At risk for skin breakdown (initiated 07/08/22)- Alteration to activities of daily living (initiated 07/05/22)Although the Care Plan Meeting on 03/19/26 indicated the Care Plan was updated, Resident #2's Care Plan had an Estimated Date for Goals to be met as 03/19/26.

During a telephone interview on 05/08/26 at 3:10 P.M., the MDS Coordinator said the Care Plan Meeting should not occur prior to the completion of the MDS.

The MDS Coordinator said the Care Plans are reviewed to ensure they are accurate to the resident, that interventions are appropriate to the resident and that goals are realistic and attainable.

The MDS Coordinator said Resident #1's and Resident #2's estimate goal dates should have been noted about 90 days from the Care Plan meeting date and were not.

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 TEWKSBURY, 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 BLAIRE HOUSE OF TEWKSBURY 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.