A staff witness, identified in the inspection report as V45, told investigators it happened about two weeks before the November 17 inspection.
Nursing Home News — Page 45
All Stories
The inspection was triggered by a complaint.
The inspection, completed November 17, 2025, centered on a single resident identified in records as Resident 2.
The November 2025 inspection, triggered by Complaint Number 2575168, cited the facility under F0880, the federal tag covering infection prevention and control.
Inspectors classified the level of harm as minimal harm or potential for actual harm, and noted that a few residents were affected.
The citation, logged under intake number 2612003, affected a small number of residents and was classified as minimal harm or potential for actual harm.
The deficiency, recorded under the category of resident rights violations, was one of 14 separate citations the facility received during the same inspection.
That finding sits at the center of a November 2025 complaint inspection at the Boston facility.
The November 2025 complaint inspection cited the facility under F0689, the federal tag covering accident prevention and fall hazard reduction.
Pressure ulcers, sometimes called bedsores, form when sustained pressure cuts off blood flow to skin and underlying tissue.
The deficiency, documented during a complaint inspection on November 18, affected a small number of residents, according to the report.
The deficiency was tagged under F0655 and classified as minimal harm or potential for actual harm.