ANDOVER MANOR REHAB AND NURSING

ANDOVER, MA · 174 beds · For profit - Limited Liability company

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 20 deficiencies — 2.2x the state average
  • 3 citation(s) where residents suffered actual harm

Green Flags

No positive signals identified yet.

Quick Facts

★★☆☆☆
CMS Overall
★★☆☆☆
Health Inspection
20
2.2x state avg
Deficiencies
$9,311
Fines (3-yr)
★★☆☆☆
Staffing

Violation Timeline

January 8, 2025

20 deficiencyies
F0550 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F0578 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

F0583 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Keep residents' personal and medical records private and confidential.

F0600 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F0637 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Assess the resident when there is a significant change in condition

F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0655 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F0656 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0658 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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Ensure services provided by the nursing facility meet professional standards of quality.

F0660 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Plan the resident's discharge to meet the resident's goals and needs.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F0725 Potential Harm Scope/Severity: D

Nursing and Physician Services Deficiencies

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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

F0740 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

F0804 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

F0809 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

See full violation history →

Staffing

0.44
RN hrs/res/day
0.85
LPN hrs/res/day
2.21
CNA hrs/res/day
3.11
Weekend hrs/res/day
44%
Total nurse turnover
63%
RN turnover

A nurse checks on each resident roughly every 6.9 hours on average.

Fines & Penalties

  • Fine May 16, 2023
    $9,311
Total $9,311

Ownership

For profit - Limited Liability company Chain: STERN CONSULTANTS
  • ETN FAMILY HOLDINGS LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 10/16/2023

    20% Organization
  • TLCO HOLDINGS LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 10/16/2023

    20% Organization
  • ERBLICH, AVRAHAM

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 10/16/2023

    24% Individual
  • FRIEDMAN, SHANA

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 10/16/2023

    11% Individual
  • STERN, BEZALEL

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 10/16/2023

    9% Individual
  • ERBLICH, AVRAHAM

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 10/16/2023

    Individual

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