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F0607
D

Failure to Complete Required Nurse Aide Registry Check for Contract Occupational Therapist

Lowell, Massachusetts Survey Completed on 01-29-2026

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to follow its Abuse Screening policy, dated March 2022, which required that all potential employees be screened to rule out a history of abuse, neglect, or mistreatment, including checking appropriate licensing registries and specifically checking the Nurse Aide Registry prior to employment for all facility employees. Record review showed that an occupational therapist was hired on 05/20/24, but her personnel file did not contain documentation that a Massachusetts Nurse Aide Registry background check had been completed before hire. During a telephone interview on 02/09/26, the DON stated that this occupational therapist was a contracted employee and acknowledged that a Massachusetts Nurse Aide Registry background check had not been conducted per the facility contract prior to hire, despite the facility’s policy that all employees, regardless of position, must have this check completed before employment. This deficiency centers on the facility’s inaction in obtaining and documenting the required Nurse Aide Registry background check for the occupational therapist prior to her start date, contrary to its written abuse prohibition and screening procedures.

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