Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Cabot Health And Rehab, Llc during CMS and state inspections, most recent first.
The facility failed to report two residents’ transfers/discharges to the ombudsman. One resident with respiratory failure, CHF, and atrial fibrillation was sent to the ER for a higher level of care, and another resident with kidney failure, colon cancer, and type II diabetes transferred to another LTC facility. Both residents were cognitively intact, but the ombudsman report did not include either event because staff believed residents in skilled beds did not need to be reported.
The facility failed to ensure proper hand hygiene among dietary staff, leading to potential cross-contamination during food preparation. Observations revealed that staff did not wash hands after using the restroom, touching personal items, or switching tasks, contrary to facility policies.
A facility failed to accurately complete the MDS for a resident receiving continuous oxygen therapy. Despite consistent documentation of oxygen use in the resident's care plan and nursing skilled charting, the MDS did not reflect this, nor did it note the resident's shortness of breath with exertion. The MAR lacked a section to document oxygen use, and the oversight was confirmed by both the LPN and MDS Coordinator.
The facility failed to ensure comprehensive care plans for several residents, with issues including inaccurate documentation of oxygen therapy for a resident and missing black box warning details for medications in the care plans of multiple residents. These deficiencies were confirmed by the MDS Coordinator, highlighting a systemic issue in the facility's documentation and care planning processes.
The facility failed to follow the planned menu, resulting in nutritionally unbalanced meals for residents. The Dietary Manager had to substitute spinach for green beans due to a shortage, and the kitchen ran out of pureed food needed for residents requiring pureed meals. The deficiency was due to the kitchen's failure to confirm meal numbers and order the correct amount of food.
The facility failed to provide pureed food with the appropriate consistency for residents requiring a pureed diet. Observations revealed that pureed bread was too thick and not pudding-like, while pureed green beans were too thin. Staff confirmed the issues, noting that the bread had thickened after being placed on the steam table.
The facility did not ensure the survey inspection book was accessible to residents and family members. Observations and interviews revealed that the book was kept behind the nurse's station, making it inaccessible, especially for residents in wheelchairs. The book was intentionally placed there to prevent residents from taking or moving it.
A resident was observed receiving continuous oxygen therapy without clear documentation or indication of necessity. The facility failed to conduct a comprehensive assessment within 14 days of admission, and the MAR lacked a section to document oxygen use. The MDS and care plan were inaccurately documented, not reflecting the resident's shortness of breath with exertion. The LPN and MDS Coordinator confirmed the lack of clarity in the physician's order and documentation.
A facility failed to conduct quarterly Care Plan meetings for a resident with moderate cognitive impairment and a history of stroke. The resident reported attending only one meeting in five years, and the MDS Coordinator confirmed no meetings occurred this year. Notifications were sent only to the family, not the resident, and the facility lacked a policy for Care Plan meetings.
A resident with dementia and moderate cognitive impairment was observed multiple times with facial hair, despite requiring supervision for personal hygiene. A CNA noted that the resident's facial hair was usually shaved on shower days but could not explain the oversight. The facility lacked a policy on activities of daily living, contributing to the deficiency.
A resident with moderate cognitive impairment and osteoarthritis experienced multiple unwitnessed falls, including one with a major injury. Despite care plan directives for therapy evaluations, no requests were made, and the resident was not consulted about therapy. Miscommunication and lack of a falls policy contributed to the oversight.
A facility failed to maintain accurate Physician's Orders for a resident receiving oxygen therapy. The resident was observed with an oxygen concentrator, but the MAR lacked documentation for oxygen use. The Baseline Care Plan and Order Summary Report did not specify if oxygen was continuous or as needed. Interviews revealed the resident was unsure of the oxygen's purpose, and staff confirmed the Physician's Order lacked necessary details, indicating a deficiency in documentation and communication.
Failure to Report Resident Transfers and Discharges to the Ombudsman
Penalty
Summary
The facility failed to ensure that transfers or discharges were reported to the ombudsman for two residents. Resident #75 had diagnoses including respiratory failure, CHF, and atrial fibrillation, was admitted on 02/20/2026, and had a BIMS score of 15 indicating cognitive intactness. Progress notes documented that the resident was transferred to the hospital ER for a higher level of care with no plan to readmit on 02/21/2026, but the facility’s ombudsman report for January through May 2026 contained no documentation of that discharge/transfer. During interview, the BOM stated the facility did not send the discharge transfer information to the ombudsman because the resident was in a skilled bed. Resident #77 had diagnoses including kidney failure, colon cancer, and type II diabetes, and had a BIMS score of 14 indicating cognitive intactness. The care plan noted the resident wished to transfer to another facility and would require post-discharge home health services. Progress notes documented plans for discharge to a named LTC facility, and medical records staff stated discharge documents were sent to the new facility. However, the ombudsman report for January through May 2026 contained no documentation of the resident’s transfer, and the BOM stated the resident was not placed on the discharge transfer report because the resident was in a skilled bed. The Administrator and BOM stated they believed skilled care residents did not need to be reported to the ombudsman.
Failure in Hand Hygiene During Food Preparation
Penalty
Summary
The facility failed to maintain sanitary conditions in food preparation and handling, as observed during a survey. Three dietary staff members, including two dietary aides and a cook, did not adhere to proper hand hygiene protocols. Dietary Aide #2 was observed entering the kitchen from the restroom without washing hands before putting on gloves and handling clean dishes. Dietary Aide #1 was seen placing hands in shirt pockets and then handling lids and cups without washing hands. Additionally, the cook was observed taking a pen from a shirt pocket, using it, and then handling food without washing hands immediately after. Further observations revealed that Dietary Aide #1 used a phone and wiped hands on the shirt before continuing food preparation without washing hands. The dietary manager and other staff confirmed that handwashing should occur when entering the kitchen, between tasks, and after touching personal items or the face. The failure to perform hand hygiene as per the facility's policies and procedures led to potential cross-contamination risks during food preparation and service.
Inaccurate MDS Documentation for Resident Receiving Oxygen Therapy
Penalty
Summary
The facility failed to complete an accurate Minimum Data Set (MDS) for a resident, leading to a deficiency in the assessment process. The resident was observed receiving continuous oxygen therapy since admission, as confirmed by both the resident and the Licensed Practical Nurse (LPN). However, the Medication Administration Record (MAR) for November and December did not provide an area to document the oxygen use, and the MDS did not accurately reflect the resident's condition, specifically the use of oxygen and the presence of shortness of breath with exertion. The resident's baseline care plan and nursing skilled charting consistently noted the use of oxygen therapy, with specific details about the oxygen flow rate and method of delivery. Despite this, the MDS with an Assessment Reference Date of November 10, 2024, incorrectly documented that the resident did not have shortness of breath and was not receiving oxygen therapy. This discrepancy was confirmed by the MDS Coordinator, who acknowledged that the MDS should have noted the resident's shortness of breath and oxygen use as documented in the nursing skilled charting. Interviews with the resident and staff further highlighted the oversight. The resident expressed confusion about the continued oxygen therapy, which began in the hospital and continued upon admission to the facility. The LPN confirmed the continuous oxygen use and the lack of documentation on the MAR. The MDS Coordinator also confirmed the oversight in the MDS documentation, acknowledging that the resident's condition and treatment were not accurately captured, leading to the deficiency.
Deficiencies in Care Plan Documentation and Medication Monitoring
Penalty
Summary
The facility failed to ensure that the comprehensive care plan addressed and individualized appropriate care and services for several residents. For Resident #52, the care plan did not accurately document the resident's oxygen therapy needs. The resident was observed receiving continuous oxygen therapy, but the care plan only noted oxygen use as needed (PRN). Interviews with staff confirmed that the order summary report did not specify whether the oxygen was to be continuous or PRN, leading to inconsistencies in the resident's care documentation. For Residents #3, #38, #60, #44, and #377, the care plans lacked detailed information regarding black box warnings for medications. These residents were on various medications that required monitoring for potential adverse effects, yet the care plans did not specify symptoms to monitor or provide details on the black box warnings. This omission could lead to staff being unaware of critical medication interactions or side effects that need to be monitored. The Minimum Data Set (MDS) Coordinator confirmed the deficiencies in the care plans, acknowledging that the purpose of black box warning details is to alert staff to potential medication interactions. The lack of these details in the care plans for multiple residents indicates a systemic issue in the facility's documentation and care planning processes, potentially impacting the quality of care provided to the residents.
Failure to Follow Planned Menu and Ensure Nutritionally Balanced Meals
Penalty
Summary
The facility failed to ensure meals were prepared and served according to the planned written menu, resulting in nutritionally unbalanced meals for residents. During an observation, it was noted that the Dietary Manager (DM) had to substitute spinach for green beans because the kitchen ran out of green beans. The DM confirmed that the menu was not followed due to the shortage of green beans and the failure to verify the number of meals needed for the day. Additionally, the kitchen ran out of pureed food, which was necessary for residents requiring pureed meals. Interviews with the DM and other staff confirmed that the kitchen did not prepare enough food and did not order sufficient green beans, leading to the substitution with spinach. The Dietary Consultant also confirmed that the facility did not follow the menu and failed to verify the number of residents requiring meals, which contributed to the shortage of food. The deficiency was attributed to the kitchen's failure to confirm the number of meals needed and to order the correct amount of food, resulting in the inability to provide the planned nutritionally balanced meals.
Inadequate Pureed Food Consistency
Penalty
Summary
The facility failed to ensure that pureed food was blended to a smooth consistency to meet the dietary needs of residents requiring a pureed diet. During an observation, pureed bread was prepared using milk, cornbread, and white bread, resulting in a thick consistency that was not pudding-like as required. Additionally, pureed green beans were observed to have a thin, runny consistency. During interviews, it was confirmed that the pureed bread was too thick and had been in the oven before being placed on the steam table, which caused it to thicken further. The staff acknowledged that the bread should not have been served in that condition.
Inaccessible Survey Inspection Book
Penalty
Summary
The facility failed to ensure that the survey inspection book was accessible to residents and family members without requiring assistance. During a resident council meeting, several residents expressed that they were unaware of the location of the survey inspection book. Observations confirmed that the book was kept behind the nurse's station in a rack, which was not accessible to residents, particularly those in wheelchairs. Interviews with the Director of Nursing and the Administrator revealed that the book was intentionally placed behind the nurse's station to prevent residents from taking or moving it, despite the fact that this placement made it inaccessible to them.
Deficiency in Comprehensive Assessment and Documentation of Oxygen Therapy
Penalty
Summary
The facility failed to conduct a comprehensive assessment of a resident's needs, strengths, goals, life history, and preferences using the Resident Assessment Instrument (RAI) within 14 calendar days after admission. This deficiency was identified for one resident among a sample of eight. The resident was observed receiving continuous oxygen therapy without a clear indication or documentation of the necessity for such treatment. The Medication Administration Record (MAR) for November and December did not provide an area to document oxygen use, and the resident's care plan and Minimum Data Set (MDS) were not accurately documented to reflect the resident's condition and treatment. The resident, who was observed lying in bed with an oxygen concentrator running at two liters per minute through a nasal cannula, expressed uncertainty about the reason for receiving oxygen. The Licensed Practical Nurse (LPN) confirmed that the resident had been receiving continuous oxygen since admission, but the physician's order did not specify whether the oxygen was to be administered continuously or as needed. Additionally, there was no documentation on the MAR to record daily oxygen use, and the order summary report lacked clarity on the oxygen administration instructions. The Minimum Data Set (MDS) Coordinator confirmed that the resident had an order for oxygen since admission, but the order did not specify the reason for the oxygen therapy. The MDS was not accurately documented, as it failed to note the resident's shortness of breath with exertion, which was recorded in the nursing skilled charting. The care plan also did not accurately reflect the resident's condition, leading to a deficiency in the comprehensive assessment and documentation of the resident's needs and treatment plan.
Failure to Conduct Quarterly Care Plan Meetings
Penalty
Summary
The facility failed to ensure that Care Plan meetings were attempted every quarter for a resident with a diagnosis of cerebral infarction due to occlusion or stenosis of the right middle cerebral artery. The resident, who had a Brief Interview for Mental Status (BIMS) score of 11 indicating moderate cognitive impairment, reported attending only one Care Plan meeting in the last five years. The Minimum Data Set (MDS) Coordinator confirmed that the resident had not had a Care Plan meeting in the current year, and notifications were only sent to the family, not the resident. The last known Care Plan Meeting Summary was performed over a year ago, and the facility lacked a policy for conducting these meetings.
Failure to Provide Adequate Personal Hygiene Care
Penalty
Summary
The facility failed to provide adequate personal hygiene care for a resident diagnosed with dementia, who had a Brief Interview for Mental Status (BIMS) score indicating moderate cognitive impairment. The resident required supervision for personal hygiene, as outlined in their care plan. Despite this, the resident was repeatedly observed with facial hair on the chin and upper lip over several days, indicating a lack of adherence to the care plan that required supervision and partial assistance for personal hygiene. Certified Nursing Aide (CNA) #3 acknowledged that the resident typically had facial hair shaved on shower days but was unable to explain why the resident had not been shaved during the observed period. The facility administrator confirmed that there was no existing policy on activities of daily living, which may have contributed to the oversight in providing necessary personal hygiene care for the resident.
Failure to Implement Post-Fall Interventions
Penalty
Summary
The facility failed to implement necessary interventions following falls experienced by a resident with moderate cognitive impairment and a history of osteoarthritis in both knees. The resident had multiple unwitnessed falls, including one resulting in a nasal fracture. Despite the care plan indicating the need for therapy evaluations after these incidents, no therapy requests were submitted for the falls on the specified dates. Interviews revealed that the Physical Therapy Assistant did not receive any requests for evaluations, and the Director of Nursing confirmed that therapy forms were not completed as required. Additionally, there was a miscommunication regarding the resident's refusal of therapy. The MDS coordinator noted on a form that the resident refused therapy, but this form was not shared with the therapy department. The resident later stated that they had not been asked about therapy evaluations and had not refused any therapy. The facility also lacked a policy on falls, which contributed to the oversight in addressing the resident's needs after the falls.
Deficiency in Oxygen Therapy Documentation and Orders
Penalty
Summary
The facility failed to ensure an accurate Physician's Order was in place for a resident receiving oxygen therapy. The resident was observed with an oxygen concentrator running at two liters per minute through a nasal cannula, but there was no documentation in the Medication Administration Record (MAR) for November or December 2024 to record oxygen use. The resident's Baseline Care Plan and Order Summary Report indicated oxygen therapy, but did not specify whether it was to be administered continuously or as needed. Additionally, the Minimum Data Set (MDS) assessment did not reflect the resident receiving oxygen while in the facility. Interviews with the resident and staff revealed a lack of clarity regarding the necessity and administration of the oxygen therapy. The resident was unsure why they were receiving oxygen, stating it was a continuation from the hospital. An LPN confirmed the resident had been on continuous oxygen since admission, but the Physician's Order lacked details on the necessity and administration frequency. The MDS Coordinator also acknowledged the absence of specific instructions in the order, highlighting a deficiency in the facility's documentation and communication regarding the resident's oxygen therapy needs.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Cabot
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Spring Creek Health & Rehab | 1.9 mi | ★★★★★ | 0 | 0 |
| Greystone Nursing And Rehab, Llc | 3 mi | ★★★★★ | 0 | 0 |
| Woodland Hills Healthcare And Rehabilitation | 8.8 mi | ★★★★★ | 0 | 0 |
| Beebe Retirement Center, Inc. | 10.5 mi | ★★★★★ | 3 | 0 |
| Sherwood Nursing & Rehabilitation Center, Inc | 12.6 mi | ★★★★★ | 4 | 1 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.