Above average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
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 Abbott Skilled Nursing & Rehabilitation Center during CMS and state inspections, most recent first.
The facility did not implement its infection prevention and control program during a gastrointestinal outbreak, failing to track, monitor, or report infections among residents and staff. Documentation was incomplete, lacking key infection details, and the outbreak was not reported to health authorities. Interviews with the IP and DON confirmed that no surveillance or appropriate measures were documented or communicated as required by facility policy.
A resident with severe cognitive impairment and multiple medical conditions was found with bruising and open skin areas on both arms. CNAs reported the injuries to a nurse, but the nurse did not document, assess, or report the findings. Facility leadership was unaware of the injuries until the following day, and no investigation or state reporting was initiated as required by policy.
A resident with severe cognitive impairment and multiple medical conditions was found with bruising and open areas on both arms. Staff reported the injuries internally, but the facility did not report the incident to the state agency as required, and the DON and Administrator acknowledged the reporting had not occurred at the time of the survey.
A resident with severe cognitive impairment and multiple medical conditions was found with bruising and open skin areas on both upper extremities. Staff reported the injuries to a nurse, but no incident report or investigation was initiated as required by facility policy. Facility leadership acknowledged that the injuries were of unknown origin and should have been investigated and reported immediately, but no action was taken until prompted by surveyors, and no documentation of an initial investigation was available.
A resident with severe cognitive impairment and multiple medical conditions did not receive weekly skin assessments as ordered, and changes in skin condition—including new bruising and open areas—were not identified, documented, or reported by nursing staff. The required skin checks were marked as completed in records without actual assessments being performed or documented, and management was unaware of the resident's new skin issues until observed by surveyors.
A facility failed to renew a court-approved treatment plan for a resident with schizophrenia and bipolar disorder, resulting in the administration of Olanzapine without a valid plan. The social worker was unaware of the expiration, and the DON confirmed the responsibility to track and renew plans. The guardian emphasized the need for timely renewal to ensure medication continuity.
A resident with severe cognitive impairment and dysphagia was left unsupervised during meals, contrary to their care plan and facility policy. Despite requiring supervision due to a mechanically altered diet, staff repeatedly left the resident alone, failing to ensure safe eating practices. Observations and staff interviews confirmed the lack of adherence to the required supervision during meals.
A resident with severe cognitive impairment and hearing issues did not receive timely follow-up care after an audiologist recommended ear wax removal. Despite the facility's protocol to act on such recommendations, no interventions were documented, and staff interviews confirmed the oversight.
The facility failed to maintain respiratory equipment standards for two residents. One resident used a CPAP machine without a physician's order, despite documentation of its use and staff acknowledgment of the requirement. Another resident's oxygen concentrator filter was observed to be dirty, contrary to the facility's policy for weekly changes. Staff confirmed the need for a clean filter but were unclear about the policy.
A resident with severe cognitive impairment and dysphagia was not provided meals in the required cut-up texture as ordered by the physician. Observations showed the resident receiving uncut food items, despite the meal ticket indicating the need for soft cut-up food. Staff interviews confirmed the oversight, acknowledging that either the kitchen or CNAs should have ensured the food was prepared correctly.
Failure to Implement Infection Control Surveillance and Reporting During GI Outbreak
Penalty
Summary
The facility failed to implement its infection prevention and control program as required by policy and regulatory standards. Specifically, the facility did not establish or execute an effective infection control surveillance plan for identifying, tracking, monitoring, or reporting infections, communicable diseases, and outbreaks among residents and staff. Review of the facility's infection control policies indicated that the Infection Preventionist (IP) is responsible for tracking and monitoring infections, investigating outbreaks, and reporting communicable diseases to health authorities. However, documentation for March 2025 showed that the infection control line listing was incomplete, lacking critical information such as infection source (nursing home, hospital, or community acquired), isolation type, antibiotic use, and laboratory results. The line listing fields were left blank, and there was no surveillance information or outbreak identification plan documented for the gastrointestinal (GI) outbreak that occurred during that month. Interviews with the IP and the DON confirmed that the GI outbreak, which affected 20 residents and 8 employees with symptoms of nausea, vomiting, and diarrhea, was not reported to the local health department, and no cultures were obtained to test for Norovirus. The IP stated she did not have information on how the outbreak started, nor on the measures implemented or surveillance conducted during the event. The DON acknowledged that the outbreak should have been reported and documented, and that appropriate tracking and communication with health authorities did not occur. These failures represent a breakdown in the facility's infection prevention and control program as outlined in their own policies.
Failure to Investigate and Report Injuries of Unknown Origin
Penalty
Summary
The facility failed to implement its written policies and procedures regarding the investigation and reporting of potential abuse, neglect, and injuries of unknown origin for one resident. The resident, who had severe cognitive impairment, muscle weakness, osteoarthritis, thrombocytopenia, dementia, and protein-calorie malnutrition, was observed to have bruising and open areas on both upper extremities. Certified Nursing Assistants (CNAs) reported these findings to a nurse the previous day, but the nurse did not document or report the injuries, nor was a skin assessment performed at that time. Interviews with facility staff revealed that the Unit Manager and Director of Nursing (DON) were unaware of the injuries until the day after they were first observed by the CNAs. The DON and Administrator both acknowledged that the injuries were of unknown origin and should have been immediately investigated and reported according to facility policy. The nurse who first observed the injuries admitted to not reporting or documenting them, stating uncertainty about whether the injuries were new. No initial investigation was conducted into the injuries reported the previous day, and there was no documentation or evidence of an internal investigation related to the bruising and open skin areas. Additionally, a review of the Health Care Facility Report System showed that the incident had not been reported to the state agency as required. The facility's failure to follow its own policies resulted in a lack of timely investigation and reporting of potential abuse or neglect.
Failure to Timely Report Injuries of Unknown Origin
Penalty
Summary
The facility failed to report allegations of potential abuse, specifically injuries of unknown source, to the State Agency for one resident. The resident, who had severe cognitive impairment, muscle weakness, osteoarthritis, thrombocytopenia, dementia, and protein-calorie malnutrition, was observed to have bruising and open areas on both upper extremities. Certified Nursing Assistants reported these injuries to a nurse during care, and the Unit Manager confirmed that such injuries of unknown origin must be reported and investigated. Despite these observations and internal reports, a review of the Health Care Facility Report System showed that the facility did not report the incident to the state agency as required by policy. The Director of Nurses acknowledged the need for investigation and reporting but admitted that the incident had not yet been reported. The Administrator also confirmed that all injuries of unknown origin should be reported and investigated, but as of the time of the survey, the report to the state agency was still pending.
Failure to Investigate and Report Injuries of Unknown Origin
Penalty
Summary
The facility failed to initiate an investigation into an alleged violation of abuse, specifically regarding injuries of unknown origin for one resident. On 5/19/25, a resident with severe cognitive impairment, muscle weakness, osteoarthritis, thrombocytopenia, dementia, and protein-calorie malnutrition was found to have bruising and open skin areas on both upper extremities. Certified Nursing Assistants reported these injuries to a nurse while providing care, but no incident report or investigation was initiated at that time. Subsequent interviews with facility staff, including the Unit Manager, DON, and Administrator, confirmed that the injuries were of unknown origin and should have triggered an immediate investigation and reporting process as per facility policy. However, the facility did not begin any investigation or report the incident to the state agency until prompted by surveyors, and no documentation of an initial investigation was available for the injuries observed. This failure to act left the resident unprotected from further potential abuse or mistreatment while the investigation was pending.
Failure to Complete and Document Weekly Skin Assessments
Penalty
Summary
The facility failed to provide care consistent with professional standards of practice for one resident by not identifying a change in the resident's skin condition and not ensuring that weekly skin checks were completed as ordered. The resident, who had severe cognitive impairment, muscle weakness, osteoarthritis, thrombocytopenia, dementia, and protein-calorie malnutrition, was admitted with a Stage 1 pressure ulcer and multiple areas of purpura and bruising. Physician orders required weekly skin checks, but review of the medical record showed that these assessments were not documented after admission, and the last recorded skin assessment was on the day of admission. Nursing staff marked the Medication Administration Record as completed for skin checks, but no actual skin assessment details were documented. During a physical observation, the resident was found to have multiple bruises, open skin areas with dried blood, and discoloration on both lower extremities and wrists, which had not been previously reported to management or documented in the medical record. Certified Nursing Assistants stated they had reported the bruising and open skin areas to a nurse the previous day, but the Unit Manager and Director of Nurses confirmed that they were unaware of these findings and that the required skin assessments and documentation had not been completed. The physician and family had not been notified, and no investigation had been initiated regarding the new skin issues.
Failure to Renew Court-Approved Treatment Plan for Antipsychotic Medication
Penalty
Summary
The facility failed to formulate an advance directive for a resident with a legal guardian and a treatment plan requiring court approval for the administration of antipsychotic medication. The resident, diagnosed with paranoid schizophrenia and bipolar disorder, had a treatment plan approved by the court, which was set to expire on a specific date. However, the facility did not initiate the court process to renew the expired guardianship, resulting in the continued administration of Olanzapine without a valid treatment plan. Interviews revealed that the social worker was unaware of the expiration of the treatment plan and was waiting for court notification to begin the renewal process. The Director of Nurses indicated that the social worker was responsible for tracking and renewing treatment plans before expiration. The guardian and monitor confirmed that the treatment plan had expired and emphasized the facility's responsibility to start the renewal process months in advance to ensure continuity of medication administration.
Failure to Supervise Resident During Meals
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs) for a resident who required supervision while eating. The resident, admitted with diagnoses including cerebral infarction, hemiplegia, aphasia, and dysphagia, was observed on multiple occasions without the required supervision during meals. Despite the resident's care plan indicating the need for supervision due to a mechanically altered diet and risk for dysphagia, staff left the resident alone with meals, failing to ensure safe eating practices. Observations revealed that the resident was left unsupervised during breakfast and lunch, with no staff present to assist or monitor the resident's eating, as required by the care plan and facility policy. Interviews with staff, including the Unit Manager and Director of Nursing, confirmed that the resident should have been supervised during meals, yet the staff did not consistently adhere to this requirement. The lack of supervision was evident when the resident was heard coughing while eating, indicating potential difficulty with swallowing, yet staff did not remain present to assist or monitor the situation.
Failure to Follow Audiologist's Recommendations for Resident
Penalty
Summary
The facility failed to follow up on the recommendations made by an audiologist for a resident with severe cognitive impairment, who was dependent on the facility for all activities of daily living. The resident, diagnosed with Alzheimer's disease and vascular dementia, had requested to be seen by an audiologist due to newly decreased hearing and participation in social activities. The audiologist's evaluation identified impacted ear wax in the resident's right ear, recommending its removal before further testing could be conducted. However, the facility did not implement any interventions or follow up on these recommendations. Interviews with facility staff, including a nurse, the unit manager, a social worker, and the director of nursing, confirmed that the facility uses a contracted company for audiology services and that recommendations from the audiologist should be followed up promptly. Despite this, the unit manager was unable to find any documentation of follow-up actions or interventions in the resident's medical record. The director of nursing acknowledged that the audiologist's recommendations should have been addressed immediately to implement necessary interventions and physician's orders.
Failure to Maintain Respiratory Equipment Standards
Penalty
Summary
The facility failed to maintain respiratory equipment according to professional standards of practice for two residents. For Resident #289, the facility did not obtain a physician's order for the use of a continuous positive airway pressure (CPAP) machine, which is used to treat sleep apnea. Despite the resident's hospital discharge summary indicating the need for CPAP and multiple nursing progress notes documenting its use, there was no physician's order in the resident's medical record. Interviews with staff, including a CNA, nurses, the Unit Manager, and the Director of Nursing, confirmed that the resident used the CPAP machine nightly and that a physician's order was required but not obtained. For Resident #9, the facility failed to ensure the oxygen concentrator filter was clean. The resident, who has chronic obstructive pulmonary disease (COPD) and relies on supplemental oxygen, was observed with a concentrator filter covered in gray dust on multiple occasions. The facility's policy indicated that the oxygen company should change concentrator filters weekly, but this was not done. During observations and interviews, both a nurse and the Director of Nursing acknowledged the filter's dirty condition and the need for immediate replacement, although there was confusion about the policy for changing the filters.
Failure to Provide Properly Prepared Food for Resident with Dysphagia
Penalty
Summary
The facility failed to provide food in a form that meets the needs of a resident with severe cognitive impairment and dysphagia. The resident, who requires supervision or assistance while eating, was observed receiving meals that were not cut up as per the physician's order. On two separate occasions, the resident was served breakfast with items such as pancakes, sausage links, a muffin, and an egg bake with large chunks of broccoli, none of which were cut up to the required texture. This oversight was noted despite the resident's meal ticket clearly indicating the need for soft cut-up food. Interviews with facility staff, including a CNA, the Unit Manager, the Food Service Director, and the Registered Dietitian, confirmed that the resident's food should have been cut up according to the physician's order. The staff acknowledged that either the kitchen or the CNAs were responsible for ensuring the food was appropriately prepared before being served to the resident. The Director of Nursing also reviewed photos of the meals and confirmed that they were not cut up as required, indicating a failure in following the prescribed dietary modifications for the resident.
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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 Lynn
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Life Care Center Of The North Shore | 0.4 mi | ★★★★★ | 8 | 0 |
| Salem Rehab Center | 1.5 mi | ★★★★★ | 24 | 0 |
| Phillips Manor Nursing Home | 1.9 mi | — | 0 | 0 |
| Devereux Skilled Nursing & Rehabilitation Center | 3 mi | ★★★★★ | 0 | 0 |
| Lafayette Rehabilitation & Skilled Nursing | 3 mi | ★★★★★ | 0 | 0 |
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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.