Above average — CMS composite of the measures below.
A standard survey is most likely before around September 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 Alden Court Nursing Care & Rehabilitation Center during CMS and state inspections, most recent first.
A resident with multiple pressure ulcers did not receive necessary wound care due to the facility's failure to accurately transcribe and implement wound care orders as recommended by the wound physician. Nursing staff inconsistently documented wound locations, resulting in multiple active orders for the same wound and continued treatments for wounds that had resolved. Orders were not updated or discontinued as recommended, and there was no documentation to support deviations from the wound physician's plan.
A resident with PTSD, anxiety, depression, and OCD did not receive a comprehensive trauma assessment or individualized care planning to address their trauma history and triggers. Despite psychiatric documentation of significant trauma, the facility failed to incorporate this information into the care plan or provide specific interventions, and staff interviews revealed confusion about responsibility for trauma-informed care.
A resident with chronic pain was administered Oxycodone for pain levels below the prescribed scale of 7-10, contrary to physician's orders. Despite facility policies requiring safe medication administration and documentation, the MAR showed repeated non-compliance over several months. Interviews confirmed the resident received medication as requested, but the DON acknowledged the discrepancy in following the pain scale parameters.
The facility failed to properly label and store medications, as observed in three medication carts. Opened medications, including latanoprost ophthalmic solution and Assure platinum test strips, were not labeled with the date of opening or new expiration dates. Staff interviews revealed a lack of adherence to labeling policies, contributing to the deficiency.
A resident with vascular dementia and unsteadiness on feet was admitted to a facility and equipped with a wanderguard due to a perceived risk of wandering and elopement. Despite this, the facility failed to develop a person-centered care plan addressing these risks. Staff interviews and record reviews indicated no documented wandering behaviors, and the care plan did not reflect the resident's risk of wandering or elopement, as identified in a wander risk assessment.
A facility failed to address a Consultant Pharmacist's recommendation to clarify or edit as-needed Oxycodone versus Morphine for a resident with chronic pain. Despite frequent administration of Oxycodone, Morphine was not administered, and the recommendation was not addressed within the required 30-day period.
Failure to Accurately Transcribe and Implement Wound Care Orders
Penalty
Summary
A deficiency occurred when the facility failed to ensure that a resident received necessary care and treatment to promote wound healing, specifically by not accurately transcribing and implementing wound care treatment orders according to the Wound Physician's recommendations. The facility's nursing staff did not consistently match wound locations and treatment orders with the physician's documentation, resulting in discrepancies between the actual wounds present and the active treatment orders. For example, the Right Anterior Ankle wound was not properly identified in the treatment orders, with orders instead written for the Right Dorsal Foot, and there were instances where two different treatment orders were active for what appeared to be the same wound. Additionally, treatment orders for wounds that had resolved, such as the Left Distal First Toe, remained active for an extended period after resolution. The resident involved had a history of severe protein malnutrition, type 2 diabetes mellitus, and previous skin cancer, and was admitted with multiple pressure ulcers requiring ongoing wound care. Throughout the review period, the medical record, treatment administration records, and wound physician summaries showed repeated failures to update, discontinue, or correctly transcribe treatment orders in accordance with the wound physician's recommendations. Orders for specific treatments, such as discontinuing Mupirocin 2% or changing to Calcium Alginate with Silver, were not implemented as recommended, and there was no documentation indicating that the attending physician declined these recommendations. The confusion was compounded by inconsistent anatomical descriptions and a lack of clear documentation regarding wound status and treatment changes. Interviews with the Wound Nurse and DON confirmed that there was confusion and error in the transcription and management of wound care orders. The Wound Nurse acknowledged that she was still learning the process and had not consistently cross-referenced the physician's written recommendations with the active orders. Both the Wound Nurse and DON noted that wound locations were used interchangeably, leading to multiple active orders for the same wound and continued treatments for wounds that had resolved. There was no evidence in the medical record or progress notes to support the continuation of certain treatments or to clarify discrepancies between the physician's recommendations and the orders implemented.
Failure to Assess and Address Trauma History in Resident with PTSD
Penalty
Summary
The facility failed to assess and address the trauma history and related care needs for one resident diagnosed with PTSD, anxiety, major depression, and OCD. Despite the resident being cognitively intact and vocal about their traumatic experiences, including military incidents and domestic abuse, the facility did not conduct a comprehensive trauma assessment on admission or during quarterly reviews. The social service admission assessment did not identify any trauma history, and subsequent progress notes and care planning documents lacked documentation of trauma-related discussions or identification of triggers. Psychiatric evaluations documented the resident's history of trauma, including military service and the recent loss of a spouse, and recommended adjustments to medication. However, this information was not incorporated into the resident's care plan, and there was no evidence of follow-up or individualized interventions to address potential triggers or prevent re-traumatization. The care plan contained only general statements about monitoring for triggers and providing psychosocial support, without specific strategies tailored to the resident's known trauma history. Interviews with facility staff revealed a lack of clarity regarding responsibility for trauma assessments and care planning. Social workers acknowledged that trauma assessments should be completed on admission and quarterly, and that care plans should include identified triggers, but were unable to explain why this was not done for the resident. The Director of Nursing confirmed that social services are responsible for trauma assessments and care plan updates, but also noted the absence of documentation related to the resident's trauma and triggers since admission.
Failure to Adhere to Pain Medication Parameters
Penalty
Summary
The facility failed to ensure that a resident was free from significant medication errors, specifically in the administration of pain medication. The resident, who was admitted with diagnoses including cervical and lumbar radiculopathy, cervical and lumbar disc degeneration, and chronic pain syndrome, had a physician's order for Oxycodone 15 MG to be administered every four hours as needed for severe pain, defined as a pain scale of 7-10. However, the Medication Administration Record (MAR) indicated that the medication was administered multiple times with a pain scale rating of less than seven, which was outside the prescribed parameters. The facility's policies on medication administration and pain management require that medications be administered safely and effectively, with appropriate documentation of pain assessments and medication effectiveness. Despite these policies, the resident's MAR for several months showed repeated instances where Oxycodone was given without adherence to the pain scale parameters set by the physician's order. There was also a lack of nursing documentation to justify the administration of the medication when the pain scale was below seven. Interviews with the resident and nursing staff revealed that the resident received pain medication as scheduled or requested, and was asked to rate their pain level prior to administration. However, the Director of Nurses (DON) confirmed that the physician's order required a severe pain parameter, and was uncertain why the medication was administered with a pain scale rating of less than seven. This discrepancy highlights a failure in following the prescribed medication regimen and ensuring proper documentation and assessment of pain management.
Improper Medication Labeling and Storage
Penalty
Summary
The facility failed to ensure that all medications were stored and labeled according to accepted professional principles. During a survey, it was observed that medications in three different medication carts were not properly labeled with the date they were opened or their new expiration dates. Specifically, an opened box of latanoprost ophthalmic solution was found without the required labeling, and a bottle of Assure platinum test strips was also found opened but not labeled with the date of opening or the new expiration date. Interviews with the nursing staff revealed a lack of awareness and adherence to the facility's policy and manufacturer's guidelines regarding the labeling of medications once opened. Nurse #8 acknowledged that the latanoprost bottle should have been labeled immediately upon opening, while Nurse #3 was unaware of any policy for labeling test strip bottles and relied solely on the manufacturer's expiration date. Nurse #9 also failed to label opened medications and was uncertain about the shortened expiration periods. The Director of Nursing confirmed that all opened medications should have been labeled with the date of opening and the new expiration date, noting that test strips are only good for 90 days and eye drops for 42 days after opening. This oversight in labeling practices led to the deficiency noted in the survey.
Failure to Develop Person-Centered Care Plan for Wandering Risk
Penalty
Summary
The facility failed to develop and implement a person-centered care plan for a resident who was assessed to be at risk of wandering and elopement. The resident, who was admitted with diagnoses including vascular dementia and unsteadiness on feet, was equipped with a wanderguard upon admission. Despite this, the care plan did not reflect the resident's history of wandering or risk of elopement, as identified in the wander risk assessment completed after a readmission. Interviews with staff revealed that the resident had not exhibited any wandering behaviors, and there were no documented instances of such behaviors in the medical record, progress notes, or behavior monitoring sheets. The resident's care plan included interventions for other issues such as fall risk and mood episodes but failed to address the risk of wandering or elopement. The CNA care Kardex also did not indicate the need for monitoring wandering behaviors. Staff interviews indicated a lack of proper assessment and documentation regarding the resident's risk of wandering. The nurse who completed the original admission assessment placed a wanderguard on the resident based on their mobility and confusion but did not complete an assessment or develop a care plan for wandering. The Assistant Director of Nurses confirmed that the process was not followed, and a care plan for wandering or elopement risk was not in place as it should have been.
Failure to Address Pharmacist's Pain Medication Recommendations
Penalty
Summary
The facility failed to act promptly on recommendations made by the Consultant Pharmacist during the monthly Medication Regimen Reviews (MRR) for a resident with chronic pain syndrome and other related diagnoses. The resident was receiving scheduled and as-needed opioid pain medication, specifically Oxycodone and Morphine Sulfate. Despite the Consultant Pharmacist's recommendation to clarify or edit the as-needed Oxycodone versus Morphine for pain, there was no documentation that this recommendation was addressed by the nursing staff or the physician. The resident's Medication Administration Records (MAR) from April to July 2024 showed frequent administration of Oxycodone but no administration of Morphine Sulfate. Interviews with nursing staff revealed that the Consultant Pharmacist's recommendations are typically reviewed by nursing and the physician, but in this case, the recommendation was not addressed within the required 30-day period. The Assistant Director of Nurses confirmed that these recommendations should be addressed within 30 days, but there was no evidence that this occurred for the resident in question.
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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 Fairhaven
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Royal Of Fairhaven Nursing Center | 1.3 mi | ★★★★★ | 0 | 0 |
| Our Ladys Haven Of Fairhaven Inc | 1.9 mi | ★★★★★ | 5 | 0 |
| Sacred Heart Nursing Home | 1.9 mi | ★★★★★ | 3 | 0 |
| Brandon Woods Of New Bedford | 2.7 mi | ★★★★★ | 1 | 0 |
| Care One At New Bedford | 2.9 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.