Average — CMS composite of the measures below.
The next survey window likely opens around November 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 Armenian Nursing & Rehabilitation Center during CMS and state inspections, most recent first.
Meals were repeatedly served on trays in the second-floor dining room while residents ate breakfast and lunch at tables. A CNA and an RN said it was the facility's practice to keep meals on trays in the dining room, and the DON stated this had always been the practice, while also noting that removing the trays would create a more homelike environment.
Failure to Provide Required Meal Supervision: Two residents with care plans and MDS assessments indicating supervision or touching assistance for eating were repeatedly observed eating meals alone in their rooms with curtains pulled and/or doors closed. One resident had severe cognitive impairment and the other had moderate cognitive impairment with dysphagia and weakness; staff and the DON stated that meal supervision should be provided and that staff should remain with residents who require it.
The facility failed to ensure a dignified dining experience for residents on the first floor. Observations included staff standing while feeding residents and leaving meal trays with residents unable to self-feed. Interviews with staff confirmed that these actions did not meet the facility's expectations for resident care during meals.
A resident with significant visual impairments did not have a comprehensive vision care plan developed by the facility. Despite the resident's inability to identify food on their plate due to low vision and blindness, no interventions were in place to assist them. Staff interviews confirmed the expectation for such a plan, but it was not implemented, indicating a lapse in care planning.
The facility failed to conduct weekly skin assessments for two residents as per physician's orders. One resident, with mild cognitive impairment and diabetes, missed four assessments, while another, with Parkinson's and renal disease, had no assessments recorded since November. The Director of Nurses expected compliance with orders, but documentation was lacking.
Two residents in an LTC facility did not receive necessary assistance with meals, despite care plans indicating they required help. One resident, with severe cognitive impairments, was left unattended during meals, while another, at risk of aspiration, was not properly supervised. Staff interviews confirmed the need for assistance, highlighting a deficiency in care practices.
The facility did not educate or offer the COVID-19 vaccine to a staff member, as required by their protocol. The DON confirmed that Nurse #3 was not informed about the vaccine's benefits, risks, or side effects, nor was the vaccine offered or information on obtaining it provided. The facility's policy encourages vaccination but allows declination for specific reasons.
Meals Served on Trays in Dining Room
Penalty
Summary
The facility failed to provide a homelike environment during dining on the second-floor unit. During multiple observations, residents were seen eating breakfast and lunch in the second-floor dining room while their meals remained on meal trays. On 12/9/25, the surveyor observed residents eating breakfast at 8:42 A.M. and 19 residents eating lunch at 12:12 P.M., with all meals served on trays. On 12/10/25, the surveyor again observed nine residents eating breakfast at four tables at 8:07 A.M. and 19 residents eating lunch at 12:14 P.M., with all meals served on trays. On 12/11/25 at 8:33 A.M., the surveyor observed six residents in the second-floor dining room, including three who had finished breakfast and three who were still eating meals served on trays. During interviews, CNA #2 stated that meals are always served on trays in the dining room, Nurse #2 stated that it is the facility's practice not to remove meals from trays in the dining room, and the DON stated that it has always been the facility's practice to serve meals on trays in the dining room. The DON also stated that removing meals from trays when serving residents would create a more homelike environment.
Failure to Provide Required Meal Supervision
Penalty
Summary
The facility failed to provide assistance and/or supervision with meals for two residents whose care plans and assessments indicated they required supervision or touching assistance during eating. The facility policy stated that ADL assistance would be provided according to resident needs, and both residents had documentation in their MDS assessments and care plans indicating meal supervision was required. Resident #11 was admitted with diagnoses including major depressive disorder, asthma, presbyopia, chronic kidney disease, and fibromyalgia, and his/her most recent MDS indicated severe cognitive impairment with supervision/touching assistance needed for eating. Resident #20 had diagnoses including CHF, dysphagia, oral phase weakness, and other conditions, and his/her MDS indicated moderate cognitive impairment with supervision or touching assistance needed with meals. For Resident #11, the ADL care plan indicated supervision during meals, and the nutrition care plan directed staff to encourage attendance in the dining room for meals to enhance socialization and provide supervision/encouragement while eating. The care card binder on the unit did not contain a care card/Kardex for this resident to indicate the required level of assistance. On multiple observations, the resident was seen in bed eating breakfast alone with the privacy curtain pulled, the door shut or the resident not visible from the hallway, and no staff present in the room. The surveyor requested a copy of the resident’s care card/Kardex, but the facility did not provide one. For Resident #20, the active ADL care plan stated the resident was supervised with eating and needed assistance setting up meals, cutting food into bite-sized pieces, and reminders to insert dentures. The resident ADL guide also indicated supervision or touching assistance for eating. On multiple observations, the resident was seen sitting on the side of the bed eating breakfast or lunch alone in the room, with the curtain pulled and/or the door closed. During one observation, a nurse brought the breakfast tray into the room and then exited, leaving the resident eating alone. Interviews with CNA #1, Nurse #1, and the DON confirmed that staff were expected to follow the care plan, remain with residents who required supervision during meals, and cycle through the unit to supervise residents who needed meal supervision.
Failure to Provide Dignified Dining Experience
Penalty
Summary
The facility failed to provide a dignified dining experience for residents on the first floor, as observed by surveyors. Instances included a nurse standing while feeding a resident in their room, and a staff member delivering a breakfast tray to a resident without setting it up, leaving the resident unable to initiate self-feeding. Additionally, during lunch service, a resident was left without a meal for 20 minutes while their tablemates were assisted with eating, highlighting a lack of timely assistance. Interviews with staff, including a nurse and a CNA, revealed that the facility's expectations were not met. Staff acknowledged that dependent residents should not have meal trays left in front of them without immediate assistance, and that staff should be seated at eye level when feeding residents. The Director of Nurses confirmed these expectations, emphasizing that all residents at a dining table should be served simultaneously and assisted promptly, which was not adhered to in the observed instances.
Failure to Develop Vision Care Plan for Resident with Visual Impairments
Penalty
Summary
The facility failed to develop a comprehensive care plan for a resident with significant visual impairments. The resident, who was admitted in August 2022, has diagnoses including low vision in the right eye, blindness in the left eye, and other medical conditions such as age-related cataracts and chronic heart failure. Despite these conditions, the facility did not create a vision care plan to address the resident's needs, as evidenced by the resident's inability to identify food on their plate during meals. The resident expressed difficulty in seeing what was on their plate and relied on taste to identify food, indicating a lack of appropriate interventions to assist with their visual deficits. Interviews with facility staff, including a Unit Manager and the Director of Nursing, revealed that there was an expectation for a vision care plan to be developed upon admission. However, the Unit Manager was unaware of the resident's difficulties in identifying food, and the record review confirmed the absence of a care plan for the resident's low vision. This oversight highlights a failure in the facility's process to ensure that individualized care plans are developed and implemented to meet the specific needs of residents with visual impairments.
Failure to Conduct Weekly Skin Assessments
Penalty
Summary
The facility failed to provide weekly skin assessments for two residents, as per the physician's orders. Resident #63, who was admitted with diagnoses including mild cognitive impairment and type 2 diabetes, did not receive the required weekly skin assessments. The resident was observed complaining of foot pain, and upon review, it was found that four weekly skin assessments were missed. The facility's records showed that the assessments were signed off in the Treatment Administration Record but not documented in the electronic medical record as required. The Unit Manager confirmed the absence of documentation for these assessments. Resident #61, admitted with conditions such as Parkinson's disease and end-stage renal disease, also did not receive the mandated weekly skin assessments. The last recorded skin assessment for this resident was on 11/21/24, despite having a physician's order for weekly checks. There was no documentation in the nursing progress notes indicating that the resident refused the assessments. During an interview, a nurse confirmed the lack of documentation for the skin checks in the electronic medical record. The Director of Nurses expressed an expectation that weekly skin checks should be completed as ordered. However, the facility's failure to adhere to the physician's orders for weekly skin assessments for both residents resulted in a deficiency in meeting professional standards of quality care.
Failure to Assist Residents with Meals
Penalty
Summary
The facility failed to provide necessary assistance with Activities of Daily Living (ADLs) for two residents, specifically in the area of meal assistance. Resident #45, who was admitted with severe cognitive impairments and is dependent on staff for eating, was observed multiple times with meal trays set up but without any staff present to assist. Despite being coded as dependent for eating in the Minimum Data Set (MDS) and care plan, Resident #45 was left unattended during meals, failing to initiate self-feeding and sometimes falling asleep. Resident #64, who has intact cognition but requires supervision or touching assistance while eating due to dysphagia and a history of silent aspiration, was also left without appropriate supervision during meals. Observations showed that Resident #64 was eating rapidly and without alternating bites and sips, contrary to the discharge instructions from speech therapy. The resident was often in a room at the end of the hallway, out of sight from staff, and was not checked on promptly, increasing the risk of aspiration. Interviews with staff, including a nurse and the Director of Nursing (DON), confirmed that both residents required assistance or supervision during meals as per their care plans. However, the facility's practice of rotating supervision was insufficient to meet the needs of these residents, as evidenced by the lack of staff presence during critical times when assistance was needed. This failure to adhere to care plans and provide necessary supervision and assistance during meals constitutes a deficiency in the facility's care practices.
Failure to Educate and Offer COVID-19 Vaccine to Staff
Penalty
Summary
The facility failed to educate and offer the COVID-19 vaccine to a staff member, Nurse #3, as required by their COVID-19 Infection Control Protocol. The policy, revised on 11/6/23, encourages all employees to be vaccinated according to DPH guidelines and allows for declination based on religious, medical, and personal reasons. However, during an interview with the Director of Nursing (DON), it was revealed that Nurse #3 had not been educated on the benefits, risks, and potential side effects of the COVID-19 vaccine. Additionally, the facility did not offer the vaccine or provide information on how to obtain it, nor was Nurse #3 given a consent or declination form. The DON mentioned that she directs staff to local pharmacies for vaccine inquiries, but Nurse #3 had not sought such information.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 1,226 citations issued within 25 miles in the last 12 months — including the 4 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Boston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Recuperative Services Unit-hebrew Rehab Center | 0.9 mi | ★★★★★ | 1 | 0 |
| Laurel Ridge Rehab And Skilled Care Center | 1.5 mi | ★★★★★ | 0 | 0 |
| Sherrill House | 1.7 mi | ★★★★★ | 9 | 0 |
| Benjamin Healthcare Center | 1.9 mi | ★★★★★ | 1 | 0 |
| Care One At Brookline | 2.2 mi | ★★★★★ | 7 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Armenian Nursing & Rehabilitation Center.
100% money-back within 48 hours.
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.