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 Bostonian Nursing Care & Rehabilitation Center during CMS and state inspections, most recent first.
A resident with paraplegia and a deep tissue injury to the heel was not provided with necessary skin protection as per the care plan. Despite orders to encourage the use of heel booties, the resident was observed without them, and staff had not offered assistance. The resident was willing to wear the booties if helped, but a nurse was unaware of the skin issue, and the DON confirmed that orders were not followed.
A resident with severe cognitive impairment and hand contractures was not provided with the prescribed bilateral hand orthotics. Instead, unrolled face cloths were used, which were ineffective in preventing contractures. Facility staff, including a CNA, nurse, and OT, were unaware of the missing hand rolls, and the DON indicated that a referral to rehabilitation should have been made.
The facility failed to maintain appropriate food sanitation practices as a cook did not change disposable gloves after handling potentially contaminated items before touching ready-to-eat food. The Food Service Director acknowledged the issue, noting that gloves should be changed before handling ready-to-eat food.
The facility failed to maintain accurate medical records for two residents. A resident with paraplegia was not provided with prescribed heel booties, despite documentation indicating otherwise. Another resident with severe cognitive impairment had significant gaps in ADL documentation. Staff admitted to not completing required documentation, and the DON confirmed this was against protocol.
Failure to Implement Skin Protection Care Plan
Penalty
Summary
The facility failed to implement a care plan for skin protection for a resident with paraplegia, who was dependent on staff for all bed mobility tasks. The resident was admitted with a deep tissue injury to the left heel after being hospitalized. Despite physician orders and Kardex instructions to encourage the use of pressure-relieving heel booties, the resident was observed multiple times with heels directly on the bed, and the booties were not being used. The resident reported that nursing staff had not offered to put on the booties, although they would wear them if assisted. A nurse interviewed was unaware of the resident's heel condition and had not offered assistance with the booties. The Director of Nursing confirmed that orders should be followed as written, indicating a lapse in adherence to the care plan for skin protection.
Failure to Implement Hand Orthotics for Resident with Contractures
Penalty
Summary
The facility failed to implement the prescribed bilateral hand orthotics for a resident with contractures in both hands. Resident #79, who was admitted with a subdural hematoma and hand contractures, was observed multiple times with face cloths in their hands instead of the required hand rolls. The resident's Minimum Data Set indicated severe cognitive impairment, and they were dependent on staff for daily tasks. Despite a physician's order for bilateral palm rolls to be used at all times, except during hygiene and ADLs, the resident was found with unrolled face cloths in their hands, which were ineffective in preventing contractures. Interviews with facility staff revealed a lack of awareness and communication regarding the missing hand rolls. A CNA reported never having seen the resident use hand rolls and stated that towels were placed in the resident's hands daily. The nurse and occupational therapist were both unaware of the missing hand rolls, and the Director of Nursing expressed that nursing staff should have referred the issue to the rehabilitation department. The use of wash cloths was acknowledged as an inadequate substitute for the prescribed hand rolls, contributing to the deficiency in care for the resident.
Failure to Maintain Food Sanitation Practices
Penalty
Summary
The facility failed to maintain appropriate food sanitation practices in the kitchen, as observed during a survey. The facility's policy on Nutrition and Foodservice- Employee Practices, dated September 2023, requires that gloves worn in food preparation be changed when soiled, torn, or after handling raw meat, and before handling cooked or ready-to-eat food. During an observation, a cook on the serving line was seen wearing disposable gloves, putting on oven mitts over them, and opening a steamer. After removing the oven mitts, the cook did not change the disposable gloves and proceeded to touch and serve a ready-to-eat English muffin with potentially contaminated gloves. Shortly after, the same cook, still wearing the contaminated gloves, opened a refrigerator door and then touched ready-to-eat pancakes. The Food Service Director acknowledged the cross-contamination issue during an interview, stating that cooks should change their gloves before handling ready-to-eat food.
Inaccurate Medical Records and Documentation Gaps
Penalty
Summary
The facility failed to maintain accurate medical records for two residents, leading to deficiencies in care. Resident #18, who is cognitively intact and dependent on staff for bed mobility, was observed without the prescribed pressure-relieving heel booties, which were documented as being worn. The resident reported that nursing staff had not offered to put the booties on, and Nurse #2 admitted to documenting the treatment as complete without actually performing it. The Director of Nursing confirmed that this was against protocol. Additionally, Resident #12, who has severe cognitive impairment and is dependent on staff for bathing, had significant gaps in Activity of Daily Living (ADL) documentation. There were numerous shifts across different times of the day where no ADL documentation was completed. CNA #3 confirmed that all care is expected to be documented on the computer, and the Director of Nursing reiterated that there should be no missing documentation.
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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 Dorchester
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St Joseph Rehab & Nursing Care Center | 0.8 mi | ★★★★★ | 5 | 0 |
| Alliance Health At Marina Bay | 1 mi | ★★★★★ | 10 | 0 |
| Boston Home, Inc (the) | 1.1 mi | ★★★★★ | 0 | 0 |
| Care Village At Mattapan | 2.5 mi | ★★★★★ | 14 | 0 |
| Laurel Ridge Rehab And Skilled Care Center | 3.1 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.