Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Craneville Rehabilitation And Skilled Care Center during CMS and state inspections, most recent first.
A resident with multiple chronic conditions and moderate cognitive impairment had a physician order and facility policies requiring notification of the resident’s representative for changes in condition, incidents, and significant care decisions. Nursing staff documented a large bruise on the resident’s foot and later arranged a hospice evaluation after the resident expressed interest, but there was no documentation that the family was notified of either the injury or the hospice consult. The family member reported not being informed by facility staff and only learned of the hospice referral from the hospice RN, while the DON, DSS, and NP all confirmed that nursing was responsible for these notifications and that they were not completed or documented.
The facility failed to ensure that nursing staff possessed the necessary competencies and skill sets to provide safe nursing and related services. Documentation verifying orientation training or annual competencies for three nurses was missing, contrary to the facility's guidelines.
The facility failed to ensure proper labeling and cleanliness in three unit kitchenettes, leading to multiple instances of unlabeled and undated food items and significant cleanliness issues. Staff interviews revealed a lack of clarity and responsibility regarding the maintenance of the kitchenettes.
A resident with multiple diagnoses experienced low blood pressure readings that were not communicated to the Physician or NP, resulting in delayed interventions and hospitalization. The facility staff failed to follow the policy for notifying medical personnel of significant changes in the resident's condition.
The facility failed to provide the required Discharge/Transfer notices to a resident, their representative, and the Ombudsman for hospital transfers. The DON confirmed the absence of the necessary forms and revealed a broken process for updating the Ombudsman.
The facility failed to provide the required Notice of Bed-Hold Policy to a resident with COPD before transferring them to a hospital. The DON confirmed that the notice was neither sent to the hospital nor retained in the resident's chart, as required by the facility's policy.
The facility failed to maintain the prescribed oxygen flow rate of 3 LPM for a resident with congestive heart failure and cardiomyopathy. Observations revealed the oxygen flow rate was set at 2 LPM, contrary to the physician's orders. A nurse confirmed the resident could not adjust the flow rate independently and that staff should have ensured the correct setting each shift.
The facility failed to ensure that a resident with End Stage Renal Disease (ESRD) received dialysis care consistent with professional standards of practice. The staff did not monitor and track the resident's fluid intake as ordered, with the Medication Administration Record (MAR) showing that the resident's total daily fluid intake was not documented for 12 out of 16 days. Interviews confirmed that the nursing staff were responsible for this task but did not consistently perform it, as confirmed by the Director of Nurses (DON).
The facility failed to ensure that Pharmacy Recommendations were reviewed and implemented as agreed to by the attending Physician for a resident. The resident, with a history of heart conditions, had an order for Amiodarone, and the Pharmacist recommended obtaining a TSH lab level. Despite the Physician agreeing to the recommendation, the TSH lab was never drawn, and a subsequent recommendation was not reviewed within the required 30 days.
The facility failed to adhere to infection control guidelines by not conducting required Covid-19 outbreak testing for two residents following an employee's positive test. The DON confirmed that testing was not performed on the required dates, and no reasons were documented for the failure.
The facility failed to maintain laundry equipment in a safe operating condition by not cleaning the lint traps of the laundry drying machines as scheduled. During an inspection, a significant accumulation of lint was found, despite the cleaning schedule being signed off. The responsible Laundry Aide did not clean the lint traps as required, creating a potential fire hazard.
Failure to Notify Resident Representative of Injury and Hospice Referral
Penalty
Summary
The deficiency involves the facility’s failure to notify a resident’s family member of significant changes in condition and care, despite explicit physician orders and facility policies requiring such notification. The resident, admitted in June 2020, had diagnoses including anoxic brain damage, epilepsy, bipolar disorder, depression, end-stage renal disease with dialysis dependence, and osteoarthritis, and had moderate cognitive impairment with dependence on staff for activities of daily living per the 02/27/26 MDS. A physician’s order effective 05/01/24 directed staff to notify the resident’s family member of any change in condition, incidents/accidents, hospital transfers, and pertinent appointments. Facility policies on Change in Resident Condition and Incidents and Accidents required that the resident’s representative be notified of accidents/incidents resulting in injury and that the date, time, and person notifying family be documented. On 03/09/26, staff identified a dark purple bruise on the resident’s left foot involving three toes, the bottom, and the side of the foot, documented as approximately five inches by four inches in the nurse’s note and incident report. Neither document contained evidence that the family member was notified, and the nurse who performed the initial assessment later acknowledged she had not notified the family. The resident stated he wanted the family member notified of medical changes or injuries. Additionally, on 03/31/26, the resident expressed interest in a hospice evaluation, and a hospice RN visit was scheduled for the following day; however, the medical record contained no documentation that the family member was notified of the hospice consultation. The family member reported learning of the hospice referral only when contacted by the hospice nurse, and the DON, DSS, and nurse practitioner each confirmed that nursing staff were responsible for notifying the family of injuries and hospice evaluation recommendations, and that this had not occurred or been documented as required.
Failure to Verify Nursing Staff Competencies
Penalty
Summary
The facility failed to ensure that nursing staff possessed the necessary competencies and skill sets to provide safe nursing and related services to meet residents' needs. Specifically, the facility could not provide documentation verifying that three Licensed Nurses had completed their required orientation training or annual competencies. Nurse #3 had no orientation training checklist or competency completed, while Nurse #4 and Nurse #5 had no annual competencies on file. The Facility Assessment Tool indicated that the facility should determine if they have the clinical competence and resources to care for a person before admission, including providing necessary inservicing and training. During an interview, the Director of Nurses (DON) and the Staff Development Coordinator (SDC) confirmed that competencies should be completed upon orientation and annually thereafter. However, the facility failed to adhere to these guidelines, resulting in a lack of verified competencies for the three nurses in question.
Failure to Maintain Cleanliness and Proper Labeling in Unit Kitchenettes
Penalty
Summary
The facility failed to ensure that food in three unit kitchenettes (Unit 1, Unit 2, and Unit 3) was labeled and dated as required, and the cleanliness of the refrigerators and freezers was maintained to prevent contamination and the spread of foodborne diseases. Observations revealed multiple instances of unlabeled and undated food items, including a plastic bag containing a glass storage container with unidentified food and a muffin, a plastic container with orange-colored unidentified food, an open bag of frozen blueberries, a frozen dinner, and a bottle of frozen sports drink. Additionally, there were significant cleanliness issues, such as a large area covered in a white liquid, an odor of sour milk, and a toaster laden with crumbs and debris, which were not addressed in a timely manner. Interviews with staff members indicated a lack of clarity and responsibility regarding the maintenance and cleanliness of the kitchenettes. Nurse #5 acknowledged that the kitchen staff should have noticed and cleaned the spill in the refrigerator on Unit 1. Dietary Staff #2 confirmed that the housekeeping staff was responsible for maintaining the cleanliness of the kitchenette but noted that the toaster had not been cleaned recently, posing a potential fire hazard. Housekeeper #1 and the Housekeeping Director both expressed uncertainty about who was responsible for cleaning the unit refrigerators and freezers. The Food Service Director (FSD) confirmed that all items in the unit refrigerators and freezers needed to be labeled with a resident's name and the date the item was brought in and should only remain for three days. The FSD also stated that the housekeeping staff was responsible for daily cleaning of the kitchenettes, but any staff member who noticed spills or debris should address it and notify housekeeping. Despite these policies, the observations and interviews indicated that the procedures were not consistently followed, leading to the identified deficiencies.
Failure to Notify Physician of Significant Change in Condition
Penalty
Summary
The facility failed to provide timely notification to the Physician and/or Nurse Practitioner (NP) of a significant change in condition for a resident. The resident, who had diagnoses including Diastolic Congestive Heart Failure, Atrial Fibrillation, frequent falls, and Dementia, experienced a fall and subsequent low blood pressure readings. Despite these abnormal readings, the facility staff did not notify the Physician or NP, resulting in delayed interventions and eventual transfer to the hospital. The resident's blood pressure readings were significantly low on multiple occasions, including 95/58 mmHg and 80/56 mmHg, but these were not communicated to the Physician or NP as required by the facility's policy. The Director of Nurses (DON) confirmed that the nurse should have re-checked the blood pressure and contacted the Physician or NP for further direction. The NP was unaware of the low blood pressure readings until the resident was in respiratory distress and required immediate hospitalization. Interviews with the nursing staff revealed that there was a lack of communication and follow-up regarding the resident's low blood pressure. Nurse #7 did not contact the MD or NP despite obtaining low blood pressure readings, and Nurse #5 only became aware of the resident's critical condition after being alerted by the Certified Nurses Aides (CNAs). This failure to promptly notify the appropriate medical personnel led to a delay in necessary medical interventions for the resident.
Failure to Provide Required Discharge/Transfer Notices
Penalty
Summary
The facility failed to provide the required Discharge/Transfer notices to the resident, their representative, and the Office of the Long-Term Care Ombudsman for one resident. The facility's policy mandates that notification of a potential transfer or discharge must be made in writing 30 days prior or as soon as practicable, and a copy of the notice must be sent to the Ombudsman. However, for a resident with Chronic Obstructive Pulmonary Disease (COPD) who was admitted in September 2019, there was no evidence that such notices were provided for hospital transfers on two separate occasions. During interviews, the Director of Nurses (DON) confirmed the absence of the required Notice of Transfer/Discharge forms for the specified dates. The DON also revealed that the process of updating the Ombudsman was broken, with no clear indication of who was responsible for this task. Consequently, the Ombudsman had not been updated regarding the resident's transfers to the hospital, as required by the facility's policy.
Failure to Provide Notice of Bed-Hold Policy
Penalty
Summary
The facility failed to provide the required Notice of Bed-Hold Policy to a resident and/or their representative before transferring the resident to a hospital. The facility's policy mandates that a copy of the Bed-Hold policy be given to the resident and, if known, a family member or representative before any transfer. The resident, who was admitted in September 2019 with Chronic Obstructive Pulmonary Disease (COPD), was transferred to the hospital on 11/22/23. However, a review of the resident's medical record showed no evidence that the Notice of Bed-Hold Policy was provided. During interviews, the Director of Nurses (DON) confirmed that the notice was neither sent to the hospital with the resident nor retained in the resident's chart, as required by the facility's policy.
Failure to Maintain Prescribed Oxygen Flow Rate
Penalty
Summary
The facility failed to ensure that oxygen care and services were provided per the Physician's prescribing orders for one resident. Specifically, the facility did not maintain the prescribed oxygen flow rate of 3 liters per minute (LPM) for a resident with diagnoses including congestive heart failure and cardiomyopathy. The resident's care plan and physician's orders both indicated the need for continuous oxygen at 3 LPM via nasal cannula. However, observations on multiple occasions revealed that the resident's oxygen flow rate was set at 2 LPM instead of the prescribed 3 LPM. During an observation and interview, a nurse confirmed that the resident's oxygen should have been set at 3 LPM and acknowledged that the resident was not capable of adjusting the oxygen flow rate independently. The nurse also stated that each shift should check the oxygen flow rate to ensure it is set correctly, which was not done in this case. This failure to adhere to the physician's orders for oxygen flow rate constitutes a deficiency in the care provided to the resident.
Failure to Monitor and Document Fluid Intake for Dialysis Resident
Penalty
Summary
The facility failed to ensure that a resident with End Stage Renal Disease (ESRD) received dialysis care consistent with professional standards of practice. Specifically, the staff did not monitor and track the resident's fluid intake as ordered. The resident was on a fluid restriction of 1200 milliliters per 24 hours, with specific allowances for nursing and dietary intake broken down by shifts. However, a review of the Medication Administration Record (MAR) for January 2024 showed that the resident's total daily fluid intake was not monitored and documented for 12 out of 16 days. Interviews with the dialysis nurse, a staff nurse, and the unit manager revealed that the nursing staff were responsible for monitoring and recording the resident's fluid intake, including fluids consumed with meals. Despite this, the Director of Nurses (DON) confirmed that the staff did not consistently monitor and document the resident's daily fluid intake as required. This failure to document and monitor fluid intake meant there was no way to know how much fluid the resident consumed daily, potentially putting the resident at risk for complications related to fluid overload.
Failure to Implement Pharmacy Recommendations
Penalty
Summary
The facility failed to ensure that Pharmacy Recommendations were reviewed and implemented as agreed to by the attending Physician for one resident. Specifically, the attending Physician did not review a Pharmacy recommendation within 30 days, and Pharmacist recommendations agreed to by the attending Physician were not implemented. Resident #20, who was admitted with diagnoses including Heart Failure, history of Myocardial Infarction, and Cardiomyopathy, had an order for Amiodarone, a medication that can affect thyroid hormone levels. The Pharmacist recommended obtaining a TSH lab level on 10/19/23 and 11/9/23, which the attending Physician agreed to, and an order for the TSH lab draw was put into place on 10/23/23. However, the TSH lab was never drawn, and the most recent Pharmacist recommendation on 12/7/23 had not been reviewed by the Physician within the required 30 days. During an interview, the Unit Manager confirmed that the TSH lab was never obtained as ordered in October 2023 and should have been drawn as recommended by the Pharmacist and agreed to by the attending Physician. Additionally, the most recent Pharmacist recommendation from 12/7/23 had not been reviewed by the Physician, which should have been done within 30 days. This failure to act on Pharmacy recommendations and Physician agreements led to the deficiency identified in the report.
Failure to Conduct Required Covid-19 Outbreak Testing
Penalty
Summary
The facility failed to adhere to infection control guidelines to prevent contamination and the spread of infection for two residents. Specifically, the facility staff did not implement the facility infection surveillance program and conduct Covid-19 outbreak testing for two residents following an employee's positive Covid-19 test. The facility's policy, in line with CDC and Massachusetts Department of Public Health guidelines, required testing of exposed residents every 48 hours until the facility went seven days without a new case. However, the medical records for the two residents showed no documented evidence of testing on the required dates following the exposure. During an interview, the Director of Nursing (DON) confirmed that outbreak testing began on Unit 3 due to a staff member testing positive. The DON acknowledged that one resident was not tested on two required dates, possibly due to being out of the facility for an appointment, but testing should have been conducted upon return. Similarly, the second resident was not tested as required, with no reason documented for the failure to obtain the test. The DON admitted that staff should have re-attempted the testing but did not do so as required.
Failure to Maintain Laundry Equipment in Safe Operating Condition
Penalty
Summary
The facility failed to maintain laundry equipment in a safe operating condition by not cleaning the lint traps of the laundry drying machines as scheduled per manufacturer's instructions and facility policy. The manual from the American Dryer Corporation and the facility's Laundry Aid Training tool both indicated that lint traps should be cleaned regularly to prevent fire hazards. Specifically, the facility's policy required lint traps to be cleaned every 2 hours. However, during an observation and interview, it was found that the lint traps for two operational dryers had not been cleaned as required. The lint traps were signed off as being cleaned at 10:00 A.M., but upon inspection at 10:27 A.M., a solid layer of lint was found covering the lint screen, and piles of lint were observed on the floor of the lint trap of the first operational dryer. The Maintenance Director acknowledged that the lint traps had more lint build-up than they should have had and needed to be cleaned. Further interviews revealed that the Laundry Aide responsible for cleaning the lint traps did not think there was enough lint to warrant cleaning at the scheduled time and had checked off the cleaning schedule without actually performing the task. This failure to adhere to the cleaning schedule and policy resulted in a significant accumulation of lint, creating a potential fire hazard. The Maintenance Director and Maintenance Staff confirmed that the lint traps and screens had more lint build-up than acceptable, indicating a lapse in following the established safety protocols.
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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 Dalton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mt Greylock Extended Care Facility | 3.5 mi | ★★★★★ | 0 | 0 |
| Berkshire Place | 4.6 mi | ★★★★★ | 2 | 0 |
| Hillcrest Commons Nursing & Rehabilitation Center | 5.2 mi | ★★★★★ | 0 | 0 |
| Springside Rehabilitation And Skilled Care Center | 7.1 mi | ★★★★★ | 2 | 0 |
| Mount Carmel Care Center | 7.2 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.