Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 Katzman Family Center For Living during CMS and state inspections, most recent first.
The facility failed to meet professional standards of quality for three residents by not implementing physician's orders for weight change notifications and urinary catheter changes. One resident's significant weight gain was not reported to the physician, and two residents had incorrect catheter sizes used, contrary to their care plans.
The facility failed to maintain accurate medical records for a resident with COPD, CHF, and diabetes, who was observed receiving continuous oxygen without proper documentation on the treatment administration record (TAR) or nurses' notes. Interviews with staff confirmed the oversight in documentation and adherence to the physician's order.
The facility failed to ensure accurate MDS assessments for two residents. One resident's use of oxygen therapy and CPAP was not documented, despite physician orders and nursing notes indicating their use. Another resident's discharge location was incorrectly recorded as a short-term general hospital instead of home with services. Interviews with staff confirmed these discrepancies.
Failure to Implement Physician's Orders and Ensure Correct Medical Equipment
Penalty
Summary
The facility failed to meet professional standards of quality for three residents. For Resident #19, the facility did not implement the physician's orders to notify the physician of a significant weight change. Despite the resident's weight increasing by 7.2 pounds in six days and 8.6 pounds in seven days, the nursing staff did not notify the physician as required. This oversight was confirmed through interviews with the nursing staff and a review of the resident's medical records, which showed no documentation of physician notification regarding the weight gain. The issue was only addressed after the surveyor's intervention, leading to new orders for immediate laboratory tests to rule out congestive heart failure. For Resident #32, the facility failed to ensure the correct size of the indwelling urinary catheter balloon was used as indicated in the plan of care. The physician's order did not specify the balloon size, and the care plan indicated a 10-cc balloon, but a 30-cc balloon was used instead. This discrepancy was observed during a surveyor's visit and confirmed through interviews with the nursing staff and the Assistant Director of Nursing (ADON). The Director of Nursing (DON) acknowledged that the nursing staff should have clarified the physician's order and obtained the correct size balloon. For Resident #27, the facility did not implement the physician's orders for the correct size of the indwelling urinary catheter. The resident's care plan and physician's order specified a 12 French 10 cc catheter, but a 14 French 10 cc catheter was used instead. This error was observed during a surveyor's visit and confirmed through interviews with the nursing staff and the Unit Manager. The DON confirmed that the nursing staff should have verified the correct catheter size and obtained a new order if the correct size was unavailable.
Failure to Document Oxygen Administration
Penalty
Summary
The facility failed to maintain an accurate medical record for Resident #19, who was admitted with diagnoses including chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), and diabetes. Despite the resident being observed on multiple occasions receiving continuous oxygen via nasal cannula, the treatment administration record (TAR) from 5/1/24 to 5/7/24 did not include documentation to support that nursing administered the as-needed oxygen. Additionally, the nurses' notes during this period failed to include the flow rate of oxygen being administered to the resident. Interviews with the resident and nursing staff confirmed that the resident had been wearing continuous oxygen since a recent hospitalization, but this was not accurately documented in the medical records as required by the facility's policy and professional standards of practice. The deficiency was further highlighted during interviews with Nurse #2 and Unit Manager #1, who acknowledged that the oxygen administration should have been documented on the TAR and that the resident should have had an order for continuous oxygen. The Director of Nursing also confirmed that nursing staff should document the administration of oxygen on the TAR. The lack of proper documentation and adherence to the physician's order for oxygen administration led to the identified deficiency in maintaining accurate medical records for Resident #19.
Inaccurate MDS Assessments for Oxygen Use, CPAP, and Discharge Location
Penalty
Summary
The facility failed to ensure that Minimum Data Set (MDS) assessments were coded accurately for two residents. For Resident #19, the MDS assessment did not accurately reflect the use of oxygen therapy and a non-invasive mechanical ventilator (CPAP). Despite physician orders and nursing notes indicating the resident's continuous use of oxygen and CPAP, these treatments were not documented in the MDS assessment. Interviews with nursing staff confirmed the resident's use of these treatments, highlighting a discrepancy between the resident's actual care and the recorded data in the MDS assessment. For Resident #118, the MDS assessment inaccurately documented the resident's discharge location. The MDS indicated that the resident was discharged to a short-term general hospital, while social services and nursing progress notes confirmed that the resident was discharged home with services. Interviews with the Regional Nurse corroborated that the MDS should have been coded to reflect the correct discharge location. These inaccuracies in the MDS assessments demonstrate a failure to adhere to the Resident Assessment Instrument (RAI) manual guidelines, leading to incorrect documentation of resident care and discharge information.
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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 Chelsea
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Massachusetts Veterans Home At Chelsea | 0.2 mi | ★★★★★ | 3 | 0 |
| Highland Park Rehabilitation And Healthcare Center | 0.8 mi | ★★★★★ | 21 | 0 |
| Leonard Florence Center For Living | 1 mi | ★★★★★ | 2 | 0 |
| Rehabilitation & Nursing Center At Everett (the) | 1.1 mi | ★★★★★ | 12 | 0 |
| Lighthouse Rehabilitation And Healthcare Center | 1.2 mi | ★★★★★ | 7 | 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.