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 Life Care Center Of The South Shore during CMS and state inspections, most recent first.
A resident with neurocognitive disorder and other conditions exhibited wandering and other behaviors that were not accurately reflected in the MDS Assessment, leading to a delay in developing a care plan. The discrepancy was identified after the resident walked out of the facility, revealing a coding error that prevented appropriate care planning.
A resident with complex medical conditions, including neurocognitive disorder and Parkinson's Disease, was admitted without a baseline care plan being developed or implemented within 48 hours. The resident exhibited wandering and agitation, and managed to leave the Facility through the main entrance. Interviews with staff confirmed the oversight.
A resident with neurocognitive disorder and other conditions exhibited wandering and exit-seeking behaviors upon admission, but the facility failed to develop a comprehensive care plan addressing these risks. Nursing progress notes documented the behaviors, but they were not captured in the Admission MDS Assessment, leading to a failure to trigger a Behavior Care Area Assessment. The resident eventually eloped from the facility, highlighting the deficiency.
A resident with severe cognitive impairment and a history of wandering successfully eloped from the facility after the receptionist mistakenly identified them as a visitor and unlocked the door. The facility failed to develop a comprehensive care plan addressing the resident's elopement risk, despite multiple indicators and documented behaviors.
Failure to Accurately Reflect Resident Behaviors in MDS Assessment
Penalty
Summary
The Facility failed to ensure that Resident #1's Minimum Data Set (MDS) Assessment accurately reflected his/her behaviors of wandering and repeated requests to go home. This failure contributed to a delay in developing a plan of care and implementing interventions to address these behaviors. Resident #1, who was admitted in March 2024 with diagnoses including neurocognitive disorder with Lewy Body Dementia, atrial fibrillation, depression, and Parkinson's Disease, exhibited behaviors such as wandering, intrusiveness, rummaging, and pacing, as documented in nursing progress notes. However, these behaviors were not captured in the MDS Assessment for the period from 03/12/24 to 03/18/24, leading to a lack of appropriate care planning for these behaviors. The discrepancy was identified during a facility investigation after Resident #1 walked out of the facility on 04/01/24. Interviews with the Social Worker, Director of Social Services, and Director of Nurses revealed that the coding error in the MDS Assessment prevented the triggering of a Behavior Care Area Assessment (CAA) and the subsequent development of a care plan for wandering and exit-seeking behaviors. The facility's policy requires accurate completion of the MDS to ensure proper care and individualized care plans for each resident, which was not adhered to in this case.
Failure to Implement Baseline Care Plan for New Admission
Penalty
Summary
The Facility failed to ensure that upon admission, a baseline care plan was developed and implemented for a resident with multiple complex medical conditions, including neurocognitive disorder with Lewy Body Dementia, atrial fibrillation, depression, and Parkinson's Disease. The resident exhibited behaviors such as wandering, agitation, restlessness, and verbalizing a desire to go home. Despite these immediate needs, the Facility did not document or implement a baseline care plan within 48 hours of admission, as required by their policy. This lack of documentation and planning was confirmed through interviews with the Director of Social Services, the Case Manager, and the Director of Nurses, all of whom acknowledged the oversight. The deficiency was highlighted when the resident managed to leave the Facility through the main entrance after a staff member disengaged the lock. The incident occurred without any baseline care plan in place to address the resident's wandering and other immediate needs. The Facility's investigation and subsequent interviews revealed that the baseline care plan form for potential problems and areas of concern, including behaviors, was left blank. The Director of Nurses admitted to being unaware of the missing baseline care plan, which is against the Facility's expectations and policies.
Failure to Develop Comprehensive Care Plan for Wandering Resident
Penalty
Summary
The facility failed to ensure that the Interdisciplinary Team developed and implemented a person-centered comprehensive care plan for a resident who exhibited wandering behavior and verbalized a desire to go home upon admission. Despite the facility's policy requiring a comprehensive care plan with measurable objectives and time frames, the resident's care plan did not address the risk for wandering and/or elopement until after the resident had already eloped from the facility. The resident, diagnosed with neurocognitive disorder with Lewy Body Dementia, atrial fibrillation, depression, and Parkinson's Disease, showed consistent wandering and exit-seeking behaviors as documented in nursing progress notes. However, these behaviors were not captured in the Admission MDS Assessment, leading to a failure to trigger a Behavior Care Area Assessment and the subsequent development of an appropriate care plan. This oversight was acknowledged by the Social Worker and the Director of Social Services during interviews, who admitted to missing the nursing notes and not completing Section E of the MDS accurately. The Director of Nurses also confirmed that the coding error on the MDS led to the resident not being identified as at risk for wandering, resulting in the lack of a care plan for this behavior. The deficiency was highlighted when the resident successfully eloped from the facility, prompting a report to be submitted via the Health Care Facility Reporting System. The facility's expectation is to complete all sections of the MDS accurately to ensure a complete and accurate care plan is developed for each resident.
Failure to Prevent Resident Elopement
Penalty
Summary
The facility failed to provide adequate supervision to prevent an elopement incident involving a resident diagnosed with neurocognitive disorder with Lewy Body Dementia, atrial fibrillation, depression, and Parkinson's Disease. Despite the resident's photograph being placed at the reception desk to alert staff of the elopement risk, the resident successfully exited the facility when the receptionist on duty unlocked the door. The resident was later found unharmed at a family member's home in another town. The resident had been admitted in March 2024 and exhibited wandering behaviors and a desire to go home, as documented in multiple nursing progress notes. The resident's cognitive assessments indicated moderate to severe cognitive impairment. Despite these indicators, the facility did not develop a comprehensive care plan addressing the resident's elopement risk. The Unit Manager and Assistant Director of Nurses acknowledged that they had not read the resident's admission notes or completed the necessary elopement assessments and care plans. Interviews with staff revealed that the resident frequently wandered and approached the front desk, where the receptionist would often have to call a nurse to escort the resident back to the unit. On the day of the incident, the receptionist mistakenly identified the resident as a visitor and allowed them to exit the facility. The Director of Nurses and the Administrator confirmed that the resident's photograph was displayed at the reception desk, but the receptionist failed to recognize the resident and prevent the elopement.
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What surveyors actually found near you
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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 Scituate
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Cardigan Nursing & Rehabilitation Center | 1.3 mi | ★★★★★ | 0 | 0 |
| Royal Norwell Nursing & Rehabilitation Center Llc | 6.6 mi | ★★★★★ | 10 | 0 |
| Southwood At Norwell Nursing Ctr | 7.4 mi | ★★★★★ | 9 | 0 |
| Queen Anne Nursing Home, Inc | 8.3 mi | ★★★★★ | 0 | 0 |
| Linden Ponds | 8.6 mi | ★★★★★ | 4 | 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.