Above average — CMS composite of the measures below.
A standard survey is most likely before 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 Rivercrest Long Term Care during CMS and state inspections, most recent first.
A resident at high risk for falls was left without a call bell within reach, leading to an unwitnessed fall and a subsequent finger fracture. Despite the care plan requiring the call bell to be accessible, staff failed to ensure this, resulting in the resident attempting to get into bed unassisted. The incident highlighted a lapse in following the facility's fall prevention and care planning policies.
A resident with a history of falls and moderately impaired cognition was not provided with non-skid socks or a bed alarm, as required by their care plan. The oversight occurred during a temporary room change when the bed alarm was not moved with the resident. Staff interviews confirmed the lapse in following care plan interventions, contributing to the resident's fall.
Failure to Implement Fall Prevention Care Plan
Penalty
Summary
The facility failed to ensure that a comprehensive care plan was consistently implemented for a resident assessed as high risk for falls. The resident, who had a history of falls and was moderately cognitively impaired, required the call bell to be within reach when in their room. On the day of the incident, a CNA left the resident alone in their room without ensuring the call bell was accessible, leading to an unwitnessed fall. The resident was found on the floor by nursing staff, having attempted to get into bed without assistance. The post-fall evaluation confirmed that the call bell was not within reach, and the resident later reported pain in the left wrist and fingers. Initial x-rays showed no fractures, but subsequent hospital imaging revealed a fracture in the third finger, necessitating the use of a splint for comfort. Interviews with staff, including the CNA involved and the Director of Nurses, confirmed that the call bell was not within reach at the time of the fall. The facility's policies on care planning and fall prevention were not adhered to, as staff did not ensure the resident's call bell was accessible, contrary to the care plan's requirements.
Failure to Implement Fall Prevention Interventions
Penalty
Summary
The facility failed to implement fall prevention interventions for a resident, leading to a deficiency in ensuring a safe environment free from accident hazards. The resident, who had a history of falls resulting in serious injuries, was not wearing non-skid socks and did not have a bed alarm in place as required by their care plan. The resident had moderately impaired cognition and required substantial assistance with footwear, yet was found barefoot at the time of a fall. The bed alarm was not moved with the resident during a temporary room change, contributing to the incident. Interviews with staff revealed that the oversight occurred because the room change was temporary, and the bed alarm was not transferred with the resident. The CNA responsible for the resident at the time of the fall was not present during the incident and could not provide further details. The Nurse Unit Manager acknowledged the failure to move the bed alarm and emphasized the importance of following care plan interventions, while the Director of Nursing reiterated the expectation that all care plan interventions should be adhered to, including the use of non-skid socks.
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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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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near W Concord
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Care One At Concord | 0.5 mi | ★★★★★ | 3 | 0 |
| The Commons Skilled Nursing & Rehabilitation | 3 mi | ★★★★★ | 9 | 0 |
| Life Care Center Of Acton | 4 mi | ★★★★★ | 0 | 0 |
| Campion Health & Wellness, Inc | 5.7 mi | ★★★★★ | 0 | 0 |
| Vantage At Sudbury Llc | 6.2 mi | ★★★★★ | 12 | 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.