Average — CMS composite of the measures below.
The next survey window likely opens around October 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 Seven Hills Pediatric Center during CMS and state inspections, most recent first.
A resident who was dependent on staff and required assist of one for ceiling-lift transfers was being moved from a wheelchair to bed when a CNA did not fully secure all sling loops to the overhead lift. As the resident was raised and the wheelchair was moved away, one upper loop detached, the resident slipped from the sling, and was lowered to the floor, hitting his/her head and sustaining a small eyebrow swelling and lip bleeding.
A resident with developmental and intellectual delay, hypotonia, and a well-known history of mouthing objects was documented as requiring direct supervision while in a wheelchair but was left in a common room playing with a battery-operated doll without continuous staff oversight. The doll’s battery compartment was unsecured, and staff later found the compartment open with a battery missing after the resident gagged and appeared to choke. Staff interviews revealed inconsistent understanding of what “direct supervision” meant, acknowledgment that the resident’s toys varied in safety (some sewn shut, others not), and lack of a clear process for inspecting toys brought in by family. The facility’s investigation concluded that the toy was unsafe and that the resident’s required level of direct supervision had not been provided, and hospital records confirmed the resident had ingested a battery that required removal via endoscopy.
A resident with mitochondrial disorder, developmental and intellectual delay, and hypotonia, who was well known by staff to be highly sensory seeking and to frequently place objects in the mouth, did not have a comprehensive care plan addressing this oral-seeking behavior, choking risk, or required supervision level. While seated in a common room playing with a battery-powered doll, the resident exhibited choking/gagging, and one AA battery from the toy was found missing; hospital evaluation confirmed a battery in the abdomen, removed via endoscopy. Surveyors later observed the resident with a toy rubber ring and a toy rubber carrot in the mouth, and staff interviews confirmed the long-standing behavior and need for direct supervision, while also revealing that the MDS department did not typically include supervision levels or specific behaviors in the care plan.
Failure to Submit Quarterly PBJ Staffing Data: The facility did not electronically submit complete and accurate PBJ staffing data to CMS for the full quarterly reporting period as required. The Administrator said he was unaware the report had not been submitted, and the BOM said she believed she submitted it but could not verify the report number, went on vacation, and did not confirm successful submission upon return. No evidence of submission was provided by survey end.
A resident with cerebral palsy and a seizure disorder did not have an ordered phenobarbital trough level obtained. The care plan called for anticonvulsant levels as ordered, but the record showed no documented trough concentration for over 6 months, and the pharmacy MMR recommended a level at the next lab day and every 6 months. The DON stated the last level appeared to be over 10 months ago, that a request was made through an outside hospital, and that no further attempt was made when it was not completed.
Mechanical Lift Transfer Not Fully Secured
Penalty
Summary
A resident who was dependent on staff for all care and had diagnoses including cerebral palsy and a seizure disorder was being transferred from a wheelchair to a bed using an overhead mechanical lift when the transfer was not completed safely. The resident’s care plan required assist of one staff person for transfers with the ceiling lift. During the transfer, Certified Nurse Aide #1 did not completely secure all of the lift pad loops to the overhead lift before raising the resident. When the resident was elevated and the wheelchair was moved out of the way, one upper right loop detached from the lift and the resident began slipping out of the lift pad. CNA #1 then lowered the resident to the floor, and the resident hit his/her head on the floor. The resident was observed lying on the floor with the sling still underneath him/her and had a small area of swelling above the right eyebrow and a small amount of bleeding from the lip. The facility’s investigation and staff interviews confirmed that the loop had not been fully attached before the lift was used. CNA #1 stated she thought all loops were secured but later realized the upper right loop had come undone during the transfer. The nurse who responded found the resident on the floor with minor injuries, and the ADON and DON both determined that the incident occurred because the lift pad was not fully secured to the mechanical lift.
Failure to Provide Direct Supervision and Safe Toys for Resident With Mouthing Behavior
Penalty
Summary
The deficiency involves the facility’s failure to ensure an area was free from accident hazards and to provide adequate supervision to prevent an accident for a resident with a known history of mouthing objects. The resident, admitted with a mitochondrial disorder resulting in developmental and intellectual delay and hypotonia, was documented as requiring direct supervision when in a wheelchair. On the day of the incident, the resident was seated in a common/community room in a wheelchair, playing with a battery-powered musical doll. The doll’s rear Velcro pouch was open, the back cap of the battery pack was off, and one of two AA batteries was missing. Staff observed the resident gagging/coughing and appearing as if choking, and an emergent assessment was requested from the NP due to concern for battery ingestion. The facility’s own investigation concluded that the toy was not safe because the screw to the battery compartment was either missing or failed, and that there was documentation supporting the resident’s need for direct supervision in the wheelchair, which did not appear to have been provided at the time of the incident. CNA #1, who was assigned to the resident, reported seeing the resident playing with the musical doll in the community room and leaving the resident there to attend to other assigned residents. CNA #2, who was providing 1:1 supervision to another resident, stated that while he could see this resident, he was not supervising them and that direct supervision could mean either 1:1 or being within arm’s length, indicating inconsistent understanding of supervision requirements. The NP and nursing staff were unable to locate the missing battery on the resident’s person or in the environment, and hospital records later confirmed a battery in the resident’s abdomen, which was removed via endoscopy. Interviews with multiple staff members showed that the resident was well known for frequently putting items and toys in the mouth, and that some of the resident’s battery-operated toys had been sewn shut while others were not. There was no clear process to determine whether facility staff or the resident’s parents/guardians were responsible for ensuring toys were made safe, and the ADON stated that toys brought in by the family were not inspected by nursing staff unless electronic. The ADON and Administrator both acknowledged that the resident had always required direct supervision in the wheelchair and that there was a lapse in the required level of direct staff supervision at the time of the incident. At the time of the survey, the facility did not have a policy defining different levels of staff supervision, and staff expressed uncertainty about whether “direct supervision” meant constant 1:1 observation or proximity-based monitoring.
Failure to Care Plan for Resident’s Known Oral-Seeking Behavior and Supervision Needs
Penalty
Summary
The deficiency involves the facility’s failure to develop and implement a comprehensive, individualized care plan addressing a developmentally delayed resident’s known behavior of placing objects in the mouth, associated choking risks, and required level of supervision. The facility’s admission assessment policy required initial and ongoing assessments to obtain information necessary to develop and maintain an individualized interdisciplinary plan of care. Despite this, review of the resident’s comprehensive care plans showed no documentation of the resident’s oral-seeking behavior, the risk of choking related to this behavior, or the specific level of staff supervision needed to maintain safety. The resident, admitted in 2016 with mitochondrial disorder, developmental and intellectual delay, and hypotonia, was well known to multiple staff as being “very sensory seeking” and frequently gumming or putting items, including toys and fingers, in the mouth. On the date of the incident, the resident was seated in a common room playing with a battery-powered doll when staff requested emergent assessment from the NP due to concerns for choking/gagging and possible AA battery ingestion. The toy’s rear Velcro pouch was found open, the battery pack cap was off, and one of two AA batteries was missing; a search of the resident and environment did not locate the missing battery. Hospital records confirmed a battery in the resident’s abdomen, which was removed via endoscopy. Subsequent surveyor observations documented the resident in a classroom with a toy rubber ring in the mouth and later in a common room with a toy rubber carrot in the mouth. Interviews with the MDS nurse, NP, CNA, and ADON confirmed that the resident routinely put items in the mouth and that the resident had always required direct supervision when in a wheelchair, yet the MDS department did not typically include supervision levels or specific behaviors in the comprehensive care plan, and these needs were not reflected in the resident’s plan of care.
Failure to Submit Quarterly PBJ Staffing Data
Penalty
Summary
The facility failed to electronically submit complete and accurate direct care staffing data to CMS for the entire FY Quarter 3 2025 reporting period, April 1 through June 30, in accordance with the CMS schedule. The facility’s PBJ Reporting policy, revised February 2025, required submission of complete and accurate staffing data no later than 11:59 PM ET on the 45th day after each fiscal quarter and required the data to be auditable, standardized, and validated before submission. During interview, the Administrator stated the business office completes the quarterly PBJ report and said he was unaware the report had not been submitted for the third quarter as required. The Business Office Manager stated she completes and submits the quarterly PBJ report and said she believed she submitted it on 8/11/25, but after logging in the next day she was unable to obtain the report number, then went on vacation and did not verify successful submission upon her return. The facility did not provide evidence of submission by the conclusion of the survey.
Failure to Obtain Ordered Phenobarbital Lab Monitoring
Penalty
Summary
The facility failed to ensure a physician's order for a phenobarbital trough concentration lab draw was implemented for one resident with cerebral palsy and a seizure disorder. The resident's care plan directed that anticonvulsant levels be obtained as ordered by the MD/NP, and physician orders included phenobarbital therapy along with yearly labs. The resident's most recent MDS indicated severely impaired cognition and that an anti-convulsant medication was prescribed. Review of the clinical record from January 2025 through 11/25/25 showed no documentation that a phenobarbital trough concentration level had been obtained. The pharmacy Monthly Medication Review dated 7/31/25 noted that the resident received phenobarbital but did not have a trough concentration documented in the medical record within the previous 6 months, and recommended obtaining a trough concentration at the next lab day and every 6 months thereafter. The DON stated during interview that it was not clear why the recommendation was not reviewed earlier by the physician or nursing staff, that the last phenobarbital lab draw appeared to be over 10 months ago, and that although the facility requested the level be obtained at Children's Hospital Boston in August 2025, it was not completed and no further attempt was made.
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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 Groton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ayer Valley Rehab And Nursing | 2.4 mi | ★★★★★ | 0 | 0 |
| Life Care Center Of Nashoba Valley | 7.3 mi | ★★★★★ | 8 | 0 |
| Westford Nursing And Rehabilitation Center | 8.2 mi | ★★★★★ | 0 | 0 |
| Leominster Rehabilitation And Nursing Center | 9.4 mi | ★★★★★ | 6 | 0 |
| Nashua Post Acute Care | 9.8 mi | ★★★★★ | 13 | 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.