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 Spaulding Nursing And Therapy Center - Brighton during CMS and state inspections, most recent first.
Staff failed to keep medication carts locked and attended as required, with multiple instances observed where carts were left open and accessible in hallways. Nurses and other staff walked by or were unaware of the unlocked carts, and some carts relied on automatic locking mechanisms that did not immediately secure the medications.
A nurse left a cup containing eight pills on a resident's breakfast tray and left the room without observing the resident take the medication, despite facility policy requiring observation and prohibiting unsecured medications at the bedside. The resident had not been assessed or authorized for self-administration of medications, and the Nursing Supervisor confirmed that no such order was in place.
A resident with multiple medical conditions was found to have a Stage 2 pressure injury, but the facility did not implement a treatment order until 72 hours after the injury was first identified. Despite facility policy requiring immediate action, no wound care was provided during this period, as confirmed by staff interviews and medical record review.
A nurse was observed handling pills with bare hands during medication administration, stating that hand sanitization justified the practice. The Infection Control Nurse confirmed that this action was not permitted under facility protocols.
Medication Carts Left Unlocked and Unattended
Penalty
Summary
Facility staff failed to store drugs and biologicals in accordance with State and Federal requirements, specifically by not ensuring that medication carts were locked when unattended. Observations revealed multiple instances where medication carts on the second floor were left unlocked and unattended in the hallway, allowing access to medications. On one occasion, a nurse was unaware that the cart was unlocked until it was pointed out and then proceeded to lock it. In another instance, the surveyor was able to access an open medication cart and observed staff walking by without securing it. Additionally, a medication cart was left unlocked and unattended until its automatic locking mechanism engaged after several minutes. Interviews with staff, including nurses and the unit manager, confirmed that medication carts were not supposed to be left unlocked and unattended. The Director of Nursing acknowledged that some carts are equipped with timers that automatically lock after a set period, but this did not prevent the carts from being accessible during the observed periods. The facility's policy requires that all medication storage areas, including carts, be kept locked at all times when not in use, but this policy was not consistently followed.
Medication Administration Left Unsupervised and Unsecured
Penalty
Summary
A nurse left a medicine cup containing eight pills of various sizes and colors on a resident's breakfast tray and exited the room without observing the resident take the medication, contrary to facility policy requiring staff to observe medication administration and prohibiting medications from being left unsecured at the bedside. The resident reported that some nurses watch him or her take medications, while others leave the medications for later self-administration. Review of the resident's medical record showed that the resident had not been assessed for the ability to self-administer medications and did not have a physician's order permitting self-administration. The Nursing Supervisor confirmed that the resident did not have such an order and that nurses are not allowed to leave medications unsecured in resident rooms.
Delay in Pressure Injury Treatment Implementation
Penalty
Summary
A deficiency occurred when the facility failed to implement a timely treatment order for a pressure injury identified in a resident. The resident, who was admitted with multiple diagnoses including failure to thrive, rheumatoid arthritis, pneumonia, and breast cancer, was found to have a Stage 2 pressure injury on the left buttock during a skin assessment. The facility's policy requires that when a pressure injury is identified, the wound nurse and physician should be notified and a treatment order should be obtained immediately. Despite the identification of the pressure injury on 2/28/25, no treatment order was implemented until 3/3/25, resulting in a delay of approximately 72 hours. During this period, there was no documentation of any wound treatment being provided. Multiple staff interviews confirmed that the pressure injury was noted on admission, but the required treatment was not initiated until three days later. The medical record and incident report corroborated that the wound was present and identified, but the physician's order for wound care was not placed until several days after initial identification. The resident was assessed as having a mild risk for pressure injury development according to the Braden Scale and required partial to moderate assistance with activities of daily living. The facility's own policy and staff statements indicated that treatment should have been started as soon as the pressure injury was identified, but this did not occur, resulting in a failure to provide timely and appropriate pressure ulcer care.
Failure to Maintain Infection Control During Medication Pass
Penalty
Summary
During a medication pass observation on the 3rd floor unit, a nurse was seen touching pills with her bare hands while pouring medications from blister packs and bottles. When interviewed, the nurse stated she touched the pills with her bare hands because she had sanitized her hands beforehand. The Infection Control Nurse confirmed during an interview that nurses are not permitted to touch medications with bare hands during medication administration.
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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 Boston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Brighton Post Acute Care | 0.8 mi | ★★★★★ | 12 | 0 |
| Watertown Rehabilitation And Nursing Center | 1 mi | ★★★★★ | 3 | 0 |
| Presentation Rehab And Skilled Care Center | 1.3 mi | ★★★★★ | 3 | 0 |
| Care One At Brookline | 1.4 mi | ★★★★★ | 7 | 0 |
| Cambridge Rehabilitation & Nursing Center | 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.