Average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Aspire Senior Living Malden during CMS and state inspections, most recent first.
The facility failed to maintain a safe, clean, and homelike environment, affecting all 38 residents. Observations showed exposed sheetrock, peeled paint, missing flooring, and unprotected light fixtures. Staff interviews revealed inconsistent reporting of environmental concerns, with the Maintenance Supervisor acknowledging challenges in tracking issues without proper documentation.
A facility failed to ensure the accuracy of the MDS assessment for a resident, marking a UTI in the last 30 days despite no documentation or treatment for such an infection. The resident confirmed not having a UTI since the previous year, and the MDS Coordinator, new to the position, found discrepancies in the resident's charts. The DON confirmed the error, noting the last UTI treatment was in July 2023.
Two residents with medical conditions requiring individualized care plans were observed smoking with staff supervision, but their care plans lacked specific interventions for smoking. Interviews with the DON and Clinical Liaison confirmed that smoking interventions should be included in care plans, yet this was not done, contrary to facility policy.
A facility failed to assess and document the use of bed rails for a resident, leading to a deficiency. The resident, with chronic obstructive pulmonary disease and other conditions, used bed rails for mobility, but there was no assessment, informed consent, or care plan documentation. Observations and interviews confirmed the lack of proper procedures, with the DON and Administrator acknowledging the oversight.
The facility failed to document and accommodate the food preferences of several residents, leading to repeated serving of disliked or unsuitable foods. Despite residents expressing their preferences and dislikes, these were not consistently recorded on meal cards. Interviews with staff indicated that the dietary department is responsible for assessing and updating residents' food preferences, which was not adequately performed.
The facility did not meet the requirement of providing at least twelve hours of annual in-service education for its CNAs, affecting two CNAs. CNA A received only eight hours and 25 minutes of training, while CNA B received seven hours and 45 minutes. The Clinical Liaison cited challenges in getting employees to attend face-to-face sessions as a reason for the shortfall.
The facility did not ensure residents were informed of their rights and responsibilities, as required by policy. Observations during a survey revealed no visible resident rights materials in key areas, and residents reported not being informed of their rights upon admission. The Activity Director and Administrator acknowledged the absence of a resident rights poster, with plans to address the issue.
The facility did not send monthly transfer logs to the State LTC Ombudsman in a timely manner, as required by policy. Logs for December 2023, January 2024, and February 2024 lacked sent confirmation, and the Regional LTC Ombudsman confirmed non-receipt for these months. The Social Service Director only had confirmations for March, April, and May 2024, indicating a lapse in the facility's communication process.
The facility failed to post daily menus and a list of available substitutions in the dining rooms, as required by policy. Observations confirmed the absence of these postings, and interviews with staff and residents corroborated the deficiency. The Activity Director, residents, and the resident council president noted the lack of posted menus, while the Dietary Manager and Administrator acknowledged the expectation for these to be available.
The facility failed to maintain an effective pest control program, leading to a fly infestation affecting all residents. Observations showed flies in resident rooms and common areas, with staff using fly swatters to manage the issue. Interviews revealed that flies were a known problem, but there was no documentation of pest control issues in the maintenance log. The facility had recently changed pest control vendors, which may have contributed to the oversight.
Failure to Maintain Safe and Homelike Environment
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment, which had the potential to affect all 38 residents. Observations revealed several areas of concern, including exposed sheetrock, peeled paint, and scuff marks in various resident rooms and the unit dining room. Additionally, there was missing flooring at the entrance of a resident room, a missing handrail between two resident rooms, and three light fixtures without protective coverings in the unit hallway. These issues were not documented in the maintenance log from 05/02/24 to 06/01/24. Interviews with staff indicated a lack of consistent reporting and documentation of environmental concerns. Housekeepers reported different methods of communicating issues to maintenance, with one stating they had not seen anything to report recently. The Maintenance Supervisor acknowledged the importance of documenting concerns in the maintenance log but noted challenges in remembering issues when informed verbally. The Administrator expected staff to document concerns in a timely manner on the maintenance repair log located at the nurse's station.
Inaccurate MDS Assessment for Resident
Penalty
Summary
The facility failed to ensure the accuracy of the Minimum Data Set (MDS) assessments for a resident, which is a federally mandated assessment tool. The deficiency was identified for one resident out of a sample of 12, in a facility with a census of 38. The resident's medical record showed a Brief Interview for Mental Status (BIMS) score of 15, indicating cognitive intactness, and no documentation of a urinary tract infection (UTI). However, the resident's annual MDS assessment incorrectly marked the presence of a UTI in the last 30 days. Interviews with the resident and staff revealed discrepancies in the assessment. The resident confirmed not having a UTI since the previous year, which was treated with medication. The MDS Coordinator, who had been in the position for only three weeks, acknowledged finding discrepancies in resident charts. The Director of Nursing confirmed that the resident had a UTI treated in July 2023, and the assessment should not have indicated a UTI in the last 30 days. This error was also reflected in the facility's CMS 802 Matrix.
Failure to Develop Individualized Smoking Interventions in Care Plans
Penalty
Summary
The facility failed to develop comprehensive care plans with specific interventions for two residents who smoked, despite their medical conditions requiring individualized attention. Resident #1, diagnosed with dementia and paranoid schizophrenia, was observed smoking in a designated area with staff supervision but lacked a care plan with specific interventions for smoking. Similarly, Resident #35, diagnosed with cerebral palsy and anxiety, was also observed smoking under supervision without individualized interventions documented in their care plan. Interviews with the Director of Nursing and the Clinical Liaison confirmed that residents who smoke and use protective aprons should have these details included in their care plans. Both residents were observed wearing protective aprons while smoking, yet their care plans did not reflect this practice. The facility's policy mandates that care plans should be person-centered and include measurable objectives and timeframes, which were not adhered to in these cases.
Failure to Assess and Document Bed Rail Use
Penalty
Summary
The facility failed to appropriately assess and document the use of bed rails for a resident, leading to a deficiency in care. Specifically, the facility did not assess the resident for safety risks associated with bed rail use, nor did they review the risks and benefits with the resident or their representative. Additionally, there was no informed consent obtained prior to the use of bed rails, and the resident's care plan did not address the use of bed rails. The resident, who had diagnoses including chronic obstructive pulmonary disease, falls, and severe protein calorie malnutrition, required substantial assistance with bed mobility but had no documented bed rail use in their Minimal Data Set. Observations showed that the resident's bed had quarter bed rails on both sides, with the left side against the wall. Interviews revealed that the resident used the bed rails for mobility and getting in and out of bed, and the bed was provided by hospice with the rails already attached. The LPN and DON confirmed that assessments for side rail use should have been completed upon admission and quarterly, but this was not done. The Administrator also noted that the charge nurse should have initiated the bed rail assessment and updated the MDS Coordinator, but this process was not followed.
Failure to Document and Accommodate Resident Food Preferences
Penalty
Summary
The facility failed to provide food that accommodated the preferences of several residents, as well as failed to document these preferences on meal cards. Resident #18, who has multiple diagnoses including anemia, hypertension, diabetes, Alzheimer's disease, and depression, expressed a dislike for spaghetti and a preference for chicken strips and fries, yet their meal card did not reflect these dislikes. Resident #34, diagnosed with anemia and COPD, reported a dislike for white gravy, which was documented on their meal card, but the kitchen staff continued to serve it to them. Resident #38, who was admitted with heart failure, mentioned an inability to consume green vegetables due to medication interactions, yet their meal card did not document this restriction or their dislikes for coffee and fruit punch. Additionally, Resident #37, with diabetes and cardiorespiratory conditions, expressed a dislike for eggs, which was not documented on their meal card despite informing the staff multiple times. Interviews with the dietary manager, DON, and the Administrator revealed that the dietary department is responsible for assessing and documenting residents' food preferences upon admission and updating them as needed, which was not consistently done.
Deficiency in Annual In-Service Training for CNAs
Penalty
Summary
The facility failed to provide at least twelve hours of annual in-service education for its Certified Nurse Assistants (CNAs), affecting two CNAs, A and B, out of the two sampled. CNA A, hired in January 2023, received only eight hours and 25 minutes of training from January 2023 to January 2024, while CNA B, hired in May 2023, received seven hours and 45 minutes of training from May 2023 to May 2024. The facility's policy mandates a minimum of twelve hours of in-service training per year to ensure the continuing competence of nurse aides. During an interview, the Clinical Liaison acknowledged the shortfall, attributing it to difficulties in getting employees to attend face-to-face in-service sessions.
Failure to Inform Residents of Their Rights
Penalty
Summary
The facility failed to ensure that residents were informed of their rights and responsibilities both verbally and in writing. The facility's policy, titled 'Protecting, Promoting and Ensuring Resident Rights - Facility Responsibility,' mandates that residents be informed of their rights upon admission and that these rights be available for review at any time. However, during the survey conducted from June 17 to June 20, 2024, it was observed that there were no large print texts of the facility's resident rights and responsibilities in the 100 Hall, 200 Hall, 300 Hall, dining room, or front lobby. Additionally, the policy did not specify the locations where the list of resident rights should be posted. During a resident council meeting, four residents stated they were unaware of any resident rights reading material or posters in the facility and did not recall anyone reviewing these rights with them upon admission. The resident council president mentioned that a resident rights poster used to be in the dining room but had been removed. The Activity Director, who has been employed since February 2023, confirmed the absence of a resident rights poster and indicated plans to request one. The Administrator acknowledged the expectation for a resident rights poster to be available for residents to view at their leisure, noting that paper copies were available on a table next to her office in the front lobby.
Failure to Timely Notify LTC Ombudsman of Transfers
Penalty
Summary
The facility failed to send monthly transfer logs to the representative of the Office of the State Long-Term Care (LTC) Ombudsman in a timely manner. The facility's policy required that the State LTC Ombudsman be notified of voluntary resident transfers and discharges to provide residents with access to an advocate and ensure awareness of facility practices. However, the review of the monthly transfer logs from December 2023 through May 2024 revealed that the logs for December 2023, January 2024, and February 2024 were not submitted with a sent confirmation. Interviews conducted with the Regional LTC Ombudsman and the Social Service Director (SSD) confirmed that the logs for the year 2023 and the beginning months of 2024 were not received. The SSD only had fax confirmations for March, April, and May 2024. The Administrator expected the designee responsible for sending the facility's transfer logs to submit reports monthly, in a timely manner, with proof of sent confirmation. This deficiency highlights a failure in the facility's process to ensure timely communication with the LTC Ombudsman.
Failure to Post Daily Menus and Substitutions
Penalty
Summary
The facility failed to post daily menus and a list of available substitutions for residents to reference, as observed during multiple visits to the main and unit dining rooms. The facility's policy requires that all menus for the current week be clearly posted and dated in areas easily accessible to residents and families. However, observations on three separate occasions revealed that no daily menus or lists of available substitutions were posted in the dining rooms. Interviews with staff and residents confirmed the absence of posted menus. The Activity Director, employed since February 2024, stated that he/she had never seen daily lunch menus posted. During a resident council meeting, four residents expressed that daily menus were not posted and mentioned that having them would be beneficial for referencing changes or substitutions. The resident council president noted that a cabinet in the dining room, previously used for posting menus, had not been updated in some time. The Dietary Manager and the Administrator both acknowledged that daily menus and available substitutions should be posted for resident reference.
Failure to Maintain Effective Pest Control Program
Penalty
Summary
The facility failed to maintain an effective pest control program, specifically in controlling the fly population, which had the potential to affect all residents. Observations over several days revealed flies present in various areas, including resident rooms and common areas. Flies were found on bedpads, comforters, bedside tables, and even on a resident's forehead while they were asleep. Staff members, including a CNA and a housekeeper, were observed using fly swatters to address the issue, indicating a reactive rather than proactive approach to pest control. Interviews with residents and staff highlighted the ongoing issue with flies, particularly in the 100 unit hall. Despite the presence of flies, there was no documentation of pest control issues in the maintenance log, and pest control inspection reports for April and May showed no issues in residential areas. The Maintenance Supervisor and Administrator both indicated that staff should report environmental concerns, but it appears this was not consistently done. The facility had recently changed pest control vendors, which may have contributed to the oversight.
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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 Malden
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Winchester Nursing Center, Inc | 6.5 mi | ★★★★★ | 0 | 0 |
| Campbell Healthcare & Senior Living | 8.6 mi | ★★★★★ | 15 | 0 |
| Gideon Care Center | 8.8 mi | ★★★★★ | 7 | 0 |
| Memory Lane Of Dexter | 14.9 mi | ★★★★★ | 0 | 0 |
| Cypress Point-skilled Nursing By Americare | 15.3 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.