CARLYLE HOUSE
CMS
Actual Harm
Documentation Failure
Immediate Jeopardy
Infection Control
Medication Error
Penalty
$16,153
Outcome
CARLYLE HOUSE in FRAMINGHAM, MA was fined $16,153 by CMS following 22 deficiency citations identified during federal surveys.
Details
CARLYLE HOUSE (FRAMINGHAM, MA) — $16,153 in CMS Fines
Outcome: CARLYLE HOUSE in FRAMINGHAM, MA was fined $16,153 by CMS following 22 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- Ensure each resident receives an accurate assessment.
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- Develop and implement policies and procedures for flu and pneumonia vaccinations.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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