Nursing homes › Massachusetts › Care Village at West Roxbury
5060 Washington Street, West Roxbury, MA 02132 · 6173235440 · 76 certified beds
Per CMS filings, this facility is affiliated with Bear Mountain Healthcare, a group operating 6 facilities in 1 states. Group record: average rating 2.7/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $164,447 in federal fines. This facility rates above its group average (2.7/5).
Total nurse staffing: 3.26 (Massachusetts median: 3.71). RN hours: 0.92. Weekend total: 3.03. Nursing staff turnover: 15%.
All-time on record: 38 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-11-14 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2025-12-12 |
| 2025-11-14 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-12-12 |
| 2025-11-14 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Health | corrected 2025-12-12 |
| 2025-11-14 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2025-12-12 |
| 2025-11-14 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2025-12-12 |
| 2025-11-14 | Provide care or services that was trauma informed and/or culturally competent. | D | Health | corrected 2025-12-12 |
| 2025-11-14 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Health | corrected 2025-12-12 |
| 2025-11-14 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2025-12-12 |
| 2025-11-14 | 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. | D | Health | corrected 2025-12-12 |
| 2024-10-31 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2024-12-06 |
| 2024-10-31 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-12-06 |
| 2024-10-31 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2024-12-06 |
| 2024-10-31 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-12-06 |
| 2024-10-31 | Provide care or services that was trauma informed and/or culturally competent. | D | Health | corrected 2024-12-06 |
| 2024-10-31 | 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. | D | Health | corrected 2024-12-06 |
| 2024-10-31 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2024-12-06 |
| 2024-10-31 | 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. | D | Health | corrected 2024-12-06 |
| 2024-10-31 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2024-12-06 |
| 2024-10-31 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2024-12-06 |
| 2024-08-27 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | complaint | corrected 2024-09-06 |
| 2024-06-10 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | complaint | corrected 2024-07-12 |
| 2024-06-10 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | complaint | corrected 2024-07-27 |
| 2024-06-10 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2024-07-27 |
| 2024-05-21 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2024-06-05 |
| 2023-11-07 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Health | corrected 2023-12-16 |
| 2023-11-07 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2023-12-16 |
| 2023-11-07 | Provide care or services that was trauma informed and/or culturally competent. | E | Health | corrected 2023-12-16 |
| 2023-11-07 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-12-16 |
| 2023-11-07 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2023-12-16 |
| 2023-11-07 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Health | corrected 2023-12-16 |
| 2023-11-07 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2023-12-16 |
| 2023-11-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2023-12-16 |
| 2023-11-07 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2023-12-16 |
| 2023-11-07 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Health | corrected 2023-12-16 |
| 2023-11-07 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2023-12-16 |
| 2023-11-07 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2023-12-16 |
| 2023-11-07 | 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. | D | Health | corrected 2023-12-16 |
| 2023-11-07 | Provide or obtain dental services for each resident. | D | Health | corrected 2023-12-16 |
| Date | Type | Amount |
|---|---|---|
| 2024-02-06 | Fine | $3,418 |
No detailed ownership records on file.
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 225499. Corrections: data@carerecords.org.