Cambridge Health and Rehabilitation Center

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2024-02-01 · Tag F0686 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-02-08

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2023-09-29 · Tag F0678 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-09-30

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity J — IMMEDIATE JEOPARDY

Survey 2023-09-29 · Tag F0726 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-09-30

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

What this scope/severity letter means: CMS found the facility's failure caused, or was likely to cause, serious injury, harm, impairment, or death to a resident. This is the most serious finding a surveyor can make. Affected one resident or instance. How the A–L grid works

Scope/severity J — IMMEDIATE JEOPARDY

Survey 2023-08-30 · Tag F0689 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-09-06

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

What this scope/severity letter means: CMS found the facility's failure caused, or was likely to cause, serious injury, harm, impairment, or death to a resident. This is the most serious finding a surveyor can make. Affected one resident or instance. How the A–L grid works

Scope/severity G — ACTUAL HARM

Survey 2026-02-26 · Tag F0656 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2026-03-03

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

What this scope/severity letter means: A resident was actually harmed. CMS found real harm occurred, affecting one resident. How the A–L grid works

Scope/severity G — ACTUAL HARM

Survey 2026-02-26 · Tag F0689 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2026-03-03

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

What this scope/severity letter means: A resident was actually harmed. CMS found real harm occurred, affecting one resident. How the A–L grid works

Scope/severity G — ACTUAL HARM

Survey 2025-01-10 · Tag F0686 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-01-11

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

What this scope/severity letter means: A resident was actually harmed. CMS found real harm occurred, affecting one resident. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2026-03-25 · Tag F0583 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2026-04-23

Keep residents' personal and medical records private and confidential.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2026-03-25 · Tag F0690 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2026-04-23

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2026-03-25 · Tag F0880 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2026-04-23

Provide and implement an infection prevention and control program.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2026-02-26 · Tag F0584 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2026-03-03

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.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2026-02-26 · Tag F0842 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2026-03-03

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-12-23 · Tag F0644 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2026-01-21

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-05-15 · Tag F0755 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-05-23

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-05-15 · Tag F0812 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-05-23

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-04-03 · Tag F0880 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-04-09

Provide and implement an infection prevention and control program.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-01-10 · Tag F0657 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-01-01

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-03-14 · Tag F0684 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-03-22

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-03-14 · Tag F0755 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-03-22

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-03-14 · Tag F0814 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-03-22

Dispose of garbage and refuse properly.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-03-14 · Tag F0842 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-03-22

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-09-29 · Tag F0609 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-09-30

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-09-29 · Tag F0610 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-09-30

Respond appropriately to all alleged violations.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-09-29 · Tag F0656 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-09-30

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-09-29 · Tag F0689 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-09-30

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works