All citations for Care Village at West Roxbury

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Care Village at West Roxbury

Last standard health inspection on record

November 14, 2025

Showing 1 to 25 of 56 citations

  1. No harm, with potential for more than minimal harm

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2025).

  2. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2025).

  3. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2025).

  4. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2025).

  5. No harm, with potential for more than minimal harm

    Have a properly installed and maintained dumbwaiter or escalator.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0532, Services Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2025).

  6. No harm, with potential for more than minimal harm

    Provide a written emergency evacuation plan.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2025).

  7. No harm, with potential for more than minimal harm

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of November 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2023).

  8. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of November 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 31, 2023).

  9. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of November 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

  10. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of November 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

  11. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2023).

  12. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of November 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2025).

  13. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of November 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2023).

  14. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of November 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2023).

  15. No harm, with potential for more than minimal harm

    Provide care or services that was trauma informed and/or culturally competent.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0699, Quality of Life and Care Deficiencies. Inspection of November 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2023).

  16. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of November 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2023).

  17. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of November 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2025).

  18. No harm, with potential for more than minimal harm

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2025).

  19. No harm, with potential for more than minimal harm

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2025).

  20. No harm, with potential for more than minimal harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of November 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2025).

  21. No harm, with potential for more than minimal harm

    Provide care or services that was trauma informed and/or culturally competent.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0699, Quality of Life and Care Deficiencies. Inspection of November 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2025).

  22. No harm, with potential for more than minimal harm

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0740, Quality of Life and Care Deficiencies. Inspection of November 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2025).

  23. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of November 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2025).

  24. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of November 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2025).

  25. No harm, with potential for more than minimal harm

    Allow residents to self-administer drugs if determined clinically appropriate.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0554, Resident Rights Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 6, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.