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 23 of 23 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

    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).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

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

  9. 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 October 31, 2024. Found during a standard inspection.

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

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

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

  11. 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 October 31, 2024. Found during a standard inspection.

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

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

    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.

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

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

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

  13. 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 October 31, 2024. Found during a standard inspection.

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

  14. 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 October 31, 2024. Found during a standard inspection.

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

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

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

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

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

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

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

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

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

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

    Develop and maintain an Emergency Preparedness Program (EP).

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

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

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

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

    Create arrangements with other facilities to receive patients.

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

    Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

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

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

    Establish roles under a Waiver declared by secretary.

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

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

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

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

    Provide a means of sharing information on occupancy/needs.

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

    Emergency preparedness citation E-0034, Emergency Preparedness Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

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

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

    Implement emergency and standby power systems.

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

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

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

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, 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).

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

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

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

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

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.