Starfile / Massachusetts

Care Village at Mattapan

405 RIVER STREET, MATTAPAN, MA 02126 · CCN 225532

Inspection history vs Massachusetts & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

BEAR MOUNTAIN HEALTHCARE

Facilities in chain

8

Chain avg overall

2.80 / 5

Inspection citations (67)

1. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-11-17 · Health · corrected 2025-11-25

   Potential for more than minimal harm

2. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-02-13 · Health · corrected 2025-03-21

   Potential for more than minimal harm

3. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-02-13 · Health · corrected 2025-03-21

   Potential for more than minimal harm

4. DF0584Honor 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.2025-02-13 · Health · corrected 2025-03-21

   Potential for more than minimal harm

5. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2025-02-13 · Health · corrected 2025-03-21

   Potential for more than minimal harm

6. DF0637Assess the resident when there is a significant change in condition2025-02-13 · Health · corrected 2025-03-21

   Potential for more than minimal harm

7. DF0641Ensure each resident receives an accurate assessment.2025-02-13 · Health · corrected 2025-03-21

   Potential for more than minimal harm

8. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-02-13 · Health · corrected 2025-03-21

   Potential for more than minimal harm

9. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-13 · Health · corrected 2025-03-21

   Potential for more than minimal harm

10. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-02-13 · Health · corrected 2025-03-21

    Potential for more than minimal harm

11. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-02-13 · Health · corrected 2025-03-21

    Potential for more than minimal harm

12. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-13 · Health · corrected 2025-03-21

    Potential for more than minimal harm

13. DF0685Assist a resident in gaining access to vision and hearing services.2025-02-13 · Health · corrected 2025-03-21

    Potential for more than minimal harm

14. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-02-13 · Health · corrected 2025-03-21

    Potential for more than minimal harm

15. DF0693Ensure 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.2025-02-13 · Health · corrected 2025-03-21

    Potential for more than minimal harm

16. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-02-13 · Health · corrected 2025-03-21

    Potential for more than minimal harm

17. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-02-13 · Health · corrected 2025-03-21

    Potential for more than minimal harm

18. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2025-02-13 · Health · corrected 2025-03-21

    Potential for more than minimal harm

19. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-02-13 · Health · corrected 2025-03-21

    Potential for more than minimal harm

20. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-02-13 · Health · corrected 2025-03-21

    Potential for more than minimal harm

21. DF0880Provide and implement an infection prevention and control program.2025-02-13 · Health · corrected 2025-03-21

    Potential for more than minimal harm

22. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-03-08 · Health · corrected 2024-04-15

    Potential for more than minimal harm

23. CF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-03-08 · Health · corrected 2024-04-15

    Potential for minimal harm

24. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-03-08 · Health · corrected 2024-04-15

    Potential for more than minimal harm

25. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-03-08 · Health · corrected 2024-04-15

    Potential for more than minimal harm

26. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-03-08 · Health · corrected 2024-04-15

    Potential for more than minimal harm

27. DF0610Respond appropriately to all alleged violations.2024-03-08 · Health · corrected 2024-04-15

    Potential for more than minimal harm

28. BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-03-08 · Health · corrected 2024-04-15

    Potential for minimal harm

29. BF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-03-08 · Health · corrected 2024-04-15

    Potential for minimal harm

30. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-08 · Health · corrected 2024-04-15

    Potential for more than minimal harm

31. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-03-08 · Health · corrected 2024-04-15

    Potential for more than minimal harm

32. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-03-08 · Health · corrected 2024-04-15

    Potential for more than minimal harm

33. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-03-08 · Health · corrected 2024-04-15

    Potential for more than minimal harm

34. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-03-08 · Health · corrected 2024-04-15

    Potential for more than minimal harm

35. DF0687Provide appropriate foot care.2024-03-08 · Health · corrected 2024-04-15

    Potential for more than minimal harm

36. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-08 · Health · corrected 2024-04-15

    Potential for more than minimal harm

37. DF0692Provide enough food/fluids to maintain a resident's health.2024-03-08 · Health · corrected 2024-04-15

    Potential for more than minimal harm

38. DF0693Ensure 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.2024-03-08 · Health · corrected 2024-04-15

    Potential for more than minimal harm

39. CF0732Post nurse staffing information every day.2024-03-08 · Health · corrected 2024-04-15

    Potential for minimal harm

40. DF0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.2024-03-08 · Health · corrected 2024-04-15

    Potential for more than minimal harm

41. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-03-08 · Health · corrected 2024-04-15

    Potential for more than minimal harm

42. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-03-08 · Health · corrected 2024-04-15

    Potential for more than minimal harm

43. EF0761Ensure 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.2024-03-08 · Health · corrected 2024-04-15

    Potential for more than minimal harm

44. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-03-08 · Health · corrected 2024-04-15

    Potential for more than minimal harm

45. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-03-08 · Health · corrected 2024-04-15

    Potential for more than minimal harm

46. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-03-08 · Health · corrected 2024-04-15

    Potential for more than minimal harm

47. EF0880Provide and implement an infection prevention and control program.2024-03-08 · Health · corrected 2024-04-15

    Potential for more than minimal harm

48. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-03-08 · Health · corrected 2024-04-15

    Potential for more than minimal harm

49. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-28 · Health · corrected 2023-09-25

    Potential for more than minimal harm

50. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-01-20 · Health · corrected 2023-03-05

    Potential for more than minimal harm

51. EF0584Honor 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.2023-01-20 · Health · corrected 2023-03-05

    Potential for more than minimal harm

52. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-01-20 · Health · corrected 2023-03-05

    Potential for more than minimal harm

53. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-01-20 · Health · corrected 2023-03-05

    Potential for more than minimal harm

54. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-01-20 · Health · corrected 2023-03-05

    Potential for more than minimal harm

55. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-01-20 · Health · corrected 2023-03-05

    Potential for more than minimal harm

56. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-01-20 · Health · corrected 2023-03-05

    Potential for more than minimal harm

57. DF0692Provide enough food/fluids to maintain a resident's health.2023-01-20 · Health · corrected 2023-03-05

    Potential for more than minimal harm

58. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-01-20 · Health · corrected 2023-03-05

    Potential for more than minimal harm

59. DF0699Provide care or services that was trauma informed and/or culturally competent.2023-01-20 · Health · corrected 2023-03-05

    Potential for more than minimal harm

60. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2023-01-20 · Health · corrected 2023-03-05

    Potential for more than minimal harm

61. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-01-20 · Health · corrected 2023-03-05

    Potential for more than minimal harm

62. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-01-20 · Health · corrected 2023-03-05

    Potential for more than minimal harm

63. DF0791Provide or obtain dental services for each resident.2023-01-20 · Health · corrected 2023-03-05

    Potential for more than minimal harm

64. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-01-20 · Health · corrected 2023-03-05

    Potential for more than minimal harm

65. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-01-20 · Health · corrected 2023-03-05

    Potential for more than minimal harm

66. DF0865Have a plan that describes the process for conducting QAPI and QAA activities.2023-01-20 · Health · corrected 2023-03-05

    Potential for more than minimal harm

67. FF0880Provide and implement an infection prevention and control program.2023-01-20 · Health · corrected 2023-03-05

    Potential for more than minimal harm

Ownership

Other facilities in MATTAPAN

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.