Starfile / Massachusetts

PLYMOUTH REHABILITATION & HEALTH CARE CENTER

123 SOUTH STREET, PLYMOUTH, MA 02360 · CCN 225207

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

$141,373

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

ATHENA HEALTHCARE SYSTEMS

Facilities in chain

24

Chain avg overall

1.70 / 5

Inspection citations (76)13 actual harm

1. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2024-12-26 · Health · corrected 2025-02-02

   Potential for more than minimal harm

2. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-12-26 · Health · corrected 2025-02-02

   Potential for more than minimal harm

3. 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.2024-12-26 · Health · corrected 2025-02-02

   Potential for more than minimal harm

4. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-12-26 · Health · corrected 2025-02-02

   Potential for more than minimal harm

5. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-26 · Health · corrected 2025-02-02

   Potential for more than minimal harm

6. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-26 · Health · corrected 2025-02-02

   Potential for more than minimal harm

7. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-12-26 · Health · corrected 2025-02-02

   Potential for more than minimal harm

8. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-12-26 · Health · corrected 2025-02-02

   Potential for more than minimal harm

9. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-12-26 · Health · corrected 2025-02-02

   Potential for more than minimal harm

10. EF0758Implement 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.2024-12-26 · Health · corrected 2025-02-02

    Potential for more than minimal harm

11. DF0761Ensure 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.2024-12-26 · Health · corrected 2025-02-02

    Potential for more than minimal harm

12. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-12-26 · Health · corrected 2025-02-02

    Potential for more than minimal harm

13. GF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-25 · Health · corrected 2023-10-16

    Actual harm

14. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-25 · Health · corrected 2023-10-16

    Actual harm

15. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-09-29 · Health · corrected 2023-11-06

    Potential for more than minimal harm

16. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-09-29 · Health · corrected 2023-11-06

    Potential for more than minimal harm

17. 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.2023-09-29 · Health · corrected 2023-11-06

    Potential for more than minimal harm

18. BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-09-29 · Health · corrected 2023-11-06

    Potential for minimal harm

19. 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.2023-09-29 · Health · corrected 2023-11-06

    Potential for minimal harm

20. BF0641Ensure each resident receives an accurate assessment.2023-09-29 · Health · corrected 2023-11-06

    Potential for minimal harm

21. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-29 · Health · corrected 2023-11-06

    Potential for more than minimal harm

22. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-09-29 · Health · corrected 2023-11-06

    Potential for more than minimal harm

23. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-29 · Health · corrected 2023-11-06

    Actual harm

24. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-29 · Health · corrected 2023-11-06

    Potential for more than minimal harm

25. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-09-29 · Health · corrected 2023-11-06

    Potential for more than minimal harm

26. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-09-29 · Health · corrected 2023-11-06

    Potential for more than minimal harm

27. DF0699Provide care or services that was trauma informed and/or culturally competent.2023-09-29 · Health · corrected 2023-11-06

    Potential for more than minimal harm

28. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-09-29 · Health · corrected 2023-11-06

    Potential for more than minimal harm

29. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-09-29 · Health · corrected 2023-11-06

    Potential for more than minimal harm

30. 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.2023-09-29 · Health · corrected 2023-11-06

    Potential for more than minimal harm

31. DF0761Ensure 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.2023-09-29 · Health · corrected 2023-11-06

    Potential for more than minimal harm

32. DF0791Provide or obtain dental services for each resident.2023-09-29 · Health · corrected 2023-11-06

    Potential for more than minimal harm

33. FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2023-09-29 · Health · corrected 2023-11-06

    Potential for more than minimal harm

34. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-29 · Health · corrected 2023-11-06

    Potential for more than minimal harm

35. FF0880Provide and implement an infection prevention and control program.2023-09-29 · Health · corrected 2023-11-06

    Potential for more than minimal harm

36. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2023-09-29 · Health · corrected 2023-11-06

    Potential for more than minimal harm

37. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2021-11-16 · Health · corrected 2022-01-13

    Potential for more than minimal harm

38. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2021-11-16 · Health · corrected 2022-01-13

    Potential for more than minimal harm

39. DF0558Reasonably accommodate the needs and preferences of each resident.2021-11-16 · Health · corrected 2022-01-13

    Potential for more than minimal harm

40. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2021-11-16 · Health · corrected 2022-04-22

    Potential for more than minimal harm

41. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2021-11-16 · Health · corrected 2022-01-13

    Actual harm

42. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2021-11-16 · Health · corrected 2022-04-22

    Potential for more than minimal harm

43. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2021-11-16 · Health · corrected 2022-01-13

    Potential for more than minimal harm

44. DF0610Respond appropriately to all alleged violations.2021-11-16 · Health · corrected 2022-01-13

    Potential for more than minimal harm

45. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-11-16 · Health · corrected 2022-04-22

    Potential for more than minimal harm

46. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-11-16 · Health · corrected 2022-04-22

    Potential for more than minimal harm

47. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2021-11-16 · Health · corrected 2022-04-22

    Potential for more than minimal harm

48. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-11-16 · Health · corrected 2022-02-25

    Actual harm

49. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-11-16 · Health · corrected 2022-01-17

    Actual harm

50. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-11-16 · Health · corrected 2022-01-13

    Actual harm

51. GF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2021-11-16 · Health · corrected 2022-01-13

    Actual harm

52. HF0692Provide enough food/fluids to maintain a resident's health.2021-11-16 · Health · corrected 2022-01-13

    Actual harm

53. GF0693Ensure 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.2021-11-16 · Health · corrected 2022-01-13

    Actual harm

54. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2021-11-16 · Health · corrected 2022-01-13

    Potential for more than minimal harm

55. GF0695Provide safe and appropriate respiratory care for a resident when needed.2021-11-16 · Health · corrected 2022-02-25

    Actual harm

56. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2021-11-16 · Health · corrected 2022-04-22

    Potential for more than minimal harm

57. DF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2021-11-16 · Health · corrected 2022-02-25

    Potential for more than minimal harm

58. DF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2021-11-16 · Health · corrected 2022-04-22

    Potential for more than minimal harm

59. IF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2021-11-16 · Health · corrected 2022-01-13

    Actual harm

60. FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2021-11-16 · Health · corrected 2022-01-13

    Potential for more than minimal harm

61. FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2021-11-16 · Health · corrected 2022-01-13

    Potential for more than minimal harm

62. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2021-11-16 · Health · corrected 2022-01-13

    Potential for more than minimal harm

63. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2021-11-16 · Health · corrected 2022-02-25

    Potential for more than minimal harm

64. 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.2021-11-16 · Health · corrected 2022-04-22

    Potential for more than minimal harm

65. DF0761Ensure 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.2021-11-16 · Health · corrected 2022-01-13

    Potential for more than minimal harm

66. GF0790Provide routine and 24-hour emergency dental care for each resident.2021-11-16 · Health · corrected 2022-01-13

    Actual harm

67. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2021-11-16 · Health · corrected 2022-02-25

    Potential for more than minimal harm

68. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-11-16 · Health · corrected 2022-04-22

    Potential for more than minimal harm

69. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2021-11-16 · Health · corrected 2022-01-13

    Potential for more than minimal harm

70. FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2021-11-16 · Health · corrected 2022-01-13

    Potential for more than minimal harm

71. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-11-16 · Health · corrected 2022-01-13

    Potential for more than minimal harm

72. 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.2021-11-16 · Health · corrected 2022-01-13

    Potential for more than minimal harm

73. FF0880Provide and implement an infection prevention and control program.2021-11-16 · Health · corrected 2022-02-25

    Potential for more than minimal harm

74. FF0881Implement a program that monitors antibiotic use.2021-11-16 · Health · corrected 2022-01-13

    Potential for more than minimal harm

75. FF0886Perform COVID19 testing on residents and staff.2021-11-16 · Health · corrected 2022-01-13

    Potential for more than minimal harm

76. EF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2021-11-16 · Health · corrected 2022-01-13

    Potential for more than minimal harm

Ownership

Other facilities in PLYMOUTH

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