Juniper Village at Brookline - Wellspring Memory Care.

“The home failed to immediately report suspected resident abuse to the Area Agency on Aging. A visitor reported concerns about staff person B using profanity in the shower room with a resident, but the home did not immediately notify the Area Agency on Aging as required by the Older Adult Protective Services Act.”

“The home failed to immediately develop and implement a plan of supervision or suspend staff person B involved in the alleged abuse incident involving profanity use in the shower room with a resident.”

“The home failed to notify the Department's regional office of the incident within 24 hours as required. The incident involved a visitor reporting concerns about staff person B using profanity in the shower room with a resident.”

“Resident refused to take scheduled medications on multiple dates and times (6:00 a.m., 2:00 p.m., and 8:00 p.m. doses) across multiple date ranges, and medication errors were not immediately reported to the resident's designated person and prescriber as required.”

“Resident with history of dangerous behaviors admitted to facility. Between admission and an incident date, resident refused medications on 20 occasions, threatened and physically assaulted staff members on multiple dates, and gained access to unsecured construction tools area where resident attacked and injured staff members with a box cutter and wooden spoon, placing other residents at risk for harm.”

“Medication administration record for a resident indicated medications were held at 8:00 p.m. in September 2025 without documentation of the reason for the hold.”

“Resident prescribed medications to be administered at 8:00 p.m. were not administered as prescribed on a specific date. This is cited as a repeat violation.”

“The facility has 4 natural gas furnaces located at the end of hallways without CO detectors in close proximity (within 15 feet) as required by The Care Facility Carbon Monoxide Alarm Standards Act.”

“The medication administration record for resident #3 indicated a glucose reading of 97 on 3-31-24 at 8:11am that could not be located on the resident's glucometer.”

“Resident #3 has an order for blood glucose readings twice daily; however, the medication administration record indicated a glucose reading of 97 on 3-31-24 at 8:11am with no corresponding reading documented in the glucometer.”

“Resident #1 who passed away was charged for care services until room clearance and was refunded only $369.03 instead of the full remainder of previously paid charges ($1,430.00).”

“Direct care staff member has a translated college diploma without documentation showing equivalency to a US High School Diploma, and no waiver is in place.”

“An unlocked cupboard cabinet in Hallway C contained personal hygiene items including a 33.8-ounce bottle of mouthwash with a warning label indicating toxicity, accessible to residents.”

“The resident in room 101 did not have an operable lamp or other source of lighting that could be turned on at bedside.”

“The main kitchen refrigerator contained 4 bags of uncooked pork chops in resealable plastic bags without date of first opened or expiration dates labeled.”