Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Alliance Health At Maples during CMS and state inspections, most recent first.
A resident identified as a high fall risk and on anticoagulant medication experienced five falls in a month, resulting in a subarachnoid hemorrhage. Despite being on a fall prevention care plan, the facility failed to provide adequate supervision and implement effective interventions, leading to repeated falls. Staff interviews revealed inconsistencies in supervision and care plan adherence, with 1:1 supervision only implemented after a serious injury occurred.
A resident with severe cognitive impairment and on anticoagulant therapy experienced a fall resulting in a subarachnoid hemorrhage. The Nurse Practitioner ordered the discontinuation of the anticoagulant, but the facility failed to notify the resident's representative of this change, contrary to their policy requiring prompt communication of condition changes.
A facility failed to provide a complete discharge summary for a resident discharged to an Assisted Living Facility. The discharge paperwork lacked essential information such as admission and discharge dates, diagnosis, and physician signature. Staff interviews revealed that while a Continuity of Care Document was reviewed with the resident, the discharge plan of care was not completed, and the physician did not finalize the discharge summary.
The facility failed to ensure timely AIMS assessments and proper documentation for PRN psychotropic medication use for two residents. One resident did not receive a timely AIMS assessment for antipsychotic medication, while another had PRN Trazodone orders without re-evaluation or clinical rationale. Staff interviews confirmed these deficiencies.
Inadequate Supervision Leads to Multiple Falls and Injury
Penalty
Summary
The facility failed to provide adequate supervision and implement effective interventions for a resident identified as a high fall risk, who was also on anticoagulant medication. This resident experienced five falls within a month, one of which resulted in a subarachnoid hemorrhage. The facility's Fall Management Program required a systematic approach to prevent falls, including individualized interventions based on assessments and clinical conditions. However, despite being identified as high risk, the resident's care plan and interventions were not adequately updated or implemented to prevent these falls. The resident, admitted in May 2024, had severe cognitive impairment, a history of repeated falls, and was on multiple medications, including anticoagulants. The resident's fall risk assessment indicated a high risk for falls, and referrals to physical and occupational therapy were deemed appropriate. Despite this, the resident experienced multiple falls, some unwitnessed, and the interventions in place, such as encouraging the use of a walker and providing supervision, were not effectively executed by the staff. Interviews with staff revealed inconsistencies in supervision and a lack of adherence to the care plan. The resident was often left unsupervised, leading to falls, and staff failed to ensure the resident used a walker as recommended. It was only after the resident sustained a serious injury from a fall that 1:1 supervision was implemented. The facility's failure to provide adequate supervision and update care plans in a timely manner contributed to the resident's repeated falls and subsequent injury.
Failure to Notify Resident Representative of Treatment Change
Penalty
Summary
The facility failed to notify the Resident Representative of a change in treatment for a resident who had a significant medical event. The resident, who had severe cognitive impairment and was on anticoagulant therapy with Lovenox for a splenic infarct, experienced a fall that resulted in a subarachnoid hemorrhage. Following this incident, the Nurse Practitioner ordered the discontinuation of the anticoagulant medication due to the increased risk of intracranial hemorrhage associated with falls while on such medication. Despite the facility's policy requiring prompt notification of the physician, resident, and family regarding changes in condition, the medical record did not indicate that the Resident Representative was informed of the discontinuation of Lovenox. During interviews, the Resident Representative confirmed they were not notified, and the Unit Manager acknowledged that while she usually documents such notifications, she may have missed informing the Resident Representative in this instance.
Incomplete Discharge Documentation for Resident
Penalty
Summary
The facility failed to document a comprehensive discharge summary for a resident, identified as Resident #88, who was discharged to an Assisted Living Facility. The discharge paperwork was missing critical information, including the date and time of admission and discharge, admitting diagnosis, a brief history of the nursing home stay, the resident's condition at the time of discharge, discharge destination, final diagnosis, prognosis, date, and physician signature. This lack of documentation was identified during a review of the resident's medical record and was confirmed through staff interviews. Interviews with facility staff, including a Unit Manager, Social Worker, and the Director of Nurses, revealed that the discharge process involved printing a Continuity of Care Document and reviewing it with the resident or their representative. However, no additional assessments or observations were completed, and the discharge plan of care was not finalized at the time of discharge. The physician did not complete the discharge summary and recapitulation, and there was a belief that the physician had approximately 30 days to complete this documentation, which contributed to the deficiency.
Failure to Monitor Psychotropic Medication Use
Penalty
Summary
The facility failed to ensure that two residents' drug regimens were free from unnecessary psychotropic medications. For one resident, the facility did not complete an Abnormal Involuntary Movement Scale (AIMS) assessment in a timely manner, as required by standards of practice. This resident, who was admitted with diagnoses including major depressive disorder, psychosis, and unspecified dementia, was receiving an antipsychotic medication regularly. The last AIMS assessment was completed in September 2023, but the subsequent assessment due in March 2024 was not conducted. For another resident, the facility did not limit the use of as-needed (PRN) antidepressant medication to 14 days or provide a documented clinical rationale for its continued use beyond this period. This resident, admitted with diagnoses including dementia with behavioral disturbance and anxiety, had PRN orders for Trazodone that were not re-evaluated or documented with a clinical rationale for continued use. The PRN Trazodone was administered several times from March to May 2024, but there was no indication of an evaluation or clinical rationale documented in the medical record. Interviews with facility staff, including the Unit Manager and Director of Nursing, confirmed the lack of timely AIMS assessments and the absence of documentation for the PRN Trazodone orders. The facility's policies on psychotropic medication management and AIMS assessments were not adhered to, resulting in these deficiencies.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Wrentham
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Serenity Hill Nursing Center | 1.7 mi | — | 0 | 0 |
| Cedarwood Gardens | 3.3 mi | — | 0 | 0 |
| Mount St Rita Health Centre | 5.2 mi | — | 8 | 0 |
| Madonna Manor Nursing Home | 5.5 mi | — | 6 | 0 |
| Medway Country Manor Skilled Nursing & Rehabilitat | 7.9 mi | — | 9 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.