Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
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 Linden Ponds during CMS and state inspections, most recent first.
A resident with severe cognitive impairment, right-sided hemiparesis, and multiple comorbidities had an individualized care plan and care card requiring total dependence on two staff for bathing, dressing, and bed mobility. A CNA who was familiar with the resident’s needs provided in-bed dressing care alone, despite knowing that two-person assistance was required. While turning the resident and pulling up pants, the resident slid off the bed, landed face down on the floor, and sustained a forehead laceration that required suturing in the ED.
A resident with severe cognitive impairment and multiple comorbidities, care planned as totally dependent and requiring a two-person assist for bathing, dressing, and bed mobility, was being provided morning care in bed by a single CNA. While the CNA turned the resident toward her near the edge of the bed and attempted to pull up the resident’s pants, the resident slid off the bed and landed face down on the floor, sustaining a forehead laceration that required suturing in the ED. Facility policies on fall management and lifting/bed mobility required assessment of assistance needs and communication of the required number of staff, and the resident’s care plan and care card clearly indicated the need for two staff; however, only one staff member was present and providing care at the time of the incident.
A resident with severe cognitive impairment reported being physically abused by a CNA, resulting in visible bruising. Although the allegation was promptly reported internally and investigated, administration failed to notify law enforcement of the suspected abuse until several weeks later, contrary to policy and regulatory requirements.
The facility failed to securely store medications, leaving them unattended in six residents' rooms. Medications were found on top of locked cabinets and in unlocked drawers, contrary to the facility's policy requiring secure storage. The DON confirmed that all prescription medications should be locked unless residents are assessed to self-administer.
Failure to Follow Two-Person Assistance Care Plan Resulting in Resident Fall and Injury
Penalty
Summary
The deficiency involves the facility’s failure to ensure staff consistently implemented and followed an individualized comprehensive care plan requiring two staff members to assist a resident with bathing, dressing, and bed mobility. The facility’s own policies stated that each resident would have an individualized, person-centered care plan developed by the interdisciplinary team, and that care plans and associated care cards would guide direct care staff in providing care. The resident’s care plan and care card both specified total dependence on two staff members for bathing, dressing, and bed mobility. The resident involved had been admitted in October 2024 with multiple diagnoses, including dementia, cerebrovascular accident with right-sided hemiparesis, osteoarthritis, coronary artery disease, atrial fibrillation, hypertension, hyperlipidemia, and muscle weakness. A quarterly MDS assessment documented that the resident was severely cognitively impaired, with a BIMS score of 00, and was dependent on staff for bathing, dressing, and bed mobility. The resident’s care plan, dated 01/09/26, and the resident care card, which served as a quick reference for direct care staff, both indicated that the resident required the assistance of two staff members for these activities. On the morning of 01/14/26, a care associate assigned to the resident provided care and attempted to dress the resident in bed without obtaining assistance from a second staff member, despite knowing from the care card and her prior experience that two-person assistance was required for bed mobility and in-bed care. While the care associate was turning the resident and pulling on the resident’s pants, the resident slid off the bed and landed face down on the floor. A nurse responded to the care associate’s call for help and found the resident face down on the floor, bleeding from a laceration above the right eyebrow. The resident was assessed, found to have a 2.5 cm laceration on the right forehead, and was transferred to the hospital emergency department, where the wound was repaired with seven sutures. Interviews with the nurse and the care associate confirmed that the care associate was alone in the room at the time of the incident and did not follow the two-person assistance intervention specified in the resident’s care plan and care card.
Failure to Follow Two-Person Assist Requirements During Bed Mobility Resulting in Fall and Head Laceration
Penalty
Summary
The deficiency involves the facility’s failure to ensure a resident who required the assistance of two staff members for bathing, dressing, and bed mobility was provided with that level of assistance during care, resulting in a fall and injury. The facility had policies on Fall Management and on Lifting, Transfer and Bed Mobility that required residents to be assessed for mobility needs, have individualized care plans, and have the type and level of assistance (including number of staff required) communicated to staff and reflected in the care plan and care card. For this resident, the care plan and resident care card both specified total dependence with assistance of two staff members for bathing, dressing, and bed mobility. The resident’s MDS assessment documented severe cognitive impairment (BIMS score of 00) and dependence on staff for these ADLs. On the date of the incident, a care associate assigned to the resident provided morning care and repositioning while the resident was in bed. The care associate reported that she turned the resident onto his/her back, put pants on up to the ankles, then turned the resident toward her near the edge of the bed and began to pull up the pants. At that point, the resident slid off the bed and landed face down on the floor. The care associate stated that the resident hit his/her head on the floor and began bleeding from above the right eyebrow. She immediately applied pressure with a towel and called out for help. The nurse on duty heard the call for help, went to the room, and found the resident lying face down on the floor near the bed with profuse bleeding from a laceration above the right eyebrow. The nurse assessed the resident, applied pressure to the laceration, and emergency protocols were initiated, with the resident transferred to the hospital ED. Hospital documentation indicated the resident presented after a fall at the facility with a 2.5 cm laceration to the right forehead that required closure with seven sutures. In interviews, the care associate acknowledged she knew the resident required two staff members for bed mobility and in-bed care but provided care alone and did not request assistance. The nurse and the DON both confirmed that the resident required two-person assistance for bathing, dressing, and bed mobility as indicated on the care plan and care card, and that only one staff member was present in the room at the time of the incident. The DON stated that the care associate did not follow the resident’s care plan, resident care card, or facility policy, leading to the incident in which the resident slid from the bed to the floor and sustained a head laceration. The facility’s Fall Management policy defined a fall as any event resulting in the resident coming to rest unintentionally on the floor or a lower level when found on the floor, and required assessment of residents for fall risk and development of individualized care plans with fall prevention protocols. The Lifting, Transfer and Bed Mobility policy required that bed mobility be assessed as one-person or two-or-more-person assist, and that the type and level of assistance, including number of staff required for bed mobility and transfers, be communicated to staff and reflected in the care plan. Despite these policies and the documented requirement for two-person assistance, the resident was turned and repositioned near the edge of the bed by a single care associate, which directly preceded the resident sliding off the bed and sustaining the injury.
Failure to Timely Report Suspected Abuse to Law Enforcement
Penalty
Summary
On 03/20/25, a resident with Alzheimer's disease, severe cognitive impairment, agitation, and depression reported to a CNA that another CNA had physically abused them during a transfer. The allegation was immediately reported up the chain of command, with the nurse notifying administration the same day. A skin check revealed three small bruises on the resident's right thigh. The facility's investigation led to the suspension and subsequent termination of the accused CNA based on the findings. Despite being aware of the allegation and the facility's policy requiring immediate reporting of suspected abuse to authorities, administration did not notify local law enforcement of the reasonable suspicion of a crime until 04/15/25, the day of the survey. The delay in reporting to law enforcement was contrary to both facility policy and the requirements under the Elder Justice Act, which mandates timely notification to state agencies and law enforcement in cases of suspected abuse.
Medication Storage Deficiency
Penalty
Summary
The facility failed to ensure that all drugs and biologicals were stored securely as required, leading to medications being left unattended in the rooms of six residents. The facility's policy on medication management, which includes proper storage, was not adhered to. Medications were observed on top of locked medication cabinets and in unlocked drawers in residents' rooms, contrary to the facility's policy that requires all prescription medications to be locked in the medication cabinet unless a resident is assessed to self-administer medications. Specific observations included a box of Lidoderm patches in one resident's room, various medications such as Albuterol, Benefiber, and Aspercreme in another, and multiple bottles of Nystatin in a third resident's room. Additionally, medications like guaifenesin and polyethylene glycol were found in unlocked cabinets, and blister packs of mirtazapine and pantoprazole were left on top of medication cabinets. In one instance, a medication cabinet was found unlocked with multiple blister packages and a box of Albuterol inside. The Director of Nurses confirmed that all prescription medications should be locked unless the resident is assessed to self-administer, indicating a lapse in adherence to the facility's medication storage policy.
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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 Hingham
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Queen Anne Nursing Home, Inc | 1.1 mi | — | 0 | 0 |
| Care One At Weymouth | 1.6 mi | — | 11 | 0 |
| Southwood At Norwell Nursing Ctr | 2.5 mi | — | 9 | 0 |
| Dwyer Home | 2.8 mi | — | 0 | 0 |
| Royal Norwell Nursing & Rehabilitation Center Llc | 3.2 mi | — | 10 | 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.