Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 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 Seven Hills Pediatric Center during CMS and state inspections, most recent first.
A resident with developmental and intellectual delay, hypotonia, and a well-known history of mouthing objects was documented as requiring direct supervision while in a wheelchair but was left in a common room playing with a battery-operated doll without continuous staff oversight. The doll’s battery compartment was unsecured, and staff later found the compartment open with a battery missing after the resident gagged and appeared to choke. Staff interviews revealed inconsistent understanding of what “direct supervision” meant, acknowledgment that the resident’s toys varied in safety (some sewn shut, others not), and lack of a clear process for inspecting toys brought in by family. The facility’s investigation concluded that the toy was unsafe and that the resident’s required level of direct supervision had not been provided, and hospital records confirmed the resident had ingested a battery that required removal via endoscopy.
A resident with mitochondrial disorder, developmental and intellectual delay, and hypotonia, who was well known by staff to be highly sensory seeking and to frequently place objects in the mouth, did not have a comprehensive care plan addressing this oral-seeking behavior, choking risk, or required supervision level. While seated in a common room playing with a battery-powered doll, the resident exhibited choking/gagging, and one AA battery from the toy was found missing; hospital evaluation confirmed a battery in the abdomen, removed via endoscopy. Surveyors later observed the resident with a toy rubber ring and a toy rubber carrot in the mouth, and staff interviews confirmed the long-standing behavior and need for direct supervision, while also revealing that the MDS department did not typically include supervision levels or specific behaviors in the care plan.
Failure to Provide Direct Supervision and Safe Toys for Resident With Mouthing Behavior
Penalty
Summary
The deficiency involves the facility’s failure to ensure an area was free from accident hazards and to provide adequate supervision to prevent an accident for a resident with a known history of mouthing objects. The resident, admitted with a mitochondrial disorder resulting in developmental and intellectual delay and hypotonia, was documented as requiring direct supervision when in a wheelchair. On the day of the incident, the resident was seated in a common/community room in a wheelchair, playing with a battery-powered musical doll. The doll’s rear Velcro pouch was open, the back cap of the battery pack was off, and one of two AA batteries was missing. Staff observed the resident gagging/coughing and appearing as if choking, and an emergent assessment was requested from the NP due to concern for battery ingestion. The facility’s own investigation concluded that the toy was not safe because the screw to the battery compartment was either missing or failed, and that there was documentation supporting the resident’s need for direct supervision in the wheelchair, which did not appear to have been provided at the time of the incident. CNA #1, who was assigned to the resident, reported seeing the resident playing with the musical doll in the community room and leaving the resident there to attend to other assigned residents. CNA #2, who was providing 1:1 supervision to another resident, stated that while he could see this resident, he was not supervising them and that direct supervision could mean either 1:1 or being within arm’s length, indicating inconsistent understanding of supervision requirements. The NP and nursing staff were unable to locate the missing battery on the resident’s person or in the environment, and hospital records later confirmed a battery in the resident’s abdomen, which was removed via endoscopy. Interviews with multiple staff members showed that the resident was well known for frequently putting items and toys in the mouth, and that some of the resident’s battery-operated toys had been sewn shut while others were not. There was no clear process to determine whether facility staff or the resident’s parents/guardians were responsible for ensuring toys were made safe, and the ADON stated that toys brought in by the family were not inspected by nursing staff unless electronic. The ADON and Administrator both acknowledged that the resident had always required direct supervision in the wheelchair and that there was a lapse in the required level of direct staff supervision at the time of the incident. At the time of the survey, the facility did not have a policy defining different levels of staff supervision, and staff expressed uncertainty about whether “direct supervision” meant constant 1:1 observation or proximity-based monitoring.
Failure to Care Plan for Resident’s Known Oral-Seeking Behavior and Supervision Needs
Penalty
Summary
The deficiency involves the facility’s failure to develop and implement a comprehensive, individualized care plan addressing a developmentally delayed resident’s known behavior of placing objects in the mouth, associated choking risks, and required level of supervision. The facility’s admission assessment policy required initial and ongoing assessments to obtain information necessary to develop and maintain an individualized interdisciplinary plan of care. Despite this, review of the resident’s comprehensive care plans showed no documentation of the resident’s oral-seeking behavior, the risk of choking related to this behavior, or the specific level of staff supervision needed to maintain safety. The resident, admitted in 2016 with mitochondrial disorder, developmental and intellectual delay, and hypotonia, was well known to multiple staff as being “very sensory seeking” and frequently gumming or putting items, including toys and fingers, in the mouth. On the date of the incident, the resident was seated in a common room playing with a battery-powered doll when staff requested emergent assessment from the NP due to concerns for choking/gagging and possible AA battery ingestion. The toy’s rear Velcro pouch was found open, the battery pack cap was off, and one of two AA batteries was missing; a search of the resident and environment did not locate the missing battery. Hospital records confirmed a battery in the resident’s abdomen, which was removed via endoscopy. Subsequent surveyor observations documented the resident in a classroom with a toy rubber ring in the mouth and later in a common room with a toy rubber carrot in the mouth. Interviews with the MDS nurse, NP, CNA, and ADON confirmed that the resident routinely put items in the mouth and that the resident had always required direct supervision when in a wheelchair, yet the MDS department did not typically include supervision levels or specific behaviors in the comprehensive care plan, and these needs were not reflected in the resident’s plan of care.
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Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Groton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ayer Valley Rehab And Nursing | 2.4 mi | — | 0 | 0 |
| Life Care Center Of Nashoba Valley | 7.3 mi | — | 0 | 0 |
| Westford Nursing And Rehabilitation Center | 8.2 mi | — | 0 | 0 |
| Keystone Center | 9.4 mi | — | 6 | 0 |
| Nashua Post Acute Care | 9.8 mi | — | 13 | 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.