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Public Record

Pope Nursing Home

Nursing HomeWeymouth, MACMS 225613
70 citations on record

From CMS

Facility profile

CMS overall rating
1 / 5

*CMS Five-Star

Certified beds
49

*CMS

Avg. residents per day
37.9

*CMS

Inspection record

On record from CMS

Citations on record
70

*CMS

Inspections on file
6

*CMS

Last inspection
2025-04-22

*CMS

Citations

70 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0607Generalpotential for harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  • 0658Generalpotential for harm

    Ensure services provided by the nursing facility meet professional standards of quality.

  • 0694Generalpotential for harm

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

  • 0699Generalpotential for harm

    Provide care or services that was trauma informed and/or culturally competent.

  • 0726Generalpotential for harm

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

  • 0727Generalpotential for harm

    Have 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.

  • 0758Generalpotential for harm

    Implement 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.

  • 0761Generalpotential for harm

    Ensure 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.

  • 0801Generalpotential for harm

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0814Generalpotential for harm

    Dispose of garbage and refuse properly.

  • 0838Generalpotential for harm

    Conduct 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.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0947Generalpotential for harm

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

  • 0161Generalpotential for harm

    Use approved construction type or materials.

  • 0006Generalpotential for harm

    Conduct risk assessment and an All-Hazards approach.

  • 0007Generalpotential for harm

    Address patient/client population and determine types of services needed.

  • 0009Generalpotential for harm

    Include a process for Emergency Preparedness collaboration.

  • 0018Generalpotential for harm

    Establish procedures for tracking staff and patients during an emergency.

  • 0020Generalpotential for harm

    Establish policies and procedures including evacuation.

  • 0022Generalpotential for harm

    Establish policies and procedures for sheltering.

  • 0036Generalpotential for harm

    Establish emergency prep training and testing.

  • 0037Generalpotential for harm

    Establish staff and initial training requirements.

  • 0039Generalpotential for harm

    Conduct testing and exercise requirements.

  • 0222Generalpotential for harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

  • 0225Generalpotential for harm

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

  • 0232Generalpotential for harm

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

  • 0241Generalpotential for harm

    Have correct number of accessible exits for each story.

  • 0271Generalpotential for harm

    Have exits that are accessible at all times.

  • 0311Generalpotential for harm

    Have an enclosure around a vertical opening shaft.

  • 0345Generalpotential for harm

    Have approved installation, maintenance and testing program for fire alarm systems.

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0521Generalno actual harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  • 0711Generalpotential for harm

    Provide a written emergency evacuation plan.

  • 0712Generalpotential for harm

    Have simulated fire drills held at unexpected times.

  • 0918Generalpotential for harm

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0225Generalpotential for harm

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

  • 0241Generalpotential for harm

    Have correct number of accessible exits for each story.

  • 0271Generalpotential for harm

    Have exits that are accessible at all times.

  • 0291Generalpotential for harm

    Install emergency lighting that can last at least 1 1/2 hours.

  • 0300Generalpotential for harm

    Meet other general requirements that are deficient.

  • 0311Generalpotential for harm

    Have an enclosure around a vertical opening shaft.

  • 0345Generalpotential for harm

    Have approved installation, maintenance and testing program for fire alarm systems.

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0712Generalpotential for harm

    Have simulated fire drills held at unexpected times.

  • 0918Generalpotential for harm

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0232Generalpotential for harm

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

  • 0584Generalpotential for harm

    Honor 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.

  • 0689Generalpotential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0161Generalpotential for harm

    Use approved construction type or materials.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0842Generalpotential for harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • 0004Generalpotential for harm

    Develop and maintain an Emergency Preparedness Program (EP).

  • 0020Generalpotential for harm

    Establish policies and procedures including evacuation.

  • 0041Generalpotential for harm

    Implement emergency and standby power systems.

  • 0223Generalpotential for harm

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

  • 0161Generalpotential for harm

    Use approved construction type or materials.

  • 0225Generalpotential for harm

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

  • 0232Generalpotential for harm

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

  • 0241Generalpotential for harm

    Have correct number of accessible exits for each story.

  • 0271Generalpotential for harm

    Have exits that are accessible at all times.

  • 0311Generalpotential for harm

    Have an enclosure around a vertical opening shaft.

  • 0363Generalpotential for harm

    Install corridor and hallway doors that block smoke.

  • 0712Generalpotential for harm

    Have simulated fire drills held at unexpected times.

  • 0918Generalpotential for harm

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0551Generalpotential for harm

    Give the resident's representative the ability to exercise the resident's rights.

  • 0552Generalpotential for harm

    Ensure that residents are fully informed and understand their health status, care and treatments.

  • 0567Generalpotential for harm

    Honor the resident's right to manage his or her financial affairs.

  • 0568Generalpotential for harm

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

  • 0578Generalpotential for harm

    Honor 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.

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

FAQ

Questions and answers

What is Pope Nursing Home?
Pope Nursing Home is a Medicare- and Medicaid-certified nursing home in Weymouth, MA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 225613.
What is the CMS rating for Pope Nursing Home?
Pope Nursing Home has a CMS overall rating of 1 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Pope Nursing Home have?
Pope Nursing Home is certified for 49 beds. It serves an average of 37.9 residents per day.
How many citations does Pope Nursing Home have?
Pope Nursing Home has 70 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Pope Nursing Home last inspected?
Pope Nursing Home was last inspected on April 22, 2025. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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