F550 in Massachusetts. Pick another state for the same tag.
Against expectation — 2025
Massachusetts cites F550 more often than its own record predicts
Versus expected share1.10×
1.10 times the share F550 takes of citations nationally.
Share of Massachusetts citations2.35%
Of every deficiency written in Massachusetts in 2025, this is the portion that was F550.
Massachusetts2.35%
National2.13%
Share of all citations that were F550.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F550 findings written in Massachusetts, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
J · Immediate jeopardy, isolatedOctober 3, 2018
Based on interviews, observations and records reviewed, for one of three sampled residents (Resident #1), the Facility failed to ensure that five staff members (Nurses #1 and #2 and Certified Nurse Aides #1, #2 and #3) treated Resident #1 with respect and dignity when:
- On 9/15/18, between 7:00 P.M. and 11:00 P.M., in response to Resident #1's repeated attempts to stand up from his/her wheelchair and after a fall, Nurses #1 and #2 placed Resident #1 on a mat on the floor, dressed only in an incontinence brief. …
Based on interviews and records reviewed, for one of three sampled residents (Resident #1) the Facility failed to ensure Resident #1's dignity was maintained and that he/she was treated with respect, when after he/she refused a bed bath, and insisted on taking a shower, Certified Nurse Aide (CNA) #1 took him/her in for the shower and then sprayed water in his/her face, said words to the effect of, there, there is your shower. Resident #1 was upset by the incident and reported it to the social worker.
Findings include.
Resident #1's most recent Minimum Data Set (MDS) Assessment Form, completed 8/14/20, indicated that his/her cognitive patterns were intact and he/she was dependent on the assistance of staff members with bathing.
During an interview at 10:00 A.M. …
D · No harm, potential for more than minimal, isolatedJuly 14, 2026
Based on records reviews and interviews, for one of three sampled residents (Resident #1), who was alert and able to make his/her needs known, the Facility failed to ensure he/she was treated in a respectful and dignified manner by staff, when Certified Nurse Aide (CNA) #1 was witnessed engaging in an interaction with Resident #1 that was unprofessional and per Resident #1, resulted in him/her being embarrassed while in the company of other residents.Findings include:Review of the Facility's Policy titled Residents Rights, dated March 2019, indicated employees shall treat all residents with kindness, respect, and dignity. The Policy indicated residents' rights included the right to a dignified existence. …
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