F557 in Massachusetts. Pick another state for the same tag.
Against expectation — 2025
Massachusetts cites F557 more often than its own record predicts
Versus expected share2.29×
2.29 times the share F557 takes of citations nationally.
Share of Massachusetts citations0.54%
Of every deficiency written in Massachusetts in 2025, this is the portion that was F557.
Massachusetts0.54%
National0.24%
Share of all citations that were F557.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F557 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.
G · Actual harm, isolatedJuly 5, 2023
Based on records reviewed and interviews, for one of three sampled residents (Resident #1) who was cognitively intact, made his/her own decisions, who resided in a room where he/she occupied and enjoyed having the bed closest to the window, the Facility failed to ensure he/she was treated in a dignified and respectful manner, when on 06/08/23 at approximately 2:30 P.M., while Resident #1 was off the unit and outside the facility participating in a scheduled smoke break, Unit Manager #1 directed unit staff to change his/her room (which included moving all of his/her personal belongs) to one in which he/she would then occupy the bed closest to the door. …
D · No harm, potential for more than minimal, isolatedAugust 4, 2026
Based on records reviewed and interviews, for one of three sampled residents (Resident #1) who was cognitively intact, the Facility failed to ensure he/she was treated in a dignified and respectful manner, when on 06/22/26, Ombudsman #2 witnessed the Administrator interact with Resident #1 in a demeaning and condescending manner.Findings include:Review of the Facility Resident Rights Policy, dated 2026, indicated the Facility will ensure the preservation of every resident's right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility. …
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