F559 in Massachusetts. Pick another state for the same tag.
Against expectation — 2025
Massachusetts cites F559 less often than its own record predicts
Versus expected share0.70×
0.70 times the national share — cited less often here than elsewhere.
Share of Massachusetts citations0.08%
Of every deficiency written in Massachusetts in 2025, this is the portion that was F559.
Massachusetts0.08%
National0.11%
Share of all citations that were F559.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F559 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.
D · No harm, potential for more than minimal, isolatedMarch 25, 2025
Based on interview, and record review, the facility failed to ensure written notification was provided for two Residents (#40 and #199) out of a total of 36 residents, who experienced room and/or roommates changes.
Specifically,
1. For Resident #40, the facility failed to provide written notification when the Resident had several roommate changes after his/her roommate/ significant other (SO) passed away.
2. For Resident #199, the facility failed to notify and provide written notification to the Resident when two separate room changes occurred within a timeframe of less than one week. …
B · No harm, potential for minimal, patternAugust 12, 2024
Based on record review, policy review and interviews the facility failed to provide written notice, including the reason for the change, before the resident's room or roommate in the facility is changed for one Resident (#35), out of a total sample of 39 residents.
Findings include:
Review of the facility policy, titled Room Change, dated as revised 10/22, indicated changes in room or roommate assignment shall be made when the resident or their representative requests the change or the facility deems in necessary. The facility will attempt to limit room changes unless otherwise requested by the resident or the resident's representative.
3. When a resident room change is occurring, the resident being moved or their representative, will be informed of the room change.
a. …
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