F561 in Massachusetts. Pick another state for the same tag.
Against expectation — 2025
Massachusetts cites F561 less often than its own record predicts
Versus expected share0.60×
0.60 times the national share — cited less often here than elsewhere.
Share of Massachusetts citations0.23%
Of every deficiency written in Massachusetts in 2025, this is the portion that was F561.
Massachusetts0.23%
National0.38%
Share of all citations that were F561.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F561 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, isolatedNovember 23, 2022
Based on records reviewed and interviews for one of three sampled residents (Resident #1), whose elected code status and had a Physician's Order for a Do Not Resuscitate (DNR, medical order written by a physician, it instructs healthcare providers not to do cardiopulmonary resuscitation if a patients breathing stops or if patients heart stops beating) the Facility failed to ensure nursing staff honored his/her right to self-determination related to his/her choice of Advanced Directives. …
Based on records reviewed and interviews for one of three sampled residents (Resident #1), whose Advanced Directives and Physician's Orders indicated his/her elected code status was Do Not Resuscitate (DNR, medical order written by a physician, which instructs healthcare providers not to do cardiopulmonary resuscitation, in the event of cardiac or respiratory arrest) and Do Not Intubate (DNI, medical order written by a physician, which instructs healthcare providers not to place a tube down the patient's throat or connect to a breathing machine that pumps air into and out of lungs), the Facility failed to ensure nursing staff honored his/her right to self-determination related to his/her choice of Advanced Directives. …
D · No harm, potential for more than minimal, isolatedMarch 5, 2026
Based on observation, record review and interview, the facility failed to promote resident rights to make choices about aspects of his/her life in the facility that are significant for one Resident (#134) out of a total of 37 sampled Residents. Specifically, the facility failed to allow Resident #134, an alert and oriented resident who is responsible for their own decision making, to leave the premises independently. Findings include:Review of the facility policy titled Resident Rights, undated, indicated:1. Federal and state laws guarantee certain basic rights to all residents of this facility.-These rights include the resident's right to:-a. a dignified existence-e. self-determination. …
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