Based on a resident group meeting, staff interviews, and record review, the facility failed to ensure grievances and concerns from the Resident Council were acted upon to resolve the identified nursing concerns related to call light response times, customer service, and use of cell phones/earbuds by staff during care/shifts. Findings include:Review of the facility's policy titled Resident Council, dated as revised in 10/2015, indicated but was not limited to the following:- It is the policy of this home that the Recreation Department will provide support and assistance in the formation of a Resident Council.- The residents will have an opportunity to express their concerns or grievances, contribute ideas and make recommendations regarding the operation of the home.- Maintain written… …
F565 citations in Massachusetts
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F565 more often than its own record predicts
2.30 times the share F565 takes of citations nationally.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F565.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F565 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.
Based on interview and Resident Council Meeting minute review, the facility staff failed to act upon grievances put forth by the residents of the facility and provide residents with rationale for actions taken by the facility to resolve the resident's grievances. Findings include: During Resident Council Meeting, on 4/29/21 at 10:38 A.M., Resident #31 said the facility never provided follow up for grievances. Resident #60 concurred with Resident #31 and said there is no follow up by the facility when concerns are brought up and that he/she felt it was a waste of time to bring concerns forward since concerns were never addressed. Review of the Resident Council Meeting Minutes for 04/08/21 and 04/15/21 indicated the following Dietary Department grievances: 1. …
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.38% | 1.24× |
| 2024 | 0.52% | 1.68× |
| 2025 | 0.62% | 2.30× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
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