Based on observations, interviews, and record review, the facility failed to ensure a clean and homelike environment was provided for residents on two floors (first and second floor), out of two floors. Specifically, the facility failed to:1. Provide clean, comfortable dining chairs in good repair for residents in the dining room areas on the first and second floors;2. Ensure air conditioners were maintained and cleaned to prevent dust, debris, and dirt from forming on the filter and the unit in resident rooms on the first and second floor; and 3. …
F584 citations in Massachusetts
Safe, clean, homelike environment · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F584 less often than its own record predicts
0.86 times the national share — cited less often here than elsewhere.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F584.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F584 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 observations, interview, and record review, the facility failed to maintain a homelike environment for one Resident (#15), out of a total sample of 33 residents. Specifically, the facility failed to ensure timely repair of a cracked second floor bedroom window for Resident #15 when it had been reported to the facility 84 days prior.Findings include:Review of the facility's policy titled Homelike Environment, revised February 2021, indicated the following:-Residents are provided with a safe, clean, comfortable, and homelike environment.-The facility staff and management maximizes, to the extent possible, the characteristics of the facility that reflect a personalized, homelike setting.Resident #15 was admitted to the facility in August 2024 with diagnoses including Non-Alzheimer's… …
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 1.40% | 0.63× |
| 2024 | 1.59% | 0.74× |
| 2025 | 1.81% | 0.86× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
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