Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F585 in Massachusetts. Pick another state for the same tag.
Against expectation — 2025
Massachusetts cites F585 more often than its own record predicts
Versus expected share1.93×
1.93 times the share F585 takes of citations nationally.
Share of Massachusetts citations1.23%
Of every deficiency written in Massachusetts in 2025, this is the portion that was F585.
Massachusetts1.23%
National0.64%
Share of all citations that were F585.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F585 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.
E · No harm, potential for more than minimal, patternJuly 10, 2026
Based on observation, interviews, and record review, the facility failed to make information on how to file a grievance or complaint available to the residents and failed to formulate a written grievance and follow up with one Resident (#40) following a voiced grievance. Specifically, Resident #40 voiced concerns regarding agency nurses not knowing the residents and an agency nurse attempting to give him/her another resident's medication and had not received any follow-up to their concern. …
C · No harm, potential for minimal, widespreadOctober 31, 2019
Based on interviews and record review, the facility failed to ensure that residents were aware of the grievance process.
A resident group meeting was held on 10/30/19 at 2:00 P.M., 13 residents were in attendance. All residents in attendance reported that they were unaware of the facility grievance policy, how to submit a grievance, were not aware of grievance forms or being able to submit a grievance anonymously.
Review of the facility policy Grievance and Procedure, dated 2/15/17, indicated the following:
-Grievance procedures are posted
-Grievances can be both oral and written and can be made anonymously
-A written decision will be forwarded to the contact person listed on the initial form
During an interview with the Director of Social Service (DOSS) on 10/31/19 at 8:47 [NAME]M., with… …
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