Based on records reviewed and interviews, for one of three sampled residents (Resident #1) whose diagnoses included Post Traumatic Stress Disorder (PTSD) and anxiety, with behaviors that included repeatedly entering and exiting his/her room and pacing on the unit when anxious, the Facility failed to ensure that he/she was free from involuntary seclusion by means of confinement, when on 10/14/25 during the evening shift, Nurse #1 prevented Resident #1 from exiting his/her room by physically holding the door shut. …
F603 citations in Massachusetts
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F603 less often than its own record predicts
0.85 times the national share — cited less often here than elsewhere.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F603.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F603 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 observation, record review, and interviews, the facility failed to ensure one Resident (#67), out of a total sample of 19 residents, was free from involuntary seclusion, when during the day shift on 1/14/25, staff applied a stop sign banner secured with Velcro strips (fabric and vinyl banner used to deter wandering residents from entering restricted areas) across the entry door to the Resident's room preventing him/her from coming out of their room. Findings include: Review of the facility's policy titled Abuse Prevention Policies and Procedures, revised 11/2024, indicated that facility residents had the right to be free from involuntary seclusion. …
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.04% | 1.92× |
| 2024 | 0.06% | 1.20× |
| 2025 | 0.04% | 0.85× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction