F607 in Massachusetts. Pick another state for the same tag.
Against expectation — 2025
Massachusetts cites F607 more often than its own record predicts
Versus expected share2.34×
2.34 times the share F607 takes of citations nationally.
Share of Massachusetts citations1.54%
Of every deficiency written in Massachusetts in 2025, this is the portion that was F607.
Massachusetts1.54%
National0.66%
Share of all citations that were F607.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F607 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.
K · Immediate jeopardy, patternJune 26, 2019
Based on records reviewed and interviews, the Facility failed to ensure that staff implemented and followed their abuse policy, when staff failed to immediately report incidents involving allegations of sexual abuse. When within 24 hours of his/her admission to the facility, Resident #1 was sexually inappropriate with a Certified Nurse Aide and Resident #1 continued to exhibit escalating sexually inappropriate behaviors over a five day period with female residents and staff members as his/her target. …
Based on records reviewed and interviews, for three of three sampled residents (Residents #1, #2, and #3), who were dependent on staff to meet their care needs, the Facility failed to ensure staff implemented and followed their Abuse Policy to prevent the potential for further abuse, when on 01/30/25 during the night shift, although Nurse #1 witnessed and was therefore aware [sometime around 12:30 A.M.], that Certified Nurse Aide (CNA) #1 had verbally abused Residents #3, she did not immediately report the abuse to facility management, as required. CNA #1 was not put on administrative leave after the first incident that night and worked the entire night shift on the same unit providing care and having access to other residents. …
D · No harm, potential for more than minimal, isolatedJuly 21, 2026
Based on interviews and records reviewed, for one of five sampled employee files (Certified Nurse Aide, CNA #1), the Facility failed to ensure they implemented and followed their abuse policy related to annual training when the Facility was unable to provide documentation to support that CNA #1 had received annual abuse prohibition training as required.Findings include: Review of the Facility Abuse Investigation and Reporting Policy, dated as revised February 2024, indicated that staff would receive in-service training on abuse prohibition upon orientation to the Facility, and at least annually. …
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