F609 in Massachusetts. Pick another state for the same tag.
Against expectation — 2025
Massachusetts cites F609 less often than its own record predicts
Versus expected share0.61×
0.61 times the national share — cited less often here than elsewhere.
Share of Massachusetts citations1.50%
Of every deficiency written in Massachusetts in 2025, this is the portion that was F609.
Massachusetts1.50%
National2.45%
Share of all citations that were F609.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F609 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.
J · Immediate jeopardy, isolatedJune 26, 2019
Based on records reviewed and interviews, the Facility failed to report allegations of abuse, including inappropriate and non-consensual touching and multiple incidents of physical abuse, within 2 hours, to the Department of Public Health, as required, when Resident #1 exhibited escalating sexually abusive and aggressive behaviors over a period of approximately five days, including propositioning female residents for sex and then became sexually aggressive with females staff members, and the facility failed to report the incidents to DPH. …
Based on interviews and record review, the facility failed to report allegations of abuse and neglect for one Resident (#77), out of a sample of 23 residents. Specifically, the facility failed to report five of five allegations of physical abuse, sexual abuse, and neglect to the state agency (SA) and two of five allegations to law enforcement as required.
Using the reasonable person concept, a person would experience emotional distress after being hit, unprovoked, and after being sexually harassed and exposed to another person's genitals. …
D · No harm, potential for more than minimal, isolatedJune 16, 2026
Based on records reviewed and interviews, for one of three sampled residents (Resident #3), who on 6/06/26 alleged he/she had been physically abused by a staff member, the Facility failed to ensure that a summary of the results of the findings from their investigation into the 6/06/26 allegation was submitted to the Massachusetts Department of Public Health (DPH) within five working days, as required.Findings include:Review of the Report submitted by the Facility via the Health Care Facility Reporting System (HCFRS), dated 06/06/26, indicated that Resident #3 alleged that he/she was kicked, punched and thrown to the ground by a staff member. …
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