Based on record review, and interview, the facility failed to notify the Office of the State Long-Term Care Ombudsman in writing, of a transfer or discharge for three Residents (#58, #13 and #47), out of a total sample of 23 residents. Specifically, the facility failed to provide written notification to the Office of the State Long-Term Care Ombudsman: 1. For Resident #58, when the Resident was transferred out of the facility to the hospital on 3/11/25. 2. For Resident #13, when the Resident was transferred out of the facility to the hospital on 3/27/25. 3. For Resident #47, when the Resident was transferred out of the facility to the hospital on 3/8/25. Findings include: During an interview on 4/3/25 at 2:35 P.M. …
F623 citations in Massachusetts
Notice before transfer or discharge · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F623 less often than its own record predicts
0.57 times the national share — cited less often here than elsewhere.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F623.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F623 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 record review and interview, the facility failed to ensure a Notice of Transfer/Discharge was issued to one Resident (#69), out of a total sample of 18 residents and one discharged Resident (#80), out of a total sample of three discharged residents. Findings include: Review of the facility's policy titled Transfers or Discharge Notice, undated, indicated but was not limited to: -Residents and/or Representatives are notified in writing, and in a language and format they understand, at least thirty (30) days prior to a transfer or discharge. -Under the following circumstances, the notice will be given as soon as it is practicable but before the transfer or discharge: An immediate transfer or discharge is required for the resident's urgent medical needs. 1. …
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.98% | 1.08× |
| 2024 | 0.67% | 0.66× |
| 2025 | 0.23% | 0.57× |
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