Based on interviews and records reviewed, for one of three sampled residents (Resident #1) who had a planned discharge to return home, the Facility failed to ensure Resident #1's discharge was safe, and that the medications provided to him/her upon discharge were accurately reconciled by nursing, when one of the medications (Lisinopril, used to lower blood pressure) sent home with Resident #1 belonged to another facility resident, (Resident #2), and was not a medication Resident #1 was prescribed by his/her physician. …
F624 citations in Massachusetts
Resident Rights Deficiencies
Prepare residents for a safe transfer or discharge from the nursing home.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Massachusetts cites F624 less often than its own record predicts
0.52 times the national share — cited less often here than elsewhere.
Of every deficiency written in Massachusetts in 2024, this is the portion that was F624.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F624 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 interviews and records reviewed, for one of three sampled residents (Resident #1), who had a physicians order, dated 5/12/24, for discharge to his/her Assisted Living Facility (ALF) with Hospice services, when family members arrived at the facility on 5/12/24, the day they anticipated him/her to be discharged , facility staff told them them Resident #1 was not scheduled to be discharged until the following day (5/13/24). Family members said the discharge plan all along was for Resident #1 to be discharged home by Mother's Day and that the facility needed to make it happen, and although Resident #1 was discharged to his/her ALF that day, the Facility failed to ensure Resident #1's (unplanned) transfer/discharge was safe and orderly, when his/her necessary medical information… …
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.08% | 0.71× |
| 2024 | 0.06% | 0.52× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
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