Based on record review, and interview, the facility failed to provide a Notice of Bed-Hold Policy at the time of transfer to a hospital or shortly thereafter for five Residents (#64, #18, #39, #11, and #29) and/or their Representatives, out of a total sample of 19 residents. Specifically, the facility staff failed to provide Resident's #64, #18, #39, #11, and #29) and/or their Representatives with written notification relative to Bed-Holds when the Residents were transferred from the facility to the hospital and were expected to return to the facility. …
F625 citations in Massachusetts
Bed-hold notice · Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F625 less often than its own record predicts
0.40 times the national share — cited less often here than elsewhere.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F625.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F625 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.
4. Resident #17 was admitted to the facility in April 2021. Review of the daily census dated 2/26/25, indicated Resident #17's status was out of the facility on a hospital paid leave. During an interview on 3/10/25 at 11:38 A.M., Unit Manager (UM) #1 said when a Resident is sent out to the hospital, the Bed-Hold Notice was one of the items included in the paperwork that was sent with the Resident. Review of Resident #17's medical record failed to indicate documented evidence that the Bed-Hold Notice had been provided to the Resident or Resident's Representative when the Resident was transferred to the hospital on 2/26/25. During an interview on 3/10/25 at 4:38 P.M., the Admissions Assistant said that she reviewed the medical records for Resident's #61 and #17. …
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.68% | 1.10× |
| 2024 | 0.49% | 0.70× |
| 2025 | 0.12% | 0.40× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
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