F628 in Massachusetts. Pick another state for the same tag.
Against expectation — 2025
Massachusetts cites F628 less often than its own record predicts
Versus expected share0.37×
0.37 times the national share — cited less often here than elsewhere.
Share of Massachusetts citations0.35%
Of every deficiency written in Massachusetts in 2025, this is the portion that was F628.
Massachusetts0.35%
National0.93%
Share of all citations that were F628.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F628 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.
D · No harm, potential for more than minimal, isolatedJune 29, 2026
Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who required transfer to the Hospital Emergency Department for an evaluation, the Facility failed ensure they sent a copy of their Notice of Intent to Discharge him/her to a representative of the Office of the Long-Term Care Ombudsman, as required. Findings include: The Facility Transfer or Discharge Notice Policy, last revised 11/2024, indicated that a resident and/or his/her representative, will be given a thirty-day written notice of an impending transfer or discharge from the Facility. The Policy indicated that a copy of the notice would be sent to the Office of the State Long-Term Care Ombudsman. …
B · No harm, potential for minimal, patternJune 9, 2026
Based on interviews, and record review, the facility failed to ensure that the Office of the State Long-term Care Ombudsman was notified at the time of transfer or shortly thereafter for two Residents (#3 and #107), of two applicable Residents reviewed for hospitalizations, out of a total sample of 27 residents. Specifically, the facility failed to ensure the Office of the State Long-term Care Ombudsman was provided with written notice of the transfer or discharge and the reasons for the move when Resident's #3 and #107 were transferred from the facility to the hospital for evaluation. Findings include: 1. Resident #3 was admitted to the facility in October 2025. …
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