Based on interview and record review, the facility failed to ensure its staff obtained physician's orders for levothyroxine (a thyroid hormone medication) until 18 days after return from the hospital for one Resident (#24), out of a sample of 30 residents. Findings include: Review of the facility's policy titled Medication Reconciliation, revised July 2024, indicated but was not limited to the following: POLICY: Medication reconciliation is the process of comparing a resident's medication orders to all of the medications the resident has been receiving. It is the policy of the facility to obtain and document a complete list of the resident's current medications upon the resident's admission to the organization with the involvement of the resident or the family or responsible party. …
F635 citations in Massachusetts
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F635 less often than its own record predicts
0.70 times the national share — cited less often here than elsewhere.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F635.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F635 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.
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.04% | 0.59× |
| 2025 | 0.04% | 0.70× |
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