Based on interview, and record review, the facility failed to determine that a significant change in status/ condition had occurred and ensure that a Significant Change in Status Minimum Data Set [MDS] Assessment (SCSA) was completed for two Residents (#105 and #52) out of a total sample of 23 residents. Specifically, the facility failed to identify and complete a SCSA:1. for Resident #105, when a significant change of functional decline in several ADL areas and bowel and bladder continence occurred for the Resident. 2. for Resident #52, when a significant change in mood, toileting, and activities of daily living (ADLs) occurred for the Resident. …
F637 citations in Massachusetts
Assessment after a significant change · Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F637 more often than its own record predicts
1.93 times the share F637 takes of citations nationally.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F637.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F637 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 reviews and interviews, the facility failed to identify a significant change in condition and complete a Significant Change in Status Assessment (SCSA) Minimum Data Set (MDS) assessment for two Residents (#11 and #25), out of a total sample of 24 residents. Specifically, the facility failed:1. For Resident #11, to identify a significant change in his/her condition and complete a SCSA; and2. For Resident #35, to complete a SCSA when he/she was discharged from Hospice A and admitted to Hospice B. …
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.53% | 1.73× |
| 2024 | 0.27% | 1.23× |
| 2025 | 0.46% | 1.93× |
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