Based on interview and record review, the facility failed to ensure that Minimum Data Set (MDS) assessments were transmitted within 14 days after a resident assessment was completed for six Residents (#49, #4, #10, #86, #123 and #7), out of a total sample of 34 residents.Findings include:Review of Centers for Medicare and Medicaid Services (CMS) Resident Assessment Instrument (RAI) Manual, Version 3.0, indicated assessments must be completed no later than 14 calendar days after the assessment reference date (ARD) and transmitted and encoded within 7 days of assessment completion. 1a. …
F640 citations in Massachusetts
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F640 more often than its own record predicts
1.19 times the share F640 takes of citations nationally.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F640.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F640 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 review and interview the facility failed to electronically transmit encoded, accurate, and complete Minimum Data Set (MDS) data to the CMS (Centers for Medicare and Medicaid) system within 14 days after a facility completes a resident's assessment for 2 Residents (#19 and #22) out of a total sample of 30 residents. Findings include:1. Resident #19 was admitted to the facility in June 2025 with diagnoses including cancer, heart disease and anxiety. Review of the Minimum Data set (MDS) assessments indicated a quarterly assessment was completed on 10/15/25 and submitted on 2/22/26. Further review indicated that a quarterly MDS was completed on 1/7/26 and submitted 2/22/26. 2. …
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.49% | 1.27× |
| 2024 | 0.43% | 1.31× |
| 2025 | 0.35% | 1.19× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
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