Based on record review and interview, the facility failed to accurately complete an assessment with the Preadmission Screening and Resident Review Level I (PASARR - a federal requirement to help ensure that individuals who have a mental disorder or intellectual disabilities are not inappropriately placed in nursing homes for long term care) program for one Resident (#6), out of a total sample of 24 residents. Specifically, the facility failed to document the resident's diagnosis of Post-traumatic stress disorder (PTSD) in Question 4A, history of substance use disorder (SUD) in Question 4B and Department of Mental Health (DMH) Involvement/case management in Question 5A resulting in an incorrect negative serious mental illness (SMI) screen.Findings include:Review of the facility's policy… …
F645 citations in Massachusetts
PASARR screening · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F645 less often than its own record predicts
0.64 times the national share — cited less often here than elsewhere.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F645.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F645 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 accurately complete a Level I Preadmission Screening and Resident Review (PASARR- screen to determine if a resident had an intellectual or developmental disability (ID or DD) and/or serious mental illness (SMI) and needed further evaluation) for two Residents (#57 and #58), out of a total sample of 19 residents. Specifically, the facility failed to: 1. for Resident #57, accurately complete a Level I PASRR when the Resident's admission PASRR indicated no SMI, and the Resident was admitted to the facility with SMI diagnoses and a recent hospitalization where psychiatric services were provided resulting in a Level II PASRR Evaluation (an evaluation conducted to determine if an individual who screened positive for an SMI or ID/DD… …
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.30% | 0.52× |
| 2024 | 0.52% | 0.81× |
| 2025 | 0.39% | 0.64× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
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