Based on record review and staff interview, the facility failed to document the recapitulation of the Resident's stay that included his/her course of illness/treatment for one Resident (#123), of two closed records Findings include: Review of the facility policy titled Discharge Summary and Plan, dated as revised October 2022, indicated the following: -When a resident's discharge is anticipated, a discharge summary and post discharge plan is developed to assist the resident with discharge. 1. The discharge summary includes a recapitulation of the resident's stay at the facility and a final summary of the resident's stats at the time of discharge in accordance with established regulations governing release of resident information and as permitted by the resident. …
F661 citations in Massachusetts
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F661 more often than its own record predicts
1.21 times the share F661 takes of citations nationally.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F661.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F661 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 ensure a Discharge Summary had been completed for one closed record for Resident (#51), out of three closed records reviewed. Findings include: Review of the facility's policy titled Discharge Planning Process, dated 1/1/2019, included but was not limited to: The evaluation of the resident's discharge needs and discharge plan will be completely documented on a timely basis in the clinical record. Resident #51 was admitted to the facility in January 2022 with a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . …
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.15% | 0.58× |
| 2024 | 0.18% | 0.80× |
| 2025 | 0.08% | 1.21× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
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