Based on observation, record review and interview, the facility failed to 1. assess a significant decline in Activities of Daily Living (ADLs) and, 2. failed to provide therapy services needed to assist the resident's ability to perform ADL's back to their baseline, for 1 Resident (#42) in a total of 22 sampled. Findings include: Resident #42 was admitted to the facility in November 2021 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the MDS dated [DATE], indicated that Resident #42 required limited assist for the following Activities of Daily Living (ADL's); bed mobility, bathing and walking in his/her room. Review of the medical record indicated that Resident #42 received physical and occupational therapy services from 11/21/21 through 2/11/22. …
F676 citations in Massachusetts
Activities of daily living · Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F676 more often than its own record predicts
1.30 times the share F676 takes of citations nationally.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F676.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F676 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 observations, interviews, and record review, for one Resident (#69) out of a total sample of 21 residents, the facility failed to provide treatment and services consistent with the needs of the Resident relative to communication which increased the Resident's risk for diminished activities of daily living (ADL) abilities.Specifically, for Resident #69, the facility failed to use methods such as the Resident's preferred language to communicate with the Resident regarding ADL care when:-the Resident's preferred language was [specific non-English language].-none of the staff at the facility spoke the Resident's preferred language.-the Resident demonstrated frequent refusal of ADL care. …
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.42% | 1.18× |
| 2024 | 0.18% | 0.51× |
| 2025 | 0.39% | 1.30× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
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