Based on observations, record review, policy review and interviews, the facility failed to provide assistance with Activities of Daily Living (ADLs), for six Residents (#63, #10, #3, #37, #94, and #2) out of a total sample of 46 residents. Specifically: 1a. For Resident #63, the facility failed to ensure incontinence care was provided for 17 hours resulting in the development of new pressure ulcers. 1b. For Resident #10, the facility failed to ensure incontinence care was provided for 17 hours resulting in the development of new pressure ulcers. 2. For Resident #3, the facility failed to provide assistance with meals as per the plan of care. 3. For Resident #37 and #94, the facility failed to provide assistance with nail care. 4. …
F677 citations in Massachusetts
ADL care for dependent residents · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F677 more often than its own record predicts
1.02 times the share F677 takes of citations nationally.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F677.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F677 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, record reviews and interviews, the facility failed to provide assistance with oral care, specifically assistance with dentures, for one Resident (#36) out of a total sample of 21 residents. Findings include: Review of the facility policy titled, Dentures, Cleaning and Storing, undated, indicated the following:-Provide denture care before breakfast and at bedtime. Encourage and assist the resident as needed to rinse his or her mouth after each meal. -Encourage the resident to keep dentures in his or her mouth as much as possible. When dentures are left out of the mouth for several days, the bone structure to the mouth changes and the gums will shrink causing the dentures to fit improperly. …
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 2.84% | 1.02× |
| 2024 | 2.01% | 0.83× |
| 2025 | 2.31% | 1.02× |
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