Based on interviews and review of the Activity Director's (AD) personnel file, the facility failed to ensure the activity program was directed by a qualified activities professional. Findings include:Review of the employee file for the Activity Director (AD) indicated the following: - she was offered and accepted the role of AD in January 2026;- she did not possess the completed training and qualifications of an AD;- she signed a job description indicating she was the AD on 1/6/26.Further review of the AD's personnel file on 4/1/26 failed to indicate she was a qualified therapeutic recreation specialist or an activities professional, who had two years of experience in a social or recreational program within the last five years, one of which was full-time in a therapeutic activities… …
F680 citations in Massachusetts
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Massachusetts cites F680 less often than its own record predicts
0.79 times the national share — cited less often here than elsewhere.
Of every deficiency written in Massachusetts in 2024, this is the portion that was F680.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F680 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.
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.04% | 0.39× |
| 2024 | 0.06% | 0.79× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
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