F684 in Massachusetts. Pick another state for the same tag.
Against expectation — 2025
Massachusetts cites F684 less often than its own record predicts
Versus expected share0.61×
0.61 times the national share — cited less often here than elsewhere.
Share of Massachusetts citations2.62%
Of every deficiency written in Massachusetts in 2025, this is the portion that was F684.
Massachusetts2.62%
National4.29%
Share of all citations that were F684.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F684 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.
J · Immediate jeopardy, isolatedJanuary 15, 2025
Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who was newly admitted to the Facility, was confused, was noted to wander without regard for his/her own safety, the Facility failed to ensure he/she was provided with quality care and services that meet professional standards of practice. When although he/she was assessed by two different nurses upon admission as triggering for placement of a WanderGuard bracelet for safety, a device was not placed on him/her, and despite his/her continual wandering day and night, nursing did not reassess or re-evaluate their decision regarding placement of a WanderGuard. …
Based on interview and record review, the facility failed to provide treatment, services and care that met professional standards of quality for one Resident (#5), out of a total sample of 18 residents, resulting in a decline in medical status and hospitalization. Specifically, the facility failed to ensure staff assessed and managed gastrointestinal symptoms indicative of constipation, resulting in hospitalization for stercoral colitis (inflammation of the intestinal walls caused by hardened stool in the colon) and fecal impaction (a severe form of constipation where stool becomes stuck in the colon/rectum).Findings include:Review of the facility's policy titled Bowel Regimen, revised 2/2024, indicated, but was not limited to, the following:-CNA (Certified Nursing Assistant) is… …
D · No harm, potential for more than minimal, isolatedAugust 5, 2026
Based on records reviewed and interviews, for one of three sampled residents, (Resident #1), who had upper and lower partial dentures and required staff assistance with oral hygiene, the Facility failed to ensure that he/she received care and treatment that meet professional standards of practice related to his/her oral care needs.Findings Include:Review of the Facility's Policy, Standards of Routine Resident Care, dated as revised March 20, 2009, indicated the following:-it is the policy of the facility that each resident shall receive at least certain basic nursing care in the Nursing Facility. …
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