Based on observations, interviews, and record reviews, the facility failed to ensure that effective pain management that was consistent with professional standards of practice was provided for one Resident (#4) out of a total sample of 33 residents. Specifically, the facility failed to provide interventions for pain management during wound care treatment, resulting in the Resident experiencing pain during the wound care.Findings include: Review of the facility policy titled 'Pain-Clinical Protocol' dated March 2018, indicated the following but not limited to:-The physician and staff will identify individuals who have pain or who are at risk for having pain. …
F697 citations in Massachusetts
Pain management · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F697 less often than its own record predicts
0.45 times the national share — cited less often here than elsewhere.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F697.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F697 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 records reviewed, the facility failed to ensure that pain management was provided in accordance with the individual goals for care and preferences for one Resident (#80) out of a total sample of 26 residents.Specifically, for Resident #80, the facility failed to implement the order for Morphine (short-acting opioid medication used to treat moderate to severe pain) medication as indicated by the Physician, resulting in an increased risk for physical pain and psychological upset for the Resident.Findings include:Review of the facility policy titled Management of Controlled Substances in Skilled Nursing Facilities, effective February 2009 and revised July 2025, indicated but was not limited to the following:Ordering of controlled substances:.A new order… …
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.38% | 0.52× |
| 2024 | 0.46% | 0.62× |
| 2025 | 0.35% | 0.45× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
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