Based on observation, interviews, record and policy reviewed for one Resident (#13) out of a total sample of 29 residents, the facility failed to ensure residents with a history of trauma received trauma informed care in accordance with professional standards. Specifically, the facility failed to implement Resident #13's trauma-informed plan of care which indicated he/she should have female care givers for personal care. Findings included: Review of the facility policy titled, Trauma Informed Care, revised 10/22/22, indicated to ensure residents, who are trauma survivors, receive culturally competent, trauma-informed care in accordance with professional standards of practice which are culturally-competent and account for experiences and preferences, and address the needs of trauma… …
F699 citations in Massachusetts
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F699 more often than its own record predicts
3.16 times the share F699 takes of citations nationally.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F699.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F699 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 record review, policy review and interview, the facility failed to ensure a comprehensive plan of care was developed for Trauma Informed Care for one Resident (#24) who had a history of trauma out of a total sample of 25 residents. Specifically, for Resident #24, the facility failed to develop a comprehensive trauma care plan, with individualized triggers.Findings Include:Review of the facility policy titled, Trauma Informed Care and PTSD, dated August 2019, indicated the following:Policy Statement-The facility will strive to provide that residents who are trauma survivors receive culturally competent, trauma informed care in accordance with professional standards of proactive and accounting of residents' experiences and preferences in order to eliminate or mitigate triggers that… …
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.98% | 4.34× |
| 2024 | 1.68% | 5.22× |
| 2025 | 1.04% | 3.16× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
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