F711 in Massachusetts. Pick another state for the same tag.
Against expectation — 2025
Massachusetts cites F711 less often than its own record predicts
Versus expected share0.94×
0.94 times the national share — cited less often here than elsewhere.
Share of Massachusetts citations0.12%
Of every deficiency written in Massachusetts in 2025, this is the portion that was F711.
Massachusetts0.12%
National0.12%
Share of all citations that were F711.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F711 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.
G · Actual harm, isolatedApril 14, 2023
Based on interviews and record review, the facility failed to ensure the physician included an evaluation of the resident's condition and total program of care, including the accuracy of orders for medications, for one Resident (#139), out of a total sample of 27 residents, which resulted in the Resident being administered the wrong anti-seizure medication for 28 days, had three transfers to the hospital emergency department and one five-day hospitalization due to the onset of seizure activity.
Findings include:
Resident #139 was admitted to the facility in March 2023 with diagnoses including weakness and epilepsy. …
D · No harm, potential for more than minimal, isolatedJuly 15, 2025
Based on records reviewed and interviews for one of three sampled residents (Resident #1), whose Hospital Discharge Summary included a diagnosis of atrial fibrillation (irregular heartbeat) with an order for Xarelto (anticoagulant), the facility failed to ensure the Physician and Nurse Practitioner completed a review of his/her total program of care, including reviewing for accuracy Resident 1's medications, as a result he/she did not receive Xarelto for 13 days.Findings Include:Review of the Facility's Policy titled, Medication Reconciliation Policy, dated as revised January 2025, indicated the following:-the facility reconciles medication to ensure that the resident is free of any significant medication errors.-medication reconciliation involves collaboration with the… …
B · No harm, potential for minimal, patternSeptember 5, 2018
Based on record review and staff interview, facility staff failed to ensure that orders, including telephone orders, were signed and dated by the Physician or Nurse Practitioner in a timely manner and that progress notes were written, signed and dated at the time of the visit as required for one resident, #3B, in a total sample of nine residents. Findings include:
Resident #3B was admitted to the facility in 1/2019. Review of the Physician's Progress Notes sheet, dated 1/10/19, had an entry that indicated the resident was seen on 1/10/19 and the visit note would follow. On 1/14/19 there was an entry in the Physician's Progress Notes that indicated a note was dictated. The entries on 1/10/19 and 1/14/19 had illegible signatures. …
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