F726 in Massachusetts. Pick another state for the same tag.
Against expectation — 2025
Massachusetts cites F726 more often than its own record predicts
Versus expected share1.67×
1.67 times the share F726 takes of citations nationally.
Share of Massachusetts citations1.00%
Of every deficiency written in Massachusetts in 2025, this is the portion that was F726.
Massachusetts1.00%
National0.60%
Share of all citations that were F726.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F726 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, isolatedJune 16, 2025
Based on observation, record review, and interviews, the facility failed to ensure licensed nursing staff were trained and competent in managing wandering behavior and elopement, subsequently, one Resident (#172) eloped and fell from a second-floor bedroom window and requiring acute hospitalization with a fracture of the fourth lumbar vertebrae with mild retropulsion into the spinal canal (bone fragments in spinal cord), fractures of the second and third lumbar vertebrae, hematoma of the psoas muscle (lower back muscle), and fractures of the ninth through 12 ribs. …
Based on records reviewed and interviews for one of three sampled residents (Resident #1) who had a gastrostomy tube (G tube, placed through the abdomen into the stomach, for feedings, liquids and medications) in place to meet his/her nutritional and fluid intake needs, the Facility failed to ensure nursing staff were competent related to gastrostomy tubes (G tube) and appropriate actions to take when dislodged, when after Resident #1's G Tube became dislodged, nursing inserted a new G Tube and restarted his/her tube feeding without verifying tube placement, resulting in a change in Resident #1's condition, he/she subsequently required transfer and admission to the Hospital. …
E · No harm, potential for more than minimal, patternApril 22, 2026
Based on observation, interview, and record review, the facility failed to maintain current employee records to ensure that licensed nurses and other personnel have demonstrated the knowledge, competencies, and skill sets to provide care and respond to each residents' plan of care for one out of five licensed nursing staff employee files reviewed.Specifically, the facility failed to provide education and assess for nursing staff competency of Congestive Heart Failure (CHF) protocol initiated on 11/17/25, resulting in non-implementation of the CHF protocol for Resident #1 resulting in a 19.6 lb. (pound) weight gain requiring pharmacological intervention. …
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