Based on interview and records reviewed, the facility failed to utilize the services of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week, as required placing all residents at risk for not having their clinical needs met either directly by the RN or indirectly by the Licensed Practical Nurse (LPN) or Certified Nurses Aides (CNA) that the RN was responsible for overseeing with provision of resident care. Specifically, the facility failed to provide the services of an RN for at least eight consecutive hours a day, seven days a week when no staffing waivers were in place for 16 days for the period of 10/1/25 to 12/31/25. Findings include:1. …
F727 citations in Massachusetts
Registered nurse coverage · Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F727 less often than its own record predicts
0.54 times the national share — cited less often here than elsewhere.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F727.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F727 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 and interview the facility failed to ensure the services of a registered nurse (RN) for at least 8 consecutive hours a day, 7 days a week was scheduled. Findings include. Review of the facility's staffing schedule requested during entrance conference, dated 11/26/17 through survey exit 12/7/17 indicated that the following days did not have 8 hours of consecutive RN hours a day: 11/26/17 12/1/17 12/3/17 12/4/17 During interview on, 12/07/17 at 9:06 A.M., the Director of Nurses (DON) said she often is the facility on the weekends. She said she is not on the schedule. During review of the staffing schedule with the DON, she said one of the RNs worked every other weekend, she said she did not have RN for all days reviewed and that getting RNs is difficult.
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.34% | 0.50× |
| 2024 | 0.64% | 1.19× |
| 2025 | 0.23% | 0.54× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
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