Based on personnel file review and interviews, the facility failed to ensure that one of seven Certified Nurse Assistants (CNA) reviewed were not employed as CNA's for more than four months after hire without passing the CNA exam and obtaining a CNA license. Findings include: Review of the Massachusetts Nurse Aide Registry information for employers indicated the following: - You can employ a Nurse Aide who has not yet taken and passed the CNA test for no more than 4 months. Review of CNA #6's personnel file indicated that CNA #6 was hired on 3/4/24 for the position of a CNA. Review of the Massachusetts Nurse Aide Registry indicated that CNA #6 is currently not registered as a CNA in the state of Massachusetts. …
F728 citations in Massachusetts
Nursing and Physician Services Deficiencies
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Massachusetts cites F728 more often than its own record predicts
1.23 times the share F728 takes of citations nationally.
Of every deficiency written in Massachusetts in 2024, this is the portion that was F728.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F728 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.
What else Massachusetts surveyors cite →
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