Based on employee record review and interview, the facility failed to complete performance reviews of Certified Nursing Assistants (CNAs) at least once every 12 months and provide regular in-service education based on the outcome of these reviews for five out of five CNAs' (#1, #2, #3, #4, #5) employee records reviewed. Findings include:Review of the facility's policy titled Nurse Aide In-Service Training, revised 9/17/20, indicated but was not limited to:-The facility will complete a performance review of nurse aides at least every 12 months.-In-service training will be based on the outcome of the annual performance reviews, addressing weaknesses identified in the reviews. …
F730 citations in Massachusetts
Nurse aide performance review · Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F730 more often than its own record predicts
1.46 times the share F730 takes of citations nationally.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F730.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F730 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 three of four Certified Nursing Assistants (CNA) employee records reviewed had an annual performance review at least every 12 months.Findings include: Review of the facility's policy titled Employee Performance Appraisals, dated as revised 6/2023, indicated but was not limited to:-It is the policy of this facility to evaluate the job performance of each employee on a period basis-Department Heads and Supervisors will complete performance appraisals upon the following occasions:(a) By the end of the first three months of employment(b) Prior to the anniversary date of employment(c) Six months after the employee is transferred or promoted to a new job Review of CNA #12's employee file indicated a hire date of 10/1/15. …
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.34% | 0.97× |
| 2024 | 0.40% | 1.12× |
| 2025 | 0.50% | 1.46× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
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