Based on record review and interview, the facility failed to maintain the highest practicable physical, mental, and psychosocial well-being for one Resident (#7) with a history of suicidal ideation (SI) and depression, out of a total sample of 28 residents. Specifically, Resident #7 was not provided with appropriate behavioral health services following verbalization of SI and attempted to kill him/herself at the facility by ingesting nail polish remover. Findings include: Review of the facility policy titled Behavior Management, dated ,d+[DATE], indicated the following: - The facility will provide and residents will receive behavioral health services as needed to attain or maintain the highest practicable physical, mental, and psychosocial well-being in accordance with the comprehensive… …
F740 citations in Massachusetts
Behavioral health services · Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F740 more often than its own record predicts
3.08 times the share F740 takes of citations nationally.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F740.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F740 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 two Resident (#36 and #24) were provided with the necessary behavioral health service to attain the highest level of psych-social well-being out of a total sample of 34 residents. Specifically:for Resident #36, the facility failed to provide psychotherapy or necessary behavioral health services when the Resident expressed fear and anxiety related to the intrusive wandering and sexual threats of another resident and despite Resident #36 sending multiple emails to the facility's Administrator, Director of Nursing and Social Worker regarding the ongoing concern. …
Based on records reviewed and interviews for one of three sampled residents (Resident #1) who had a history of opioid dependency and alcohol use disorder, the facility failed to ensure supportive services to maintain his/her sobriety were offered and available.Findings include:Review of the facility's policy, titled Substance Use Disorder (SUD-a medical condition that is defined by the inability to control the use of a particular substance(s) despite harmful consequences), with a revision date of 11/2025, included the following:-The purpose of this policy is to identify residents prior to admission and discharge processes as they relate to substance use disorder. …
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.49% | 1.86× |
| 2024 | 0.61% | 2.46× |
| 2025 | 0.81% | 3.08× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction