Based on observation, interviews, and record review, the facility failed to provide social services to attain the highest practicable mental and psychological well-being for two Residents (#105 and #141), out of a total sample of 33 residents. Specifically, the facility failed 1. For Resident #105, to assess, develop, implement, and update the plan of care to meet the Resident's behavioral needs, including interventions for verbal abuse to Resident #141, interventions for intermittent explosive disorder and interventions for active substance use resulting in emergency room visits; and 2. …
F745 citations in Massachusetts
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F745 less often than its own record predicts
0.66 times the national share — cited less often here than elsewhere.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F745.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F745 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 observation, interviews, and record review, the facility failed to provide social services to attain the highest practicable mental and psychological well-being for one Resident (#36), out of a total sample of 34 residents. Specifically, for Resident #36, the facility failed to follow up after Resident #36 was sexually threatened by another resident to ensure effective interventions were implemented to prevent additional incidents of sexual abuse, resulting in Resident #36 living in fear and experiencing repeated abuse by this peer. Findings include: Review of the facility's policy titled Resident Rights at Pine [NAME] Nursing Center, dated as reviewed 6/15/25, indicated the following:1. Federal and state laws guarantee certain basic rights to all residents of this facility. …
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.04% | 0.20× |
| 2024 | 0.12% | 0.55× |
| 2025 | 0.12% | 0.66× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
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