Based on record review and interview, the facility failed to ensure diagnostic test results were maintained in the clinical record for one Resident (#120) out of a total of 34 sampled residents. Specifically, the facility failed to ensure the results of an ultrasound were reviewed and reported to the attending physician and filed in his/her clinical record. Findings include: Review of the Lab and Diagnostic Test Results Clinical Protocol policy dated November 2018 indicated: - When test results are reported to the facility, a nurse will first review the results. -A physician can be notified by phone, fax, voicemail, e-mail, pager or a telephone message. -Facility staff should document information about when, how and to whom the information was provided and the response. …
F779 citations in Massachusetts
Administration Deficiencies
Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F779 more often than its own record predicts
6.97 times the share F779 takes of citations nationally.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F779.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F779 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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