Based on observation, record review, policy review and interviews, the facility failed to provide 1 Resident (#23) with dental services out of a total sample of 21 residents. Specifically, the facility failed to follow up on a canceled oral surgery appointment resulting in infection, weight loss and continuous pain. Findings include: Review of the facility policy titled, Dental Services, revision date December 2016, indicated: - Routine and emergency dental services are available to meet the resident's oral health services in accordance with the resident's assessment and plan of care. -Routine and emergency dental services are provided to our residents through: a. A contract agreement with a licensed dentist that comes to the facility. b. Referral to the resident's personal dentist; c. …
F791 citations in Massachusetts
Dental services · Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F791 more often than its own record predicts
2.09 times the share F791 takes of citations nationally.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F791.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F791 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, interview, and record review, the facility failed to ensure that follow-up dental services were implemented timely for one Resident (#2) out of a total sample of 24 residents, when the facility did not initiate dental recommendations until four months later, placing the Resident at risk for unidentified dental disease and deteriorating oral health.Specifically, Resident #2, the facility failed to ensure that the following Doctor of Medicine in Dentistry (DMD) January 2026 recommendations were implemented:-Fluoride toothpaste Prevident (fluoride toothpaste containing 5,000 ppm [parts per million] fluoride) -Brush teeth with over the counter (OTC) fluoride rinse prior to bed.-Apply Remin Pro dental cream (dental protective cream designed to strengthen tooth enamel,… …
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.64% | 2.19× |
| 2024 | 0.43% | 1.53× |
| 2025 | 0.58% | 2.09× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
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