Based on records reviewed, interviews, and observations for one of three sampled residents, (Resident #1) who had a known food allergy to onions, the Facility failed to ensure his/her diet was free from allergens, when on 09/15/25, Resident #1 was served a meal that contained onions, Resident #1 consumed some of the meal, developed signs and symptoms of an allergic reaction, and was transferred to the Hospital Emergency Department (ED) for evaluation of anaphylaxis (a severe, potentially life-threatening allergic reaction) where he/she was admitted for further treatment.Findings include:Review of the Facility's Policy titled Food Allergies and Intolerances, dated as revised August 2017, indicated the following:- Food allergies are immune system responses to allergens (foods).- Residents… …
F806 citations in Massachusetts
Allergies and food preferences · Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F806 less often than its own record predicts
0.97 times the national share — cited less often here than elsewhere.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F806.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F806 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, record review and interview, the facility failed to consistently accommodate resident food preferences for one Resident (#88) out of a total sample of 28 residents. Specifically, for Resident #88, the facility failed to ensure the kitchen consistently honored his/her meal preferences.Finding include: Review of the facility policy titled, Resident Food Preferences, dated as revised 11/5/25, indicated nutritional assessments will include an evaluation of individual food preferences.-Policy Interpretation and Implementation1. Upon the resident's admission or within seventy-two (72) hours after his/her admission, the dietitian or designee will identify a resident's food preferences. When possible, this will be done by direct interview with the resident.2. …
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.19% | 0.47× |
| 2024 | 0.24% | 0.63× |
| 2025 | 0.39% | 0.97× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
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