Based on observation, interview, and record review, the facility failed to ensure that resident meal trays were served timely for three Units (West 1, [NAME] 2 and Dharma), out of three units observed. Specifically, the facility failed to ensure that resident meals were delivered timely and coordinated with medication administration times for residents that required meals in order for medications to be appropriately administered. Findings include: Review of the Food Truck Delivery Schedule, undated, indicated the following meal delivery times: >Breakfast: West 2-A: 7:55 A.M. West 2-B: 8:05 A.M. West 1-A: 8:15 A.M. West 1-CDR: 8:25 A.M. West 1-B: 8:30 A.M. Skole (Dharma Unit): 8:35 A.M. Gluckin (Dharma Unit): 8:40 A.M. [NAME] 1 (Dharma Unit): 8:45 A.M. …
F809 citations in Massachusetts
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F809 less often than its own record predicts
0.40 times the national share — cited less often here than elsewhere.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F809.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F809 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.
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.11% | 0.52× |
| 2024 | 0.06% | 0.29× |
| 2025 | 0.08% | 0.40× |
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