Based on interviews and records reviewed, for one of three sampled residents (Resident #1), the Facility failed to ensure they maintained compliance with regulation 258 CMR 20.00 relating to Professional Standards for social workers when, between 3/06/24 and 3/12/24, the Licensed Social Work Associate (LSWA) documented four Progress Notes in Resident #1's electronic health record (EHR) using the name (and therefore credentials) of the Licensed Independent Certified Social Worker (LICSW) Findings include: The Facility Social Worker Job Description indicates the social worker assumes the lead role in the delivery of psychological, financial, religious and physical needs of the resident, family members and significant others and assures resident's needs are met in accordance with policy and… …
F836 citations in Massachusetts
Administration Deficiencies
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Massachusetts cites F836 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 2024, this is the portion that was F836.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F836 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 →
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