Deficiency Index

F839 citations in Massachusetts

Administration Deficiencies

Employ staff that are licensed, certified, or registered in accordance with state laws.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

F839 in Massachusetts. Pick another state for the same tag.

Against expectation — 2024

Massachusetts cites F839 less often than its own record predicts

Versus expected share0.54×

0.54 times the national share — cited less often here than elsewhere.

Share of Massachusetts citations0.03%

Of every deficiency written in Massachusetts in 2024, this is the portion that was F839.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What Massachusetts surveyors wrote

F839 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.

E · No harm, potential for more than minimal, patternMarch 19, 2026

Based on interview and record review, the facility failed to ensure professional staff were licensed, certified, or registered in accordance with applicable State laws. Specifically, the facility failed to ensure a nurse assigned to direct resident care had an active license as a Registered Nurse. Findings include:According to the Massachusetts Board of Registration in Nursing a Registered Nurse is the designation given to an individual who is licensed to practice professional nursing, holds ultimate responsibility for direct and indirect nursing care, is a graduate of a Board approved school for professional nursing, and is currently licensed as a Registered Nurse pursuant to M.G.L. c. 112. …

Windsor Nursing & Retirement Home

The short window

Recent years

YearShare of Massachusetts citationsvs expected
20230.04%0.96×
20240.03%0.54×

Shares of citations, not counts: earlier years hold fewer inspections.

What else Massachusetts surveyors cite →

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