Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
F840 in Massachusetts. Pick another state for the same tag.
Against expectation — 2025
Massachusetts cites F840 more often than its own record predicts
Versus expected share2.24×
2.24 times the share F840 takes of citations nationally.
Share of Massachusetts citations0.12%
Of every deficiency written in Massachusetts in 2025, this is the portion that was F840.
Massachusetts0.12%
National0.05%
Share of all citations that were F840.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F840 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.
G · Actual harm, isolatedDecember 4, 2024
Based on record review and interviews, the facility failed to ensure that recommended specialist appointments were scheduled for two Residents (#60, and #103), out of a total sample of 30 residents. Specifically:
1. For Resident #60, the facility failed to ensure an outpatient appointment at the wound clinic was scheduled when requested by a Nurse Practitioner after the wound was documented as worsening and with signs of infection.
2. For Resident #103, the facility failed to ensure an outpatient appointment at the wound clinic was scheduled when requested by a Nurse Practitioner after the wound was documented as worsening and with signs of infection. …
E · No harm, potential for more than minimal, patternApril 23, 2026
Based on observation, record review and interview, the facility failed to ensure referrals for outside services were implemented for three sampled Residents (#1, #33, and #2). Specifically:1.For Resident #1 the facility failed to ensure that Resident #1 attended a scheduled orthopedic appointment, and after the scheduled orthopedic appointment was missed the facility failed to reschedule the orthopedic appointment. 2. For Resident #33 the facility failed to set up an appointment with urology for a suprapubic (a surgically created connection between the urinary bladder and the skin used to drain urine from the bladder in individuals with obstruction of normal urinary flow.) tube placement evaluation.3. …
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