Based on observation, interview, and record review, the facility failed to provide evidence of a written transfer agreement in effect with a hospital approved for participation under the Medicare and Medicaid Programs. Specifically, the facility failed to provide a written transfer agreement between the facility and the identified area hospital that would ensure timely and appropriate hospital admissions and appropriate care and services for the facility residents. Findings include: During an interview on 1/17/24 at 12:37 P.M., the Administrator said the facility had a written transfer agreement with one area hospital and that she was trying to locate a copy of the agreement. …
F843 citations in Massachusetts
Administration Deficiencies
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F843 more often than its own record predicts
4.92 times the share F843 takes of citations nationally.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F843.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F843 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 record review, and interview, the facility failed to have in effect a written transfer agreement with one or more hospitals approved for participation under the Medicare and Medicaid programs. Specifically, the facility failed to ensure that a written transfer agreement was updated when the Local Area Hospital listed on the facility transfer agreement was closed 8/31/24, increasing the risk for residents of the facility not to be admitted timely and appropriately to a hospital when transfer was determined by the attending Physician to be medically appropriate. Findings include: Review of the facility's Transfer and Affiliation Agreement indicated the facility, and [Local Area Hospital #1] had entered into the Agreement on 1/11/24. …
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2024 | 0.03% | 1.77× |
| 2025 | 0.08% | 4.92× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
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