Based on interview and review of the Health Care Facility Reporting (HCFS-State agency reporting system), the facility failed to provide written notice to the State Agency when a change in the facility's Administrator and Director of Nursing (DON) occurred. Findings include: During the entrance conference interview on 3/31/25 at 8:59 A.M., the Administrator said she was the facility's new Administrator, effective 3/10/25, and the facility had a new Director of Nursing (DON), effective 3/15/25. …
F844 citations in Massachusetts
Administration Deficiencies
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F844 more often than its own record predicts
11.40 times the share F844 takes of citations nationally.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F844.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F844 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 report the change in Director of Nurses (DON) in June 2025 to the state agency (SA) in the Health Care Facility Reporting System (HCFRS) as required. Findings include:Upon entry to the facility on 7/23/25 at 7:30 A.M., the name of the current DON was provided to the surveyors.Review of the HCFRS report failed to indicate the current DON had been reported to the SA.During an interview on 7/31/25 at 10:23 A.M., the Administrator said he thought he had 90 days to report the change in DON.During an interview on 7/31/25 at 10:45 A.M., the DON said she does not have access to HCFRS and does not do the reporting, but the change in DON should have been reported.
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.04% | 15.35× |
| 2024 | 0.15% | 16.88× |
| 2025 | 0.23% | 11.40× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
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