Based on record review and interview, the facility failed to ensure the Arbitration Agreement presented to residents as part of the admission packet included the required information for three Residents (#75, #85, and #59), out of a sample of three records reviewed. Specifically, the facility failed to ensure the agreement explicitly granted Residents thirty days after signing to rescind the Agreement and failed to explicitly state that the residents (or representatives) were not required to sign as a condition for admission. Findings include:During the entrance conference interview on 2/9/26 at 8:22 A.M., the Administrator said the facility has asked residents to enter into a binding arbitration agreement. 1. Resident #75 was admitted to the facility in January 2026. …
F847 citations in Massachusetts
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F847 less often than its own record predicts
0.78 times the national share — cited less often here than elsewhere.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F847.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F847 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 ensure that the facility's Arbitration Agreement contained specific language as required pertaining to communication with federal, state, or local officials, for three Resident's (#13, #81, #237) out of a total sample of three residents. Specifically, the facility failed to ensure that the Arbitration Agreements signed by Resident's #13, #81, #237 and/or their Representative's, explicitly stated that the Resident or anyone else (e.g., Resident's Representative) maintained the right to communicate with federal, state, or local officials such as federal and state surveyors, other federal or state health department employees and Representative(s) of the Office of the State Long Term Care Ombudsman. …
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.11% | 0.74× |
| 2024 | 0.21% | 1.29× |
| 2025 | 0.12% | 0.78× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
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