F867 in Massachusetts. Pick another state for the same tag.
Against expectation — 2025
Massachusetts cites F867 more often than its own record predicts
Versus expected share1.41×
1.41 times the share F867 takes of citations nationally.
Share of Massachusetts citations0.46%
Of every deficiency written in Massachusetts in 2025, this is the portion that was F867.
Massachusetts0.46%
National0.33%
Share of all citations that were F867.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F867 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.
K · Immediate jeopardy, patternOctober 31, 2018
Based on records reviewed and interviews for seven of twelve sampled residents (Resident #1, Resident #2, Resident #3, Resident #5, Resident #7, Resident #8, Resident #9, and Resident #10), the Facility failed to identify and address quality of care concerns for residents who demonstrated sexually inappropriate and physical behaviors which put them at risk for abuse of other residents, failed to identify residents who were at risk for being abused, failed to recognize, report, and investigate signs of and allegations of abuse, and failed to address quality of care concerns related to Physician notification in the presence of a significant change of status.
Findings Include:
1. …
Based on interview and document review, the facility failed to have an effective Quality Assurance Performance Improvement (QAPI) program that had a systematic analysis and action plan to rectify identified issues and failed to meet at least quarterly as required.
Findings include:
Review of the facility's QAPI documentation indicated the QAA Committee consisted of the Administrator, Director of Nursing (DON), Medical Director, Pharmacy Consultant, Laboratory, X-Ray Consultants, and Interdisciplinary team members. …
D · No harm, potential for more than minimal, isolatedJune 4, 2026
Based on record review and interview, the facility failed to maintain an effective Quality Assurance and Performance Improvement (QAPI) plan. Specifically, the facility failed to monitor the effectiveness and of a QAPI plan put in place for 1a. falls assessments being completed and 1b. the temperature of the food served to the residents. Findings include: Review of the facility policy titled Quality Assurance Equality Assurance and Performance Improvement, undated, indicated the following:A system must be in place in order to monitor policies using the data gathered, including input from staff, residents, families and others as appropriate. Performance indicators should be used to monitor the continuum of care and outcomes. …
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