Based on observations, interviews, and record reviews, for one of four nursing units (Unit #1) that specialized in the care and treatment of residents with a tracheostomy and/or ventilator, with an average daily census of 27 residents all of whom were on Enhanced Barrier Precautions (EBP) which required staff to use Personal Protective Equipment (PPE) during the provision of care, and had a known issue with the spread of Candida Auris (C. Auris, a type of yeast that can cause severe illness and spreads easily among patients in healthcare facilities, which can cause a range of infections from superficial (skin) infections to more severe, life-threatening infections, such as bloodstream infections), the Facility failed to ensure they implemented and maintained an infection control program… …
F880 citations in Massachusetts
Infection prevention and control · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F880 less often than its own record predicts
0.89 times the national share — cited less often here than elsewhere.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F880.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F880 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 observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for three Residents (#5, #152, and #161), out of a total sample of 35 residents. Specifically, the facility failed:1. For Resident #5, to ensure Enhanced Barrier Precautions (EBP) were maintained during wound care;2. For Resident #152, to ensure Contact Precautions were maintained; and3. For Resident #161, to ensure Precaution orders and Signage were accurate and Contact Plus Precautions were maintained. …
Based on interview and record review the facility staff failed to ensure their infection control program written policies and procedures were reviewed at least annually by facility administration and the Medical Director as required. Findings include: During interview and review of the facility infection control program with the facility infection control nurse on 5/08/19 at 3:18 P.M., she said all the policies and procedures are located in the computer and she was unable to find any evidence that the infection control policies and procedures are reviewed annually.
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 4.76% | 0.92× |
| 2024 | 4.67% | 0.83× |
| 2025 | 5.51% | 0.89× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
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