Based on record review and interview the facility failed to implement an Antibiotic Stewardship Program to promote and monitor the appropriate use of antibiotics.Findings include:Review of the facility policy titled Antibiotic Stewardship, dated as revised December 2016, indicated but was not limited to: Antibiotics will be prescribed and administered to residents under the guidance of the facility's antibiotic stewardship program.The purpose of our antibiotic stewardship program is to monitor the use of antibiotics in our residents. During the survey period the surveyor requested infection control and antibiotic stewardship information. The facility did not implement a program for antibiotic stewardship and did not implement a system to monitor antibiotic use. …
F881 citations in Massachusetts
Antibiotic stewardship · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F881 more often than its own record predicts
1.20 times the share F881 takes of citations nationally.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F881.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F881 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.
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.60% | 1.31× |
| 2024 | 0.52% | 1.16× |
| 2025 | 0.58% | 1.20× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction