Based on record review and interview, the facility failed to notify residents, families, and/or resident representatives of COVID-19 positive staff cases that occurred in the facility by 5:00 P.M., the next calendar day during the recent COVID-19 outbreak in August 2023, as required. Findings include: Review of the Centers for Medicare and Medicaid Services Interim Final Rule Updating Requirements for Notification of Confirmed or Suspected COVID-19 Cases of Residents and Staff in Nursing Homes, Reference: QSO-20-29-NH dated May 6, 2022, indicated: - 3) Inform residents, their representatives, and families of those residing in facilities by 5 P.M., the next calendar day following the occurrence of either a single confirmed infection of COVID-19, or three or more residents or staff with… …
F885 citations in Massachusetts
Infection Control Deficiencies
Report COVID19 data to residents and families.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Massachusetts cites F885 more often than its own record predicts
3.65 times the share F885 takes of citations nationally.
Of every deficiency written in Massachusetts in 2023, this is the portion that was F885.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F885 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 interview, record review, and policy review, the facility failed to ensure its staff provided cumulative information on the number of confirmed COVID-19 cases within the facility to residents, their representatives, and families. Findings include: Review of the facility policy titled Coronavirus Disease (COVID-19)-Reporting Facility Data to Residents and Families, dated May 2020, indicated the following: -Cumulative information on the number of cases of confirmed COVID-19 or new onset of respiratory symptoms is included with the notice of confirmed case(s), or clusters of three or more residents or staff with respiratory symptoms occurring within 7 hours of each other. …
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