F895 in Massachusetts. Pick another state for the same tag.
Against expectation — 2023
Massachusetts cites F895 more often than its own record predicts
Versus expected share4.39×
4.39 times the share F895 takes of citations nationally.
Share of Massachusetts citations0.08%
Of every deficiency written in Massachusetts in 2023, this is the portion that was F895.
Massachusetts0.08%
National0.02%
Share of all citations that were F895.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F895 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.
F · No harm, potential for more than minimal, widespreadFebruary 14, 2023
Based on interview, the facility failed to develop, implement, and maintain a comprehensive Compliance and Ethics program as required.
Findings include:
The Administrator was unable to provide the surveyor with the facility's Compliance and Ethics program for review.
During an interview on 2/14/23 at 1:32 P.M., the Administrator said he had not instituted any Compliance and Ethics program nor did he have any policies, as he was still getting acclimated to the facility.
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