Based on records reviewed and interviews, for one of three sampled Resident's (Resident #2), the Facility failed to ensure essential equipment was maintained in safe, operating conditions, when on 6/11/19, the head of Resident #2's bed collapsed, Resident #2 complained of severe back pain, was transferred to the Hospital Emergency Department for evaluation, was diagnosed with [REDACTED]. Findings include: Review of Resident #2's medical record indicated [DIAGNOSES REDACTED]. The Admission Nursing Evaluation, dated 6/6/19, indicated, using a pain scale of zero to 10, zero is no pain and 10 being the worst pain, Resident #2 rated his/her level of pain between one and two (hurts a little bit) daily to his/her back and lower extremities. …
F908 citations in Massachusetts
Equipment in safe condition · Environmental Deficiencies
Keep all essential equipment working safely.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F908 less often than its own record predicts
0.68 times the national share — cited less often here than elsewhere.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F908.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F908 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 essential dietary equipment in safe operating condition by failing to ensure the walk-in freezer functioned to maintain foods at safe frozen temperatures. Specifically, for the main kitchen walk-in freezer, the facility failed to ensure the freezer unit maintained temperature at or below 0 degrees Fahrenheit (F). Findings include:Review of the facility's policy titled Dietary Department Guidelines, dated 5/2015, indicated but was not limited to the following:- The facility must store, prepare and distribute food under sanitary conditions. - Food: all frozen foods will be stored below 0 F. Freezer temperatures will be monitored regularly, and logs will be maintained of all temperatures.Review of the U.S. …
Based on observation and interview, the facility failed to maintain equipment in safe working order. Specifically, the facility failed to maintain: 1. One of two microwaves located in the resident kitchenettes on the third floor; 2. The food processor in the main kitchen used for resident food; and 3. The plate warmer in the main kitchen used to heat residents' plates. Findings include: Review of the facility's policy titled Marinating [sic] Functional Equipment, last revised 1/18/23, indicated but was not limited to: - It is the policy of this Facility that Kitchen Equipment will be maintained functionally as designed. - Kitchen equipment is maintain [sic] functional. …
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.38% | 0.81× |
| 2024 | 0.31% | 0.69× |
| 2025 | 0.31% | 0.68× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
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