Based on observation and interview, the facility failed to ensure a secure handrail was in place on one Unit (East 2) out of four total Units. Findings include: On 3/31/25 at 2:30 P.M., the surveyor observed and tested the handrails on the East 2 unit. The surveyor was able to move three separate pieces of handrails with minimal effort in three different areas on the unit where the handrails had come loose from the wall. The surveyor observed residents walking in the hallway on the East 2 unit. During an interview on 3/31/25 at 3:35 P.M., the Director of Nurses said all handrails should be affixed securely to the wall. She said the handrails were used by residents and should not be loose or unsecure. …
F924 citations in Massachusetts
Environmental Deficiencies
Put firmly secured handrails on each side of hallways.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F924 more often than its own record predicts
1.02 times the share F924 takes of citations nationally.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F924.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F924 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 | 0.04% | 0.65× |
| 2024 | 0.09% | 2.14× |
| 2025 | 0.04% | 1.02× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
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