Based on observation, document review, and interview, the facility failed to develop and implement a smoking policy, that included a process for their independent smokers ensuring designated smoking areas, proper receptacles for safe cigarette disposal, and the storage of the lighting and smoking materials for 8 out of 16 current smokers in the facility. Findings include: Review of the Department of Health and Human Services Centers for Medicare and Medicaid Services Memorandum titled Smoking Safety in Long Term Care Facilities, dated 11/10/11, included but was not limited to:-Facilities must include assessment of smoking areas and provision of emergency equipment in the designated smoking areas. …
F926 citations in Massachusetts
Environmental Deficiencies
Have policies on smoking.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F926 less often than its own record predicts
0.52 times the national share — cited less often here than elsewhere.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F926.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F926 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, policy, and record review, the facility failed to implement smoking policies as required for one Resident (#49) out of one applicable Resident, out of a total sample of 15 residents, and also failed to ensure that the Resident smoking area was maintained in a safe, clean and sanitary manner. Specifically, the facility staff failed to: 1. For Resident #49, ensure that smoking assessments and Resident Agreement for safe smoking habits were completed quarterly as required. 2. Establish a cleaning schedule to empty the cigarette disposal receptacles timely and replace a missing cigarette disposal receptable cover to prevent accidental fires and/or burns and unsafe disposal of cigarette butts on the ground in the smoking area. Findings include: 1. …
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.08% | 1.02× |
| 2024 | 0.12% | 2.19× |
| 2025 | 0.04% | 0.52× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
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