F940 in Massachusetts. Pick another state for the same tag.
Against expectation — 2024
Massachusetts cites F940 more often than its own record predicts
Versus expected share1.94×
1.94 times the share F940 takes of citations nationally.
Share of Massachusetts citations0.18%
Of every deficiency written in Massachusetts in 2024, this is the portion that was F940.
Massachusetts0.18%
National0.09%
Share of all citations that were F940.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F940 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.
K · Immediate jeopardy, patternNovember 7, 2023
Based on document review and staff interviews, the facility failed to ensure that they implemented and maintained an effective training program for all new hires, consistent with their expected roles, and failed to determine the amount and type of training necessary based on the facility assessment. Specifically, 22 out of 22 new staff hired in 2023 to date, were not provided training, therefore, failing to ensure competent, safe, and effective resident care.
Findings include:
Review of the Facility Assessment indicated the following:
-3.4 Every new hire must meet the minimum education and training requirements to hold and maintain their professional licensures and certifications. All new hires go through general orientation. …
F · No harm, potential for more than minimal, widespreadSeptember 26, 2024
Based on review of the Facility Assessment, employee education record review, and interview, the facility failed to implement and maintain and effective training program per the facility assessment for all new and existing staff. Specifically, the facility failed to provide the required training necessary to meet the needs of each resident.
Findings include:
Review of the Facility Assessment, dated as reviewed in April 2024, included but was not limited to the following:
Staff training/education and competencies.
-Staff members are provided in-services throughout the year and as needed on topics including infection control-hand hygiene, isolation and standard universal precautions including use of personal protective equipment, MRSA/VRE/ CDI precautions, environmental cleaning. …
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