Based on document review and interview, the facility failed to provide training and education to all their staff to outline current elements, projects, goals, and revisions of the facility's Quality Assurance Performance Improvement (QAPI) program. Findings include: Review of the facility's policy titled Quality Assurance Performance Improvement (QAPI), dated as last revised 6/2024, indicated but was not limited to the following:-Communication about QAPI activities is shared via staff meetings and/or trainings.Review of the facility's education records on QAPI training indicated staff were trained on the general concept of QAPI but failed to indicate staff were educated on the facility's QAPI projects, plans, or goals as required.During an interview on 2/2/26 at 1:30 P.M., Consulting Staff… …
F944 citations in Massachusetts
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Massachusetts cites F944 less often than its own record predicts
0.42 times the national share — cited less often here than elsewhere.
Of every deficiency written in Massachusetts in 2025, this is the portion that was F944.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Massachusetts surveyors wrote
F944 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 documentation review and interview, the facility failed to provide training and education to all their staff to outline elements and goals of the facility's Quality Assurance Performance Improvement (QAPI) program. Findings include: Review of the facility's policy titled Quality Assurance Performance Improvement, revised 4/2022, indicated, but was not limited to, the following: -Small group education sessions on QAPI are provided to all caregivers working in the building. QAPI is also part of orientation for new staff members joining the team. -Administrator is responsible to ensure ongoing orientation, education and training on QAPI. …
The short window
Recent years
| Year | Share of Massachusetts citations | vs expected |
|---|---|---|
| 2023 | 0.11% | 1.84× |
| 2024 | 0.21% | 2.30× |
| 2025 | 0.04% | 0.42× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Massachusetts surveyors cite →
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