Nursing home inspections in Massachusetts
Massachusetts surveyors cite professional standards of care (F658) at 2.85× its national share.
Cited least often against expectation here: “Ensure that a nursing home area is free from accident hazards…”, at 0.61×.
F658 · 132 citations · 2025 surveys
The shape of it — 2025
Cited more, and less, than expected
Each state is measured against its own expected share, not against other states.
The evidence
Every tag Massachusetts cites above its expected share
Ensure services provided by the nursing facility meet professional standards of quality.
132 citations across 127 facilities · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
114 citations across 104 facilities · Resident Assessment and Care Planning Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
57 citations across 52 facilities · Resident Rights Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
118 citations across 110 facilities · Resident Assessment and Care Planning Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
101 citations across 101 facilities · Pharmacy Service Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
58 citations across 56 facilities · Quality of Life and Care Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
61 citations across 59 facilities · Resident Rights Deficiencies
Ensure each resident receives an accurate assessment.
52 citations across 51 facilities · Resident Assessment and Care Planning Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
60 citations across 58 facilities · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
52 citations across 51 facilities · Quality of Life and Care Deficiencies
How severe those findings were
Scope and severity
4.9% of citations found actual harm or worse (level G and above).
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J670.6% | K270.3% | L70.1% |
| Actual harm | G3643.5% | H480.5% | I20.0% |
| No harm, potential for more than minimal | D6,79264.7% | E2,23721.3% | F5365.1% |
| No harm, potential for minimal | A— | B3303.1% | C840.8% |
Browse all 341 Massachusetts nursing homes →
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