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Complaint Investigation

Fitchburg Healthcare

September 17, 2025 · Fitchburg, MA · 1199 John Fitch Hwy
Citations 1
CMS Rating 1/5
Beds 160
Provider ID 225216
Healthcare Facility
Fitchburg Healthcare
Fitchburg, MA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

FITCHBURG HEALTHCARE in FITCHBURG, MA — inspection on September 17, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0557
Resident Rights Deficiencies
Potential for More Than Minimal Harm

CNA #1 yelling at Resident #1 in the hallway bathroom.

The DON said Nurse #1 told her she heard CNA #1 yell, Stop fucking doing that! Stop, stop, stop! and she said Nurse #1 told her said she heard CNA #1 use the word dumbass.

The DON said she then called the Administrator who was still in the Facility and requested he respond to the incident.

During an interview on 09/17/25 at 4:45 P.M., the Administrator said the DON called him on 07/14/25 sometime between 6:30 P.M. and 7:00 P.M. and reported that CNA#1 was heard yelling and swearing at Resident #1 and he initiated an investigation immediately.The Administrator said when he interviewed CNA #1, she admitted telling Resident #1 she was sick of this [NAME] and [NAME] shit and he said when he asked CNA #1 if she called Resident #1 anything derogatory, such as dumbass, said CNA #1 admitted to saying something along those lines, but had said she could not remember exactly the manner in which that word was used.

The Administrator said CNA #1 was immediately placed on leave pending further investigation and was subsequently terminated from her position.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in FITCHBURG, MA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from FITCHBURG HEALTHCARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.