Fitchburg Healthcare
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
Resident #1 is fixated on going into Resident #2's room. The DSS said Resident #2 should have been moved to another unit prior to the incident on 12/20/25 and that she questions if the Facility is an appropriate setting for Resident #1, because he/she is hard to redirect and will fixate on other residents.
During an interview on 12/30/25 at 4:05 P.M., the Assistant Director of Nurses (ADON) said Resident #1 wanders daily, can be aggressive and can be difficult to redirect. The ADON said the facility has tried two types of STOP sign banners on the doors, but that Resident #1 has figured them out and continues to enter other residents' rooms. The ADON said prior to the altercation involving Resident #1 and Resident #2 on 12/20/25, staff had redirected Resident #1 away from Resident #2's room three times, had closed the door, and replaced the STOP sign each time. The ADON said he was aware that resident-to-resident altercations had occurred involving Resident #1, Resident #2 and Resident #3. The ADON said staff watch Resident #1 as much and as close as they can, but that sometimes they don't get to him/her in time. The ADON said Resident #1 should not have been in the day/dining room with other residents unsupervised.
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If continuation sheet
FITCHBURG HEALTHCARE in FITCHBURG, MA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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.