Complaint Investigation

Fitchburg Healthcare

December 30, 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 December 30, 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

FF0689

Quality of Life and Care Deficiencies

Potential for More Than Minimal Harm

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.

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.

More Reports

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.