Sippican Rehabilitation And Healthcare Center
Inspection Findings
F-Tag F0656
F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
he/she had walked away.Review of a Written Witness Statement, written by the Unit Manager, dated 06/30/25, indicated that on 06/29/25, Resident #1 was observed by a family member (of another resident) leaving the back patio through a side gait and the family member notified facility staff. The Statement indicated that Resident #1 was redirected by a staff member back into the facility. During an in-person
interview on 09/30/25 at 2:05 P.M. and subsequent telephone interviews on 10/02/25 at 2:15 P.M. and 3:34 P.M., the Unit Manager said that on 6/30/25, Activity Assistant #1 told her that Resident #1 had been in the outside activity patio area and went out the patio gate to look at flowers near the front entrance. The Unit Manager said that Resident #1 had been outside on the activity patio, opened the gate and walked over to
the flowers which are near the front entrance of the facility and a visitor saw him/her and notified the activity staff. The Unit Manager said that she did not implement an elopement care plan after the incident because
she did not consider the incident an elopement.During an in-person interview on 09/30/25 at 3:30 P.M. and
a subsequent telephone interview on 10/06/25 at 8:43 A.M., the Director of Nurses (DON) said that she was notified that Resident #1 had unlatched the gate of the outside activity patio and walked over to see
the flowers in the front of the building. The DON said that an elopement risk care plan was not implemented for Resident #1 after the incident because she did not consider the incident an elopement. Review of Resident #1's Comprehensive Care Plan indicated there was no documentation to support the Facility developed and implemented a care plan after the 6/29/25 incident to address Resident #1's wandering behavior and elopement risk.
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SIPPICAN REHABILITATION AND HEALTHCARE CENTER in MARION, 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 MARION, 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 SIPPICAN REHABILITATION AND HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.