Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0557
D

Failure to Ensure Resident Dignity During Therapy Session

Watertown, Massachusetts Survey Completed on 12-03-2025

Penalty

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

A deficiency occurred when a Physical Therapist Assistant (PTA) failed to treat a resident in a dignified and respectful manner during a therapy session. The resident, who was alert, oriented, and able to communicate needs, had diagnoses including multiple sclerosis, schizoaffective disorder bipolar type, stimulant use, and mild cognitive impairment. During a discussion about therapy progress and fatigue with an Occupational Therapist (OT), the PTA interrupted, approached the resident, leaned in close, and loudly stated, "Get off the drugs," before leaving the area. The resident later reported feeling disrespected by the comment, although they did not initially report the incident because they did not want the PTA to get in trouble. The OT, who witnessed the incident, did not immediately report it, believing the behavior was unprofessional but not abusive. The incident was only brought to the attention of the Director of Rehabilitation (DOR) about three weeks later during a meeting. The facility's policy on resident rights emphasizes the importance of dignity and respectful treatment, which was not upheld in this situation. Interviews with the PTA confirmed the statement was made, with the PTA stating he believed he had a good rapport with the resident and did not think the advice would be upsetting.

An unhandled error has occurred. Reload 🗙