Long-Term Care Facility
Facility Emergency

Below are detailed descriptions of reportable adverse events, grouped by state or federal agency. Answer the question that appears beneath EACH description. When you're finished, click View Reporting Instructions to move to the next page.

Department of Public Health

Serious Incident

DPH requires you to report any of the following:

  • Full or partial evacuation of the facility for any reason,
  • Fire,
  • Pending or actual strike action by its employees, and contingency plans for operation of the facility, or
  • Any incident that seriously affected the health and safety of a patient or that caused serious physical injury to the resident.

DPH uses the term “serious incident” to cover several broad categories of reportable events. In addition to the above, it also includes any of the following:

  • A resident death that is
    • Unanticipated
    • Unrelated to the natural course of the patient’s illness or underlying condition, or
    • The result of an error
  • Suicide
  • A reportable condition or illness that is 1) believed to be part of a cluster or outbreak, 2) believed to be unusual, 3) related to food consumption or 4) believed to be transmissible through food.
    • Unusual Illness: An illness, by any indication, occurring for the first time or under rare circumstances, or an illness associated with signs and symptoms not otherwise expected to occur based on the known or presumed etiology of the illness.
    • Illness: An abnormal condition or functional impairment resulting from infection, metabolic abnormalities, physical or physiological injury or other cause, marked by subjective complaints and clinical signs.

These events are reportable if they occurred on premises covered by your facility's license.

Reference: 105 CMR § 150.002(G)(1). (Note that DPH has the regulatory authority to add to this list of serious incidents through guidance.)

Does your event fit this description?

Checkmark Selection recorded