Instructions and fax forms for reporting all incidents under the Patient Abuse Law. Generally, you must file facility reports using the Health Care Facility Reporting System (HCFRS).
- This page, Report an incident in a healthcare facility, is offered by
- Division of Health Care Facility Licensure and Certification
- Bureau of Health Care Safety and Quality
- Department of Public Health
Report an incident in a healthcare facility
Contacts
Division of Health Care Facility Licensure and Certification
Phone
Main intake number
Call Division of Health Care Facility Licensure and Certification, Main intake number at (617) 753-8150
During business hours.
After business hours.
The Details
How to report
Licensed facilities must notify DPH immediately by phone in the event of:
- Death that is unanticipated, not related to the natural course of illness or condition, or that is the result of an error or other incident
- Full or partial evacuation due to fire, flood, utility failure, or other disaster
- Code Black (hospitals only)
During business hours, call the main intake number (617) 753-8150.
After business hours, call (617) 363-0755.
Licensed facilities must notify DPH immediately by phone in the event of:
- Death that is unanticipated, not related to the natural course of illness or condition, or that is the result of an error or other incident
- Full or partial evacuation due to fire, flood, utility failure, or other disaster
- Code Black (hospitals only)
During business hours, call the main intake number (617) 753-8150.
After business hours, call (617) 363-0755.
Fax Forms
A facility that is filing a report regarding an incident that occurred in another facility must submit that report by fax, using the appropriate form below:
- Home Health, Hospice and Homemaker Agencies (RTF)
- Updated Hospital Fax Form and Directions (DOC)
- Nursing Homes and Rest Homes (RTF)
Fax form to (617) 753-8165.
Contact
Address
Phone
Main intake number
Call Division of Health Care Facility Licensure and Certification, Main intake number at (617) 753-8150
During business hours.
After business hours.
Online
Fax
(617) 753-8165