- 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
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
During business hours.
After business hours.