105 CMR 143.014
Serious Complaint Procedure
Each program shall develop a written procedure that assures prompt and complete investigations
of all serious complaints which are filed. The procedure shall include, at a minimum, the following
provisions:
(A) Designation of a member ofthe program's administration as the person responsible for overseeing
the investigation of serious complaints lodged;
(B) Establishment of a reporting procedure which assures that the designated administrator will
receive within one day from staff, in writing, reports of serious complaints;
(C) Development by the designated administrator of a written process of investigation which shall
include the following:
(1) A process of fact-gathering that he will utilize, includingprovisionfor interviewingofa patient
complainant;
(2) Creation of a complaint file that includes the original report of complaint, progress reports as
investigation is carried out and outcome of investigation including action taken, if any;
(3) Notification of the complainant of the outcome of the investigation.