A list of the most recent deficiencies for Agawam South Rehab and Nursing. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2023-10-10 | 2023-11-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-10 | 2023-11-24 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-10-10 | 2023-11-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-10 | 2023-11-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-10 | 2023-11-24 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-10-10 | 2023-11-24 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-10-10 | 2023-11-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-10 | 2023-11-24 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-04-14 | 2022-06-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-04-14 | 2022-06-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-14 | 2022-06-17 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-04-14 | 2022-06-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-14 | 2022-06-17 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-04-14 | 2022-06-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-14 | 2022-06-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-14 | 2022-06-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-04-14 | 2022-06-17 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-04-14 | 2022-06-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-14 | 2022-06-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-14 | 2022-06-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-04-14 | 2022-06-17 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-04-21 | 2022-05-06 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-04-21 | 2022-05-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-21 | 2022-05-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-21 | 2022-05-06 | N |
| Respond appropriately to all alleged violations. | Health | 2021-04-29 | 2021-06-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-29 | 2021-06-11 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-04-29 | 2021-06-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-29 | 2021-06-11 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-04-29 | 2021-06-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-29 | 2021-06-11 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-04-29 | 2021-06-11 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-04-29 | 2021-06-11 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-04-29 | 2021-06-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-29 | 2021-06-11 | N |
