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Deficiency Records for Agawam West Rehab and Nursing
View the most recent health deficiencies and inspection results for Agawam West Rehab and Nursing. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Agawam West Rehab and Nursing. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-09-15 | 2025-10-17 | N |
| Dispose of garbage and refuse properly. | Health | 2025-09-15 | 2025-10-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-09-15 | 2025-10-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-09-15 | 2025-10-10 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-09-15 | 2025-10-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-09-15 | 2025-10-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-10-15 | 2025-09-26 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-05-15 | 2025-06-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-15 | 2025-06-09 | Y |
| 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 | 2025-05-15 | 2025-06-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-05-15 | 2025-06-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-05-15 | 2025-06-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-03-26 | 2025-04-21 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-16 | 2024-09-10 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-07-16 | 2024-08-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-16 | 2024-08-14 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-07-16 | 2024-08-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-16 | 2024-08-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-16 | 2024-08-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-16 | 2024-08-14 | N |
| Provide or obtain dental services for each resident. | Health | 2024-07-16 | 2024-08-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-16 | 2024-08-14 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-07-16 | 2024-08-14 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-07-16 | 2024-08-14 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2024-07-16 | 2024-08-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-16 | 2024-08-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-07-16 | 2024-08-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-26 | 2023-06-16 | N |
| Have proper openings in smoke barrier doors. | Fire Safety | 2023-04-26 | 2023-06-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-04-26 | 2023-06-06 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-04-26 | 2023-06-06 | 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 | 2023-04-26 | 2023-06-06 | 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 | 2023-04-26 | 2023-06-06 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-04-26 | 2023-06-06 | N |
| Provide activities to meet all resident's needs. | Health | 2023-04-26 | 2023-06-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-26 | 2023-06-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-26 | 2023-06-06 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-04-26 | 2023-06-06 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-04-26 | 2023-06-06 | N |