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Deficiency Records for South Hadley Rehabilitation and Nursing Center
View the most recent health deficiencies and inspection results for South Hadley Rehabilitation and Nursing Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for South Hadley Rehabilitation and Nursing Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-05-27 | 2025-08-04 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-05-27 | 2025-08-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-05-27 | 2025-08-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-27 | 2025-08-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-05-27 | 2025-08-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-05-27 | 2025-08-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-27 | 2025-08-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-27 | 2025-08-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-05-27 | 2025-08-04 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-05-27 | 2025-08-04 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-05-27 | 2025-08-04 | N |
| Develop a communication plan. | Fire Safety | 2025-05-27 | 2025-08-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-05-27 | 2025-06-20 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2025-05-27 | 2025-06-20 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-05-27 | 2025-06-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-05-27 | 2025-06-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-27 | 2025-06-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-05-27 | 2025-06-20 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2025-05-27 | 2025-06-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-05-27 | 2025-06-20 | 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 | 2025-05-27 | 2025-06-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-05-27 | 2025-06-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-27 | 2025-06-20 | 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 | 2024-08-04 | 2024-08-07 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-07-11 | 2024-07-29 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-03-27 | 2024-06-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-27 | 2024-06-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-03-27 | 2024-04-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-27 | 2024-04-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-27 | 2024-04-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-27 | 2024-04-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-27 | 2024-04-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-27 | 2024-04-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-03-27 | 2024-04-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-27 | 2024-04-22 | N |
| Keep all essential equipment working safely. | Health | 2024-03-27 | 2024-04-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-27 | 2024-04-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-27 | 2024-04-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-27 | 2024-04-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-03-27 | 2024-04-22 | 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 | 2024-03-27 | 2024-04-22 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-03-27 | 2024-04-22 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-03-27 | 2024-04-22 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-03-27 | 2024-04-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-27 | 2024-04-22 | 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 | 2024-03-27 | 2024-04-22 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-03-27 | 2024-04-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-27 | 2024-04-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-21 | 2023-12-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-21 | 2023-12-12 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-07-31 | 2023-07-21 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-07-31 | 2023-07-21 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-11-22 | 2023-01-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-22 | 2023-01-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-22 | 2023-01-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-22 | 2023-01-16 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-11-22 | 2022-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-22 | 2022-12-31 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-11-22 | 2022-12-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-22 | 2022-12-31 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-11-22 | 2022-12-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-11-22 | 2022-12-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-22 | 2022-12-31 | 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 | 2022-11-22 | 2022-12-31 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-11-22 | 2022-12-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-22 | 2022-12-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-22 | 2022-12-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-22 | 2022-12-31 | 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 | 2022-11-22 | 2022-12-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-22 | 2022-12-31 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-11-22 | 2022-12-31 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-11-22 | 2022-12-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-11-22 | 2022-12-31 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-11-22 | 2022-12-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-22 | 2022-12-31 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-11-22 | 2022-12-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-22 | 2022-12-31 | N |