Agawam North Rehab and Nursing

In the surveyor’s words

From the most serious findings on record at Agawam North Rehab and Nursing, in the surveyor’s own words.

• Actual harm, isolatedF580Apr 9, 2025

  Based on observation, interview, and record review, the facility failed to notify the Physician/Nurse Practitioner (NP) timely of a change in condition for two Residents (#13 and #47) out of a total sample of 23 residents. Specifically: 1. For Resident #13, the facility staff failed to: -notify the Physician/NP timely when a right heel wound change in condition was identified resulting in delayed treatment and monitoring of the Resident, deterioration of the wound and hospitalization for infection and management of worsening wound condition. 2. For Resident #47, facility staff failed to: -obtain weight when the Resident was readmitted to the facility after a hospitalization . […]

• Actual harm, isolatedF580Apr 9, 2025

  Based on observation, interview, and record review, the facility failed to notify the Physician/Nurse Practitioner (NP) timely of a change in condition for two Residents (#13 and #47) out of a total sample of 23 residents. Specifically: 1. For Resident #13, the facility staff failed to: -notify the Physician/NP timely when a right heel wound change in condition was identified resulting in delayed treatment and monitoring of the Resident, deterioration of the wound and hospitalization for infection and management of worsening wound condition. 2. For Resident #47, facility staff failed to: -obtain weight when the Resident was re-admitted to the facility after a hospitalization. […]

• Actual harm, isolatedF686Apr 9, 2025

  Based on observation, interview, and record review, the facility failed to provide care consistent with professional standards of practice to prevent and treat a pressure ulcer (localized damage to the skin and/or underlying soft tissue usually over a bony prominence or related to a medical or other device) and prevent further skin decline for one Resident (#13), of 5 applicable residents, out of a total sample of 23 residents. Specifically, for Resident #13, the facility failed to: -appropriately and timely assess an identified scab of the right heel after a previous wound had healed, when the Resident was identified as being at high risk for developing pressure ulcers. […]

• Actual harm, isolatedF600May 3, 2022

  Based on records reviewed and interviews for one of three sampled residents (Resident #1), who required assist of one staff member for personal hygiene, transfers, and ambulation, and who was undergoing treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . - On 4/18/22 after being transferred to and evaluated in the Hospital Emergency Department for an acute change in his/her medical status, Resident #1 was medically cleared by the Hospital and transferred back to the Facility via Ambulance the same day. However, upon return to the Facility he/she was denied entry and was informed by staff that Administration said he/she was discharged . […]

• Actual harm, isolatedF626May 3, 2022

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who required emergent transfer to the Hospital Emergency Department (ED) on 04/18/22, for evaluation of an acute change in medical status, was medically cleared by the ED later that same day, and was returned to the Facility via ambulance, the Facility failed to ensure Resident #1 was permitted to return, and denied him/her re-entry. Resident #1 was not told why he/she was abruptly being discharged , said he/she had no where to go in the community to live, was quite upset of the situation, and subsequently required transfer back to the Hospital. […]