Agawam South Rehab and Nursing

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Mar 10, 2026

  Based on observations, interviews, and records reviewed, the facility failed to maintain infection control practices relative to laundry services for three units (A Wing, C Wing and D Wing) out of three total units, placing all facility residents at risk for exposure to unsanitary linens, contamination and the spread of infections. Specifically, the facility failed to maintain infection control practices relative to laundry services when: -Resident #93 and Resident #32 indicated during a resident council meeting that their clothing washed by facility laundry smelled of mildew.-Feces were observed in the washer machine with a load of linens being washed. -the chemical programming box was not set to the correct program to ensure proper sanitization of resident's linens. […]

• No harm, potential for more than minimal, widespreadF812Oct 10, 2023

  Based on observations, interviews and policy review, the facility failed to store, prepare, distribute and serve food used for resident consumption in accordance with professional standards for food service safety within the main kitchen, and on three of three unit nourishment kitchens observed. Specifically, the facility failed to: -ensure that all food stored in the main kitchen area, walk-in refridgerator and unit nourishment kitchens were labeled and dated and expired food discarded to prevent cross-contamination and food-borne illnesses. -maintain the main kitchen and the unit nourishment kitchens in a clean and sanitary manner to prevent contamination and food-borne infections. […]

• No harm, potential for more than minimal, patternF760Nov 26, 2024

  Based on record review, and interview, the facility failed to ensure that one Resident (#10) out of a total sample of 22 residents, was free from significant medication errors. Specifically, the facility staff failed to adhere to the Physician's orders to hold (not administer) the dose of Midodrine (medication used to treat orthostatic [standing up] hypotension [low blood pressure]) when the blood pressure measured above 130 millimeters of mercury (mmHg) for a Systolic [the pressure in the arteries when the heart contracts] Blood Pressure (SBP). […]

• No harm, potential for more than minimal, patternF880Nov 26, 2024

  Based on observation, interview, and record review, the facility failed to adhere to infection control standards to prevent the potential transmission of communicable diseases and infections for three Residents (#346, #47 and #6) out of a total sample of 20 residents, and on three units (A Wing, C Wing, and D Wing) out of a total of three units. Specifically, the facility failed to: 1) ensure that wound care supplies used inside a Resident's room were not removed from the room and stored in the clean utility room on C Wing. 2) ensure infection control standards were maintained during wound care for Resident #346. 3) ensure that staff wore the necessary Personal Protective Equipment (PPE: items such as a gown, gloves, mask, eye protection, etc. […]

• No harm, potential for more than minimal, patternF880Apr 14, 2022

  Based on observation, interview and record review the facility failed to ensure all Residents were screened for signs and symptoms of COVID-19 every shift during an outbreak on one of three units, and failed to adhere to infection control standards during the medication pass observation. Findings include: 1. The facility failed to ensure that all residents on Unit C were screened every shift for symptoms consistent with COVID-19 during an outbreak. Specifically the facility failed to ensure that staff assessed Residents #24 and #72 were assessed every shift for signs and symptoms of COVID. […]