Agawam West Rehab and Nursing

In the surveyor’s words

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

• Actual harm, isolatedF689Oct 15, 2025

  Based on records reviewed, interviews, and observations for one of three sampled residents (Resident #1), who was dependent on staff members for bathing, dressing, incontinence care, bed mobility, and positioning, the Facility failed to ensure his/her safety was maintained during care, when during the provision of care, Certified Nurse Aide (CNA) #1 positioned Resident #1 on his/her side in bed then turned away from him/her to obtain a wet cloth, and Resident #1 rolled off the bed and onto the floor. […]

• No harm, potential for more than minimal, widespreadF814Sep 15, 2025

  Based on observation, record review, and interview, the facility failed to ensure that garbage was disposed of properly. Specifically, the facility failed to ensure the area on the ground around three trash dumpsters outside of the facility building was kept free of various debris, garbage and waste. Findings include:Review of the facility policy for Food Related Garbage and Rubbish Disposal, last revised 11/5/24 indicated garbage and rubbish will be disposed of in accordance with current state laws regulating such matters.>Policy Interpretation and Implementation:-all garbage and rubbish containing food wastes shall be kept in containers. […]

• No harm, potential for more than minimal, patternF812Sep 15, 2025

  Based on observation, interview, and record review, the facility failed to follow professional standards of practice for food safety to prevent the potential of foodborne illness to residents at high risk. Specifically, the facility failed to utilize pasteurized eggs in the preparation of over easy (eggs fried on both sides with a runny yolk) eggs to safely accommodate residents' choice during the breakfast meals and ensure that the unpasteurized eggs being used were cooked until all parts of the egg were completely firm to prevent the potential spread of foodborne illness. […]

• No harm, potential for more than minimal, patternF761Apr 26, 2023

  Based on observation, interview and policy review, the facility failed to ensure its staff appropriately and safely stored medications, for three Residents (#79, #55 and #62), out of a total sample of 24 residents, on three out of four units. Specifically, facility staff failed to secure self-administration medications for Residents #79, #55 and #62, leaving them unsecured and available at the resident's bedside. Findings include: Review of the facility policy titled Storage and Expiration Dating of Medications, Biologicals, dated 7/21/2022 indicated: -Bedside medication storage: Facility should store bedside medications or biologicals in a locked compartment within the resident's room. 1. […]

• No harm, potential for more than minimal, patternF883Apr 26, 2023

  Based on record review and interview, the facility failed to ensure staff educated and offered the Pneumococcal Vaccine to four Residents (#5, #22, #32 and #66) out of five Residents sampled for immunizations. Findings include: Review of a facility policy titled Pneumococcal Vaccination, reviewed 11/15/22, indicated that the facility: -will provide the opportunity for all residents to receive the Pneumococcal Vaccine in adherence with the current recommendations of the Advisory Committee on Immunization Practices as set forth by the Centers for Disease Control and Prevention (CDC). […]