Chicopee Rehabilitation and Nursing

In the surveyor’s words

From the most serious findings on record at Chicopee Rehabilitation and Nursing, in the surveyor’s own words.

• Actual harm, isolatedF656Sep 28, 2023

  Based on observation, records reviewed and interviews for one of three sampled residents (Resident #1), who was assessed by nursing as being at an increased risk for falls and who required assistance of two staff members with the use of a mechanical lift for safe transfers, the Facility failed to ensure staff consistently implemented and followed interventions from his/her plan of care related to his/her individual care needs related to transfers. On 09/04/23 during the day shift, a Certified Nurse Aide transferred Resident #1 out of bed, alone, and without a mechanical lift, resulting in him/her being lowered to the floor. […]

• Actual harm, isolatedF689Sep 28, 2023

  Based on records reviewed and interviews for one of three sampled residents (Resident #1), who was assessed by nursing as being at an increased risk for falls, and who required extensive assistance from two staff members with the use of a mechanical lift during transfers, the Facility failed to ensure he/she was provided with the necessary level of staff assistance and assistive device during a transfer to maintain his/her safety in an effort to prevent an incident and/or accident resulting in an injury. On 09/04/23, during the day shift, Certified Nurse Aide (CNA) #1 attempted to transfer Resident #1 without a mechanical lift and without a second staff member present to assist her, Resident #1's knees buckled, and she lowered him/her to the floor. […]

• No harm, potential for more than minimal, widespreadF812Feb 28, 2024

  Based on observation, interview and policy review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, the facility staff failed to: 1a. Ensure kitchen cleanliness and store and prepare food in the main kitchen area in a manner that would prevent contamination and food-borne illnesses. 1b. Ensure food was stored in a manner to prevent food-borne illnesses in two out of two unit-based kitchen areas. 2. Ensure that a process was in place to safely reheat food and beverages for the residents. […]

• No harm, potential for more than minimal, widespreadF801Sep 21, 2021

  Based on interview, the facility failed to designate a person, who met regulatory requirements, to serve as the Director of Food and Nutrition Services when a full time dietician was not employed. During an interview, on 9/21/21 at 9:30 A.M., the Food Service Director (FSD) said that he had worked as the FSD at the facility for a little over one month. He also said that he thought the dietician worked two or three days per week at the facility. The FSD said that he was not a Certified Dietary Manager (CDM), or Certified Food Service Manager (CFSM), and that he did not have an Associates degree or higher in food service management. During an interview, on 9/21/21 at 10:30 A.M., the Administrator said that the dietician worked part time at the facility. […]

• No harm, potential for more than minimal, patternF887Apr 28, 2026

  Based on records reviewed and interviews, the facility failed to ensure newly hired employees' records contained evidence of the 2025-2026 COVID-19 vaccination for four employees (Certified Nursing Assistant [CNA] #5, Dietary Staff #1, Housekeeping Staff #1, Nurse #5), placing staff and residents at an increased risk of becoming infected with Coronavirus disease (COVID-19: an infection caused by the SARS-CoV-2 virus), out of a total of five newly hired employees records reviewed.Specifically, the facility failed to:Ensure the employees' records contained evidence of the 2025-2026 COVID-19 vaccination, or that the newly hired employees were offered the most up-to-date (2025-2026) COVID-19 vaccine or were provided information on obtaining the COVID-19 vaccine, when she/he was eligible.Ensure… […]