Deficiency Index

Vantage at Westfield LLC

Westfield, Massachusetts · CCN 225380

19 surveys since 2011, 6 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
72
Surveys
19
Harm or worse
6
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse6

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file13/19

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
98
Ownership
For profit - Corporation
Chain
VANTAGE CARE
County
Hampden
Medicare-certified since
1990

CMS ratings

Overall
2
Health inspection
3
Staffing
2
Quality measures
1

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 49 for-profit facilities of 66–99 beds in Massachusetts.

Last survey on record

Apr 14, 2026

209 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.493.58
Registered-nurse hours per resident day0.54—
Annual nurse turnover50.0%39.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$12,735 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG13.6%H—I—
No harm, potential for more than minimalD1967.9%E621.4%F—
No harm, potential for minimalA—B27.1%C—
CMS’s current file: 28 of the 72 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8423×

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • F7592×

    Ensure medication error rates are not 5 percent or greater.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5651×

    Honor the resident's right to organize and participate in resident/family groups in the facility.

  • F5781×

    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.

In the surveyor’s words

From the most serious findings on record at Vantage at Westfield LLC, in the surveyor’s own words.

  • Actual harm, isolatedF689Mar 11, 2026

    Based on records reviewed, interviews, and observations, for one of three sampled residents (Resident #1) who required a wheelchair accessible platform scale for weight monitoring, the Facility failed to maintain a safe, hazard free environment, when the dual ramp platform scale was obstructed on three of four sides, limiting staff access needed to safely assist the resident during weighing. On 12/31/25, Resident #1 began to fall from his/her wheelchair, and due to the obstructed access, Certified Nurse Aide #1 was unable to position herself to provide adequate physical assistance. […]

  • No harm, potential for more than minimal, patternF842Jul 29, 2025

    Based on records reviewed and interviews for four of four sampled residents (Resident #1, Resident #2, Resident #3, and Resident #4), who all had a diagnosis of Diabetes (a condition when a hormone called insulin does not work properly or there is not enough of it which causes the level of glucose (sugar) in the blood to become too high), the facility failed to ensure they maintained a complete and accurate medical record when Certified Nurse Aide (CNA) Activity of Daily Living (ADL) Flow Sheets related to meal intake were not consistently completed and often left blank.Findings include:Review of the Facility Policy titled, Charting and Documentation, dated as last revised July 2017, included but was not limited to: -All services provided to the resident, progress toward care plan goals,… […]

  • No harm, potential for more than minimal, patternF730Jan 7, 2025

    Based on record review, and interview, the facility failed to complete a performance review at least once every 12 months for five Certified Nurses Aides ([CNA's] #1, #2, #3, #4 and #5) out of five employee records reviewed. Specifically, the facility failed to complete annual performance evaluations for CNA's #1, #2, #3, #4 and #5 as required, to address areas of weakness identified in the evaluation and the special needs of the facility residents. Findings include: Review of the facility employee records indicated that: -CNA #1 was hired on 1/21/22 -CNA #2 was hired on 5/15/18 -CNA #3 was hired on 10/16/23 -CNA #4 was hired on 12/19/17 -CNA #5 was hired on 11/27/18 Further review of the employee records did not indicate that performance evaluations had been completed for the… […]

  • No harm, potential for more than minimal, patternF880Mar 1, 2023

    Based on observations, interviews, record and policy reviews, the facility failed to ensure that its staff implemented an infection prevention and control program in order to prevent the transmission of communicable diseases. Specifically, the facility failed to ensure its staff: A) adhered to the Centers of Disease Control & Prevention (CDC) and Massachusetts Department of Public Health (MA DPH) guidance in order to minimize the risk of transmission of infections by implementing the required Personal Protective Equipment (PPE) practices on two out of two units observed, and B) disinfected multiple use equipment to prevent the potential spread of infection. […]

  • No harm, potential for more than minimal, patternF623Sep 13, 2022

    Based on interview, record review, and policy review, the facility and its staff failed to ensure a Notice of Transfer and Discharge, including the reasons for transfer/discharge to the hospital, was provided in writing to the Resident and/or the Resident's Representative for three Residents (#69, #36 and #59), out of a total of 18 sampled residents. Specifically, the facility did not provide a Notice of Transfer and Discharge for residents on a medical leave of absence. Findings Include: Review of the facility policy titled Discharge and Transfer, revised 2/1/19, indicated the following: For patients transferred to a hospital: -For unplanned, acute transfers where it is planned for the patient to return to the Center, the patient and/or resident representative will be notified verbally… […]

Read 25 findings in full →The most serious and the most recent: 25 of 72 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 14, 2026Standard1 finding
  • Mar 11, 2026Complaint1 finding · 1 harm
  • Jul 29, 2025Complaint2 findings
  • Jan 7, 2025Standard8 findings
  • Nov 29, 2023Standard3 findings
  • Mar 1, 2023Infection control2 findings
  • Sep 13, 2022Standard13 findings
  • Jan 29, 2020Standard4 findings
Show the 11 earlier surveys
  • Nov 2, 2016Standard1 finding
  • Sep 3, 2015Standard9 findings · 2 harm
  • May 28, 2015Complaint1 finding
  • Jun 24, 2014Standard4 findings
  • Jan 8, 2014—1 finding · 1 harm
  • Jul 18, 2013—4 findings
  • Aug 16, 2012—7 findings
  • Sep 26, 2011—7 findings · 2 harm
  • Apr 20, 2011—1 finding
  • Mar 11, 2011—2 findings
  • Jan 14, 2011—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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