Deficiency timeline

South Hadley Rehabilitation and Nursing Center

Dated inspection findings, penalties, and correction notes for this nursing home in South Hadley, MA. Newest events first.

56 eventsClass insights →
  1. Class IIIPotential for more than minimal harm (D)cms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Jun 20, 2025

  2. Class IIIPotential for more than minimal harm (F)cms

    F0909: Environmental

    Environment

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    Corrected Jun 20, 2025

  3. Class IIIPotential for more than minimal harm (E)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Jun 20, 2025

  4. Class IIIPotential for more than minimal harm (D)cms

    F0641: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure each resident receives an accurate assessment.

    Corrected Jun 20, 2025

  5. Class IIIPotential for more than minimal harm (D)cms

    F0686: Quality of Life and Care

    Quality of life & care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected Jun 20, 2025

  6. Class IIIPotential for more than minimal harm (D)cms

    F0693: Quality of Life and Care

    Quality of life & care

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected Jun 20, 2025

  7. Class IIIPotential for more than minimal harm (D)cms

    F0757: Pharmacy Service

    Pharmacy services

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected Jun 20, 2025

  8. Class IIIPotential for more than minimal harm (D)cms

    F0773: Administration

    Administration

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

    Corrected Jun 20, 2025

  9. Class IIIPotential for more than minimal harm (D)cms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Jun 20, 2025

  10. Class IIIPotential for more than minimal harm (D)cms

    F0883: Infection Control

    Infection control

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected Jun 20, 2025

  11. Class IIIPotential for more than minimal harm (D)cms

    F0887: Infection Control

    Infection control

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Corrected Jun 20, 2025

  12. Class IIIPotential for more than minimal harm (F)Complaint-relatedcms

    F0761: Pharmacy Service

    Pharmacy services

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected Aug 7, 2024

  13. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0727: Nursing and Physician Services

    Nursing & physician services

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected Jul 29, 2024

  14. Class IIIPotential for more than minimal harm (F)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Apr 22, 2024

  15. Class IIIPotential for more than minimal harm (E)cms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Apr 24, 2024

  16. Class IIIPotential for more than minimal harm (D)cms

    F0908: Environmental

    Environment

    Keep all essential equipment working safely.

    Corrected Apr 22, 2024

  17. Class IIIPotential for more than minimal harm (D)cms

    F0553: Resident Rights

    Resident rights

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected Apr 22, 2024

  18. Class IIIPotential for more than minimal harm (D)cms

    F0558: Resident Rights

    Resident rights

    Reasonably accommodate the needs and preferences of each resident.

    Corrected Apr 24, 2024

  19. Class IIIPotential for more than minimal harm (D)cms

    F0578: Resident Rights

    Resident rights

    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.

    Corrected Apr 22, 2024

  20. Class IIIPotential for more than minimal harm (D)cms

    F0580: Resident Rights

    Resident rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected Apr 22, 2024

  21. Class IIIPotential for more than minimal harm (D)cms

    F0622: Resident Rights

    Resident rights

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Corrected Apr 22, 2024

  22. Class IIIPotential for more than minimal harm (D)cms

    F0636: Resident Assessment and Care Planning

    Assessment & care planning

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected Apr 22, 2024

  23. Class IIIPotential for more than minimal harm (D)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Apr 24, 2024

  24. Class IIIPotential for more than minimal harm (D)cms

    F0657: Resident Assessment and Care Planning

    Assessment & care planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected Apr 22, 2024

  25. Class IIIPotential for more than minimal harm (D)cms

    F0677: Quality of Life and Care

    Quality of life & care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected Apr 22, 2024

  26. Class IIIPotential for more than minimal harm (D)cms

    F0695: Quality of Life and Care

    Quality of life & care

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected Apr 22, 2024

  27. Class IIIPotential for more than minimal harm (D)cms

    F0804: Nutrition and Dietary

    Nutrition & dietary

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected Apr 22, 2024

  28. Class IIIPotential for more than minimal harm (D)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Apr 22, 2024

  29. Class IVMinimal harm / potential for minimal harm (B)cms

    F0623: Resident Rights

    Resident rights

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected Apr 24, 2024

  30. Class IVMinimal harm / potential for minimal harm (B)cms

    F0625: Resident Rights

    Resident rights

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Corrected Apr 22, 2024

  31. Class IVMinimal harm / potential for minimal harm (B)cms

    F0641: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure each resident receives an accurate assessment.

    Corrected Apr 22, 2024

  32. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Dec 12, 2023

  33. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0686: Quality of Life and Care

    Quality of life & care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected Dec 12, 2023

  34. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0583: Resident Rights

    Resident rights

    Keep residents' personal and medical records private and confidential.

    Corrected Jul 21, 2023

  35. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0624: Resident Rights

    Resident rights

    Prepare residents for a safe transfer or discharge from the nursing home.

    Corrected Jul 21, 2023

  36. Class IIIPotential for more than minimal harm (E)cms

    F0565: Resident Rights

    Resident rights

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

    Corrected Dec 31, 2022

  37. Class IIIPotential for more than minimal harm (E)cms

    F0657: Resident Assessment and Care Planning

    Assessment & care planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected Dec 31, 2022

  38. Class IIIPotential for more than minimal harm (E)cms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Dec 31, 2022

  39. Class IIIPotential for more than minimal harm (E)cms

    F0695: Quality of Life and Care

    Quality of life & care

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected Dec 31, 2022

  40. Class IIIPotential for more than minimal harm (E)cms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Dec 31, 2022

  41. Class IIIPotential for more than minimal harm (E)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Dec 31, 2022

  42. Class IIIPotential for more than minimal harm (E)cms

    F0886: Infection Control

    Infection control

    Perform COVID19 testing on residents and staff.

    Corrected Dec 31, 2022

  43. Class IIIPotential for more than minimal harm (D)cms

    F0558: Resident Rights

    Resident rights

    Reasonably accommodate the needs and preferences of each resident.

    Corrected Dec 31, 2022

  44. Class IIIPotential for more than minimal harm (D)cms

    F0580: Resident Rights

    Resident rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected Dec 31, 2022

  45. Class IIIPotential for more than minimal harm (D)cms

    F0583: Resident Rights

    Resident rights

    Keep residents' personal and medical records private and confidential.

    Corrected Dec 31, 2022

  46. Class IIIPotential for more than minimal harm (D)cms

    F0623: Resident Rights

    Resident rights

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected Dec 31, 2022

  47. Class IIIPotential for more than minimal harm (D)cms

    F0625: Resident Rights

    Resident rights

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Corrected Dec 31, 2022

  48. Class IIIPotential for more than minimal harm (D)cms

    F0636: Resident Assessment and Care Planning

    Assessment & care planning

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected Dec 31, 2022

  49. Class IIIPotential for more than minimal harm (D)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Dec 31, 2022

  50. Class IIIPotential for more than minimal harm (D)cms

    F0658: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected Dec 31, 2022

  51. Class IIIPotential for more than minimal harm (D)cms

    F0677: Quality of Life and Care

    Quality of life & care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected Dec 31, 2022

  52. Class IIIPotential for more than minimal harm (D)cms

    F0690: Quality of Life and Care

    Quality of life & care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected Dec 31, 2022

  53. Class IIIPotential for more than minimal harm (D)cms

    F0693: Quality of Life and Care

    Quality of life & care

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected Dec 31, 2022

  54. Class IIIPotential for more than minimal harm (D)cms

    F0698: Quality of Life and Care

    Quality of life & care

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected Dec 31, 2022

  55. Class IIIPotential for more than minimal harm (D)cms

    F0790: Quality of Life and Care

    Quality of life & care

    Provide routine and 24-hour emergency dental care for each resident.

    Corrected Dec 31, 2022

  56. Class IIIPotential for more than minimal harm (D)cms

    F0868: Administration

    Administration

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Corrected Dec 31, 2022

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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile