Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Agawam East Rehab And Nursing during CMS and state inspections, most recent first.
Failure to send transfer and discharge notices to the Ombudsman for three residents. The Ombudsman reported not receiving discharge notices for months and no transfer notices for several months. The DSS said she usually sends transfer notices but did not know discharge notices were required, and the DON found a transfer notice in the Social Services binder for one resident but no proof it was sent to the Ombudsman; discharge notices for all three residents were not sent.
A resident with an invoked HCP was discharged without documented involvement of the HCA in the discharge plan and without proof that the home care referral was completed. The resident had dementia and weakness, refused therapy, and the family member said the facility did not hold a discharge meeting or arrange needed home health services. The DSS said she was responsible for referrals and discharge coordination but had no documentation that the referral or discharge information was sent, and the agency named on the discharge summary had no record of receiving the referral.
A resident with dementia and depression, requiring substantial assistance for personal hygiene, was observed with long facial hair on multiple occasions. Despite the facility's policy to maintain grooming for dependent residents, staff failed to provide necessary shaving assistance. Interviews revealed that CNAs were responsible for shaving, but the oversight was acknowledged, and supply issues were noted, although razors were available in the central supply room.
A facility failed to provide a dignified dining experience for three residents, leading to deficiencies in their care. One resident, with Type II Diabetes Mellitus and Dementia, was not assisted during meals, resulting in another resident consuming their food. Another resident, with a history of stroke and severe cognitive impairment, was left unattended with a covered tray and not assisted in a timely manner. A third resident, with Parkinson's Disease and severe cognitive impairment, experienced delays in meal assistance, with their food not reheated before being served. The DON acknowledged these failures in providing timely and appropriate dining assistance.
A resident with Type II Diabetes Mellitus and Dementia experienced a decline in their ability to feed themselves, requiring increased assistance from staff. Despite this change, the facility failed to update the resident's care plan to reflect the new level of assistance needed. Additionally, the facility did not conduct regular interdisciplinary care plan meetings, with the last documented meeting occurring months prior, and no evidence of a scheduled meeting taking place.
A facility failed to provide timely respiratory care for a resident with COPD. Physician's orders for oxygen therapy were delayed, and a comprehensive respiratory care plan was not created until over two months after admission, contrary to professional standards.
The facility failed to properly issue SNF ABN notices to two residents, leaving sections indicating financial responsibility blank. Both residents continued to stay in the facility after their Medicare Part A benefits ended, without being fully informed of their potential financial obligations. A social worker acknowledged the oversight during an interview.
Failure to Send Transfer and Discharge Notices to Ombudsman
Penalty
Summary
The facility failed to ensure that copies of resident transfer and discharge notifications were provided to the Office of the State Long Term Care Ombudsman for three of three sampled residents. During a telephone interview, the Ombudsman stated that the facility had not provided copies of discharge and transfer notices to her office in several months, specifically reporting that no discharge notices had been received since March 2025 and no transfer notices had been received since August 2025. Resident #1 was admitted in July 2025 with diagnoses including dementia and weakness and was later discharged home. Resident #2 was admitted in September 2025 with diagnoses including soft tissue disorder and muscle weakness and was later discharged home. Resident #3 was admitted in September 2025 with diagnoses including rhabdomyolysis and frequent falls and was transferred to the hospital for evaluation and did not return to the facility. The Director of Social Services stated she usually sends transfer notices to the Ombudsman but did not know she was supposed to send discharge notices, and she was unsure whether Resident #3's transfer notice had been sent. The DON reviewed the Social Services binder and found a copy of Resident #3's transfer notice, but there was no documentation showing that it had been sent to the Ombudsman, and the DON stated that discharge notices for Residents #1, #2, and #3 were not sent to the Ombudsman.
Failure to Involve HCA in Discharge Planning and Complete Home Care Referral
Penalty
Summary
The facility failed to ensure that the discharge plan for a resident with an invoked Health Care Proxy was developed with the resident’s Health Care Agent and failed to follow through with a referral to the appropriate home care agency. The resident was admitted in July 2025 with diagnoses including dementia and weakness, and the medical record included a physician progress note activating the Health Care Proxy/Durable Power of Attorney for Health Care because the resident was unable to make his/her own health care decisions. Progress notes showed that the resident refused therapy and that utilization review meetings were held regarding Medicare coverage and issuance of NOMNC notices. The resident’s family member, who stated she was the Health Care Agent, said she appealed both coverage decisions and later informed the facility’s Social Worker that she could not afford to keep the resident at the facility and planned to take the resident home. She stated the facility did not involve her in discharge planning, did not hold a discharge meeting with her, and did not arrange home health services. After discharge, she said it became apparent the resident needed home health services and a hospital bed, so she contacted the primary care physician herself to obtain a referral and arrange those services. The discharge summary listed home health services for nursing, physical therapy, and occupational therapy, and indicated no durable medical equipment was needed. However, the Director of Social Services said she was responsible for discharge planning, referrals, and discharge information, but could not recall the discharge meetings and had no documentation of the referral or proof that discharge information was sent to the home care agency. The intake specialist for the agency named on the discharge summary said there was no record of a referral for the resident. Unit Manager #1 and the DON both stated that discharge meetings should occur before discharge and that there was no documentation in the electronic record supporting a discharge meeting or a discharge care plan developed with the family member’s input.
Failure to Provide Grooming Assistance to Resident
Penalty
Summary
The facility failed to provide necessary grooming assistance to a resident who was dependent on staff for personal hygiene care. The resident, who was admitted with diagnoses of unspecified dementia and depression, was observed on multiple occasions with long facial hair under the chin, despite requiring substantial assistance for personal hygiene. The facility's policy mandates that residents unable to perform activities of daily living independently should receive necessary services to maintain grooming and personal hygiene. However, the resident's facial hair was not addressed, indicating a lapse in the provision of required care. Interviews with staff revealed that CNAs were responsible for shaving residents with facial hair as needed, and the CNA familiar with the resident's care acknowledged the oversight. The nurse on duty noted the absence of razors on the unit and attempted to address the supply issue, but the central supply room was found to have razors available. The central supply clerk confirmed that supplies were restocked regularly and that nurses had access to the supply room if needed. Despite these provisions, the resident's grooming needs were not met, highlighting a failure in the facility's care processes.
Failure to Provide Dignified Dining Experience
Penalty
Summary
The facility failed to provide a dignified dining experience for three residents, leading to deficiencies in their care. Resident #1, who was admitted with Type II Diabetes Mellitus and Dementia, was observed to be asleep and not alert during meal service. Despite being independent with eating when not fatigued, Resident #1 required assistance due to increased fatigue. However, staff failed to provide the necessary assistance, resulting in another resident consuming Resident #1's meal. The resident remained asleep and did not receive proper encouragement or assistance to eat until much later. Resident #56, with a history of a transient ischemic attack, hemiplegia, hemiparesis, dysphagia, and severe cognitive impairment, required limited to extensive assistance with eating. During meal observations, Resident #56 was left unattended with a covered tray and struggled to eat independently. Staff attempted to wake the resident but did not provide timely assistance, resulting in the resident's food sitting untouched and not reheated before assistance was finally provided. This delay in assistance was observed during both breakfast and dinner meals. Resident #49, diagnosed with Parkinson's Disease and severe cognitive impairment, was dependent on staff for eating and required one-to-one feeding. During the dinner meal, Resident #49's tray remained covered for an extended period, and the resident was redirected multiple times when attempting to uncover the meal. Assistance was delayed, and the meal was not reheated until 20 minutes after being served. The Director of Nursing acknowledged that residents should not have to wait for assistance and that meals should be reheated if necessary, indicating a failure in providing timely and appropriate dining assistance.
Failure to Update and Review Resident's Care Plan for ADL
Penalty
Summary
The facility failed to ensure that the care plan for a resident was reviewed and revised by the interdisciplinary team, specifically regarding the resident's Activities of Daily Living (ADL) related to eating. The resident, admitted with Type II Diabetes Mellitus and Dementia, experienced a documented decline in their ability to independently feed themselves, requiring substantial or maximal assistance for most days from September to December 2024. Despite this change, the care plan was not updated to reflect the increased level of assistance needed, as confirmed by observations and interviews with staff, including a Unit Manager and an MDS Nurse. Additionally, the facility did not conduct regular interdisciplinary care plan meetings for the resident. The last documented care plan meeting occurred in June 2024, and there was no evidence of a scheduled meeting in September 2024 taking place. Interviews with staff revealed that there was no documentation to support that the meeting occurred, indicating a lapse in the facility's process for reviewing and revising care plans with the input of the interdisciplinary team.
Failure to Provide Timely Respiratory Care and Services
Penalty
Summary
The facility failed to provide necessary respiratory care and services in accordance with professional standards for a resident with Chronic Obstructive Pulmonary Disease (COPD). Upon admission, the resident required oxygen therapy, but the facility did not have physician's orders in place to address the liter flow per minute (LPM), monitoring of respiratory status, or care and services for the oxygen equipment. These orders were not established until a week and a half after admission, and there was no documentation to confirm regular maintenance of the resident's oxygen equipment during this period. Additionally, the facility did not create a person-centered respiratory care plan within the required timeframe. The care plan was developed more than two months after the resident's admission, despite the requirement for it to be created shortly after admission. This delay in establishing a comprehensive care plan further indicates a lapse in the facility's adherence to professional standards of practice for respiratory care.
Failure to Properly Issue SNF ABN Notices
Penalty
Summary
The facility failed to ensure that the Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage (SNF ABN) was properly issued to two residents, resulting in a deficiency. Resident #47, who was admitted in August 2024, received Medicare Part A skilled services until mid-October 2024. Although a SNF ABN form was provided and initialed by the Resident Representative, the sections indicating the financial responsibility were left blank. This omission meant that the resident or their representative was not fully informed about the potential financial obligations after Medicare Part A benefits ended. Similarly, Resident #22, admitted in April 2024, received Medicare Part A skilled services until late June 2024. The SNF ABN form for this resident was also provided and initialed, but again, the financial responsibility sections were not completed. Both residents remained in the facility after their Medicare Part A benefits ended, without being properly informed of their financial responsibilities. During an interview, Social Worker #1 acknowledged the oversight, stating that the forms should have included the estimated financial amounts to inform the residents or their representatives.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Agawam
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Agawam North Rehab And Nursing | 0.2 mi | ★★★★★ | 0 | 0 |
| Agawam West Rehab And Nursing | 0.3 mi | ★★★★★ | 10 | 0 |
| Agawam South Rehab And Nursing | 0.3 mi | ★★★★★ | 8 | 0 |
| Julian J Levitt Family Nursing Home | 3.4 mi | ★★★★★ | 0 | 0 |
| East Longmeadow Skilled Nursing Center | 4.4 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.