Above average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
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 East Longmeadow Skilled Nursing Center during CMS and state inspections, most recent first.
Staff on two units did not disinfect shared medical equipment, including portable vital signs machines and glucometers, between resident uses as required by facility policy. CNAs and nurses were observed using these devices for multiple residents without cleaning them in between, and some staff admitted to not following proper disinfection procedures or not having the correct cleaning supplies available. Infection prevention policies specified the use of germicidal wipes and required cleaning after each use, but these protocols were not consistently followed.
A resident was administered psychotropic medications without a clear clinical indication or was given medications that could restrain their ability to function, resulting in a deficiency related to the inappropriate use of such drugs.
A resident with a history of Cerebral Vascular Disease experienced a significant decline in ADL function, continence, and weight, but the facility did not complete the required Significant Change in Status Assessment (SCSA) as mandated by the RAI manual. The MDS Nurse acknowledged that the assessment should have been performed following the resident's decline, but it was not documented in the medical record.
A resident was not provided assistance to obtain needed vision and hearing services, resulting in a lack of access to appropriate care.
A licensed pharmacist did not complete the required monthly drug regimen review, including the medical chart, and the facility did not follow its own irregularity reporting guidelines as outlined in policy and procedure.
A resident with a Foley catheter did not have urine output consistently documented as required by facility policy, with missing records for several shifts. Nursing staff and the unit manager confirmed that documentation was incomplete, despite orders and care plan interventions specifying that output should be recorded each shift.
The facility did not complete and transmit MDS assessments within the required timeframes for four residents, resulting in significant delays in both the completion and electronic submission of comprehensive, entry, and discharge tracking assessments, as confirmed by record review and staff interview.
The facility failed to provide a homelike dining environment for two residents. One resident with severe cognitive impairment and diabetes experienced delayed meals and public blood sugar checks, causing distress. Another resident with moderate cognitive impairment did not receive their preferred beverage, coffee, with meals. Staff interviews confirmed procedural lapses, and the facility lacked a policy on the dining experience.
The facility failed to maintain accurate and complete medical records for five residents, including documentation of hospital transfers, side rail usage, Foley catheter size, dental procedures, and wound care refusals. These deficiencies were confirmed by staff interviews and record reviews.
The facility failed to coordinate a PASARR assessment for a resident with a new diagnosis of Schizoaffective Disorder, despite the requirement to complete a new Level I assessment and refer for a Resident Review. The resident was initially admitted with Dementia and Anxiety, and the new diagnosis was not reflected in the PASARR evaluation.
The facility failed to implement a Physician's recommendation for scheduled Tylenol for a resident with severe cognitive impairment, resulting in a potential delay in pain management. Staff interviews revealed that verbal orders were not documented promptly, and necessary clarifications were not obtained.
The facility failed to follow Physician's orders for a bedbound resident's air mattress settings, consistently setting it to 325 lbs instead of the prescribed 100 lbs, despite clear instructions and reminders.
The facility allowed a resident to smoke in an undesignated area without necessary safety equipment, contrary to its smoking policy. The resident, with serious medical conditions, was observed smoking on the sidewalk without a fire extinguisher, fire blanket, or ashtray. Staff and the resident's responsible party were not informed of the designated smoking area until the survey day.
The facility failed to ensure that Enhanced Barrier Precautions (EBP) were followed for three residents, leading to potential infection risks. Staff did not wear the required gowns during high-contact care activities, despite EBP signage and PPE availability.
Failure to Disinfect Shared Medical Equipment Between Residents
Penalty
Summary
Staff on two units failed to follow established infection control practices for cleaning and disinfecting medical equipment between resident uses. On the 100s unit, two CNAs were observed taking vital signs from multiple residents using a portable vital signs machine without disinfecting the equipment between each resident. Both CNAs acknowledged during interviews that they either did not clean the machine between residents or only cleaned it after completing all rounds, despite being aware of the policy requiring disinfection between each use. The facility's policy specified that disinfecting wipes should be used to clean all equipment used by multiple residents, including thermometers, blood pressure cuffs, and pulse oximetry monitors. On the 400s unit, similar lapses were observed with both the vital signs machine and the glucometer. A nurse was seen using the portable vital signs machine for a resident on Enhanced Barrier Precautions and then for another resident without disinfecting the equipment in between. The nurse admitted to not having cleaning wipes available and not disinfecting the machine as required. Additionally, another nurse was observed checking blood glucose levels for multiple residents using a shared glucometer without cleaning or disinfecting the device between uses. The nurse incorrectly stated that hand sanitizer was used for cleaning the glucometer and admitted to forgetting to disinfect it between residents. Interviews with the Infection Preventionist and Unit Manager confirmed that the facility's policy required the use of specific germicidal wipes for cleaning both the vital signs machine and glucometer between each resident use, with a specified contact time for disinfection. The observed staff did not follow these procedures, and the required cleaning agents were not always readily available on the units.
Unnecessary Use of Psychotropic Medications
Penalty
Summary
The facility failed to prevent the use of unnecessary psychotropic medications or the use of medications that may restrain a resident's ability to function. This deficiency indicates that residents were either prescribed psychotropic drugs without a clear clinical indication or were given medications that could limit their functional abilities, contrary to regulatory requirements.
Failure to Complete Significant Change Assessment After Resident Decline
Penalty
Summary
A deficiency occurred when the facility failed to complete a Significant Change in Status Assessment (SCSA) for a resident who experienced notable declines in health status. The resident, admitted with a diagnosis of Cerebral Vascular Disease, initially required moderate assistance with activities of daily living (ADLs), was continent of bowel and bladder, and weighed 250 lbs. Over the course of several months, the resident's condition declined, requiring maximum assistance for ADLs, becoming occasionally incontinent of bowel and bladder, and experiencing a significant weight loss to 234 lbs. This decline was not self-limiting and affected multiple areas of the resident's health. Despite these changes, a review of the medical record showed that the required SCSA was not completed after the resident's decline. The MDS Nurse confirmed that, according to the Resident Assessment Instrument (RAI) manual, a SCSA should have been completed when the quarterly MDS assessment was performed, but it was not. The failure to complete the SCSA occurred even though the resident met the criteria for a significant change in status, as outlined in the RAI manual.
Failure to Assist Resident with Access to Vision and Hearing Services
Penalty
Summary
A resident was not assisted in gaining access to vision and hearing services. The facility failed to ensure that the resident received necessary support to obtain these services, resulting in the resident not having access to appropriate vision and hearing care.
Failure to Ensure Monthly Pharmacist Drug Regimen Review
Penalty
Summary
A licensed pharmacist did not perform a monthly drug regimen review, including a review of the medical chart, as required. The facility also failed to follow its established policies and procedures for reporting irregularities identified during the drug regimen review process. This deficiency was identified through surveyor observation and documentation review.
Incomplete Documentation of Urinary Catheter Output
Penalty
Summary
The facility failed to maintain complete and accurate medical records for one resident who had a Foley catheter in place. According to the facility's policy, staff were required to record urinary output amounts for residents with catheters at the end of each shift and document this information in the resident's medical record. For this resident, who was admitted with diagnoses including Neurologic Neglect Syndrome, urine retention, and a history of stroke, there were multiple instances where urine output was not documented as required. Specifically, there was no documentation of urine output during certain day and night shifts over a one-week period, despite physician orders and care plan interventions that called for this monitoring. Observations confirmed the presence of a Foley catheter and the use of a privacy bag for the urinary drainage bag. Interviews with nursing staff and the unit manager revealed that documentation of urine output was incomplete and not maintained for every shift as required. The unit manager acknowledged the gaps in documentation and emphasized the importance of recording urine output to monitor for urinary retention. The lack of documentation meant that staff could not verify the resident's urinary output on the days when records were missing.
Failure to Timely Complete and Transmit MDS Assessments
Penalty
Summary
The facility failed to ensure the timely completion and electronic transmission of Minimum Data Set (MDS) Assessments for four residents, as required by federal regulations. Specifically, the facility did not transmit a comprehensive MDS assessment for one resident until 141 days after completion, and an entry tracking MDS assessment for another resident was transmitted 140 days after completion. Additionally, a discharge tracking MDS assessment for a third resident was completed 19 days after the Assessment Reference Date (ARD), and an entry MDS assessment for a fourth resident was completed 27 days after the ARD. These delays were identified through record review and confirmed during an interview with the MDS Nurse, who acknowledged that the assessments were not completed or transmitted within the required 14-day timeframe. The review of the clinical records and interviews revealed that the facility was aware of the regulatory requirements outlined in the Resident Assessment Instrument (RAI) Manual, which mandates that comprehensive assessments be transmitted within 14 days of the care plan completion date and that entry and discharge tracking records be transmitted within 14 days of the event date. Despite this, the facility did not adhere to these timelines for the affected residents, resulting in significant delays in both the completion and transmission of required MDS assessments.
Failure to Ensure Homelike Dining Environment
Penalty
Summary
The facility failed to ensure a homelike environment during dining for two residents on two different units. For one resident with severe cognitive impairment and diabetes, meals were not provided timely, and blood sugar checks were conducted in the dining room instead of a private area. This resident was observed to have their blood sugar checked and insulin administered in the dining room, causing distress and refusal to eat. The resident's meal was delayed, and they were visibly upset, crying, and expressing a desire to go home. Staff interviews confirmed that blood glucose checks should be done in private, and meals should be served simultaneously to residents seated together. Another resident with moderate cognitive impairment reported not receiving their preferred beverage, coffee, with meals. Observations confirmed that coffee was not served with the resident's breakfast and lunch, and the resident had to wait for the beverage after finishing their meal. Staff interviews revealed that the coffee/tea/hot chocolate beverage cart was not passed before meal trays, as required. Additionally, there were not enough coffee mugs available, leading to further delays in serving the resident's preferred beverage. The facility lacked a policy regarding the resident dining experience, and there was a lack of coordination between the food service director and unit staff. The Director of Nursing and other staff acknowledged that residents should be served their meals and beverages timely and that the dining experience should be managed to ensure residents' preferences and needs are met. The administrator's response indicated a lack of urgency in addressing these issues, suggesting that waiting for meals and assistance was acceptable if meals were within temperature and residents did not verbalize their needs.
Deficiencies in Medical Record Documentation
Penalty
Summary
The facility failed to maintain accurate and complete medical records for five residents, leading to several deficiencies. For Resident #53, the facility did not document the resident's transfer to the hospital for a blood transfusion and their return to the facility. Despite the resident receiving two units of packed red blood cells, there was no evidence in the nursing progress notes or medical records to reflect this event. Both the Unit Manager and the Director of Nurses confirmed that the transfer and subsequent respiratory assessments should have been documented but were not. For Resident #99, the facility did not accurately document the type of side rails being used. The resident's records indicated the use of transfer bars, but observations showed that quarter side rails were in place. This discrepancy was acknowledged by the Unit Manager and the Director of Nurses, who also noted that the consent form signed by the resident's Health Care Proxy did not reflect the correct type of side rails. Resident #384's medical records showed a mismatch between the physician's order for a 16 French Foley catheter and the actual 18 French catheter in use. Similarly, Resident #42's records lacked documentation for a dental procedure and the rationale for a prescribed antibiotic. Lastly, Resident #9's refusals for weekly wound measurements were not documented, leaving a gap in the resident's clinical record from August to December 2023. The Wound Nurse admitted to not documenting these refusals, which was confirmed by the Unit Manager.
Failure to Coordinate PASARR Assessment for Resident with New Diagnosis
Penalty
Summary
The facility failed to coordinate an assessment with the Preadmission Screening and Resident Review (PASARR) program for one resident out of a sample of 27. Specifically, the facility did not complete a new Level I assessment for a significant change in condition and did not refer the resident for a Resident Review when the resident was diagnosed with Schizoaffective Disorder and was being treated with an antipsychotic medication. The facility's policy requires that a Level I screen be completed before admission or upon a significant change in condition and that referrals be made to the appropriate state authorities in a timely manner. Resident #76 was admitted to the facility with diagnoses including Dementia and Anxiety. The resident's initial Level I PASARR evaluation did not indicate a diagnosis of Schizophrenia. However, a psychiatric evaluation later revealed a new diagnosis of Schizoaffective Disorder. Despite this significant change, the facility did not complete a new Level I PASARR assessment or request a Resident Review from the PASARR office. The social worker acknowledged that the new assessment should have been completed but was not done as required.
Failure to Implement Physician's Recommendation for Pain Management
Penalty
Summary
The facility failed to communicate and implement a Physician's recommendation to start Tylenol medication for pain management for a resident with severe cognitive impairment and multiple diagnoses, including vascular dementia and spinal meningioma. The Physician's recommendation was noted in progress notes but was not converted into an active order in the resident's medical record. Observations showed the resident exhibiting behaviors such as biting and fidgeting with blankets, which could indicate uncommunicated pain. Interviews with staff revealed that the Physician's orders were often given verbally and not always documented promptly. The Unit Manager and Director of Nurses acknowledged that the Physician's recommendation for scheduled Tylenol was not addressed, and the necessary clarification for dosage and frequency was not obtained. This lack of communication and documentation resulted in a potential delay in pain management for the resident.
Failure to Implement Physician's Orders for Air Mattress Settings
Penalty
Summary
The facility failed to implement the Physician's orders for the setting of a pressure-reducing air mattress for a resident with an existing pressure ulcer. The resident, who was bedbound and had diagnoses including dementia and protein-calorie malnutrition, was observed multiple times with the air mattress set to 325 lbs instead of the prescribed 100 lbs. Despite the Physician's orders and the sticker on the air mattress pump box indicating the correct setting, the mattress was consistently set incorrectly over several days of observation. Certified Nurses Aide (CNA) #5 and Nurse #5 both confirmed that the air mattress should have been set to 100 lbs as per the Physician's orders. The Unit Manager also stated that the air mattress settings were determined by the resident's weight and that stickers were placed on the pump box to remind staff of the correct settings. However, the nursing staff failed to ensure the air mattress was set correctly, leading to the deficiency noted in the report.
Failure to Provide Safe Smoking Environment
Penalty
Summary
The facility failed to provide a safe environment free from potential accidents and hazards for one resident. Specifically, the staff allowed the resident to smoke in an undesignated area on the sidewalk in front of the building without any smoking safety equipment available. The facility's policy indicated that smoking should only occur in designated locations with appropriate safety equipment, but this was not adhered to in the case of the resident. The resident, who had diagnoses including brain cancer and stroke, was observed smoking on the sidewalk with their responsible party on multiple occasions without the necessary safety measures in place. Interviews with staff and the resident's responsible party revealed that they were not informed of the designated smoking area until the day of the survey. The Unit Manager and a nurse confirmed that the resident had been smoking in an undesignated area without a fire extinguisher, fire blanket, or ashtray. The Administrator acknowledged that the sidewalk was not a designated smoking area and was unaware that the resident had been smoking there. This lack of adherence to the facility's smoking policy and failure to provide a safe environment led to the deficiency noted in the report.
Failure to Adhere to Enhanced Barrier Precautions
Penalty
Summary
The facility failed to ensure that Enhanced Barrier Precautions (EBP) were adhered to for three residents, leading to potential infection risks. For Resident #12, who had osteomyelitis and diabetic foot ulcers, a nurse did not wear a gown while performing high-contact wound care, despite the presence of an EBP sign outside the resident's room. The nurse acknowledged the oversight after being questioned by the surveyor. For Resident #17, who had severe cognitive impairment and multiple pressure ulcers, staff members did not wear gowns while repositioning the resident in bed, even though EBP signage and PPE bins were present. Both the nurse and the unit manager confirmed that gowns should have been worn during such direct care activities. Resident #42, who had moderate cognitive impairment and was at risk for pressure ulcers, was assisted with transfers and toileting by a CNA who only wore gloves and not a gown. The CNA admitted that she should have worn a gown as per the EBP requirements, given the resident's open wound and the EBP sign outside the room.
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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 East Longmeadow
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Care One At Redstone | 0.6 mi | ★★★★★ | 13 | 0 |
| Julian J Levitt Family Nursing Home | 1 mi | ★★★★★ | 0 | 0 |
| Chestnut Hill Health And Rehabilitation Center Llc | 1.6 mi | ★★★★★ | 0 | 0 |
| Sixteen Acres Health And Rehabilitation Center Llc | 2.8 mi | ★★★★★ | 10 | 0 |
| Loomis Lakeside At Reeds Landing | 3.8 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.