Above average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Julian J Levitt Family Nursing Home during CMS and state inspections, most recent first.
The facility did not maintain an up-to-date and complete infection line listing as required by its infection control policies, resulting in inadequate tracking and monitoring of infections. The Infection Preventionist relied on incomplete monthly antibiotic use lists, and the Infection Tracker Line Listing lacked essential information such as room numbers and specific signs and symptoms. Discrepancies between tracking tools and inconsistent data entry by staff further contributed to the deficiency, placing residents at risk for inadequate infection monitoring.
A resident requiring staff assistance for ADLs was left exposed and uncovered by a CNA during personal care, despite requesting to be covered. The resident reported feeling disrespected and undignified, and staff failed to promptly investigate or address the grievance, resulting in delayed follow-up and continued risk for undignified care.
A resident with a history of alcohol abuse and depression developed new diagnoses of psychosis and delusional disorder, but the facility did not refer the individual for a required PASRR Level II Evaluation after these changes in mental health status were identified. Record review and staff interview confirmed that the necessary referral was not made following the updated diagnoses.
A resident with a history of Myasthenia Gravis, dementia, and recurrent conjunctivitis did not receive Refresh Optive eye drops at the frequency recommended by an ophthalmologist. Although the consultant's recommendation to increase administration from twice to four times daily was reviewed and accepted by the provider, the order was not updated, and the resident continued to receive the drops only twice daily.
A resident with a history of hearing loss did not receive recommended follow-up care after an audiology consult identified impacted cerumen and hearing aid issues. The facility did not implement the audiologist's recommendations for wax removal or ensure proper use and maintenance of hearing aids, resulting in continued communication difficulties and lack of appropriate treatment.
A resident with epilepsy did not have a physician-ordered Keppra (Levetiracetam) level drawn due to the facility's failure to complete the necessary laboratory requisition, despite the medication being administered as ordered. Staff interviews confirmed the omission, and the clinical record lacked evidence of the required lab test, resulting in inadequate monitoring of the resident's medication level.
The facility did not consistently document critical clinical information for three residents, including missing post void residual measurements for a resident with kidney disease, lack of documentation for a newly ordered dose of Lasix for a resident with heart failure, and failure to record administration of PRN antipsychotic medication for a resident with dementia. Nursing staff interviews confirmed that required documentation was not always completed as ordered.
A resident with severe cognitive impairment and a history of falls was involved in an incident during a transfer using a Hoyer lift. Two CNAs failed to properly set up the lift by not widening the base legs, causing the lift to tip sideways. The resident was safely lowered to the floor without injury. Interviews revealed that the CNAs were unaware of the importance of opening the base legs for stability, indicating a gap in adherence to mechanical lift protocols.
A resident who required assistance from two staff members for bed mobility fell and sustained fractures when a CNA provided care alone, contrary to the care plan. The CNA was unaware of the requirement for two staff members and lowered the side rail at the resident's request, leading to the fall.
A resident who required two-person assistance for bed mobility and the use of bilateral side rails was not provided with the necessary support, leading to a fall and pelvic fractures. The CNA did not follow the care plan and proceeded without obtaining help from another staff member, resulting in the resident's injury.
A CNA violated the privacy of two severely cognitively impaired residents by using her personal cell phone for a non-work-related video call while providing care. The CNA did not obtain consent from the residents or their representatives, breaching the Facility's policies and the residents' right to privacy.
Failure to Maintain Comprehensive Infection Surveillance and Tracking
Penalty
Summary
The facility failed to implement an effective system of surveillance for infection tracking as required by its own Infection Prevention and Control Plan. The Infection Preventionist (IP), who was new to the role, was responsible for maintaining an up-to-date infection line listing but had not started the line listing for the month of April at the time of the survey. Instead, the IP relied on a monthly line listing that only tracked residents on antibiotics, which lacked several required data elements such as date of admission, date of onset of symptoms, specific signs and symptoms, and organism(s). Additionally, the line listing did not include resident room numbers, and some entries were incomplete, such as missing antibiotic information for certain residents. The facility maintained two separate tracking tools: a Line Listing for Antibiotic Use and an Infection Tracker Line Listing. The Infection Tracker Line Listing, which was intended to track all infections, also lacked critical information, including resident room numbers and specific signs and symptoms of infection. There were discrepancies between the two lists, with some residents appearing on one list but not the other, and the Infection Tracker Line Listing was not consistently updated by the Unit Managers as required. The DON acknowledged these gaps and stated that the Infection Tracker Line Listing should be used for all infections and that missing information was due to staff not entering data as expected. The facility's policies and infection control plan emphasized the importance of surveillance, including the collection and analysis of infection data to identify trends, clusters, and patterns. However, the lack of a comprehensive, up-to-date, and accurate infection line listing, as well as incomplete documentation of required information, resulted in inadequate monitoring and tracking of infections. This failure placed residents at risk for insufficient infection monitoring and potential spread of infections within the facility.
Failure to Maintain Resident Dignity and Timely Response to Grievance
Penalty
Summary
A resident with osteoarthritis, muscle weakness, and significant limitations in activities of daily living (ADLs) required staff assistance for personal care, including dressing, bathing, and mobility. During a night shift, a CNA assisted the resident after a bedpan incident resulted in soiled bedding and gown. While changing the resident and the bed linens, the CNA removed the resident's hospital gown and left the resident exposed and uncovered in bed. The resident requested to be covered due to feeling cold, but the CNA did not respond, left the resident exposed, and exited the room to get supplies. The resident reported feeling disrespected, undignified, and dehumanized by this experience. The resident communicated the incident to multiple staff members the following morning, including a nurse, rehabilitation staff, and later to the unit manager and social worker. Despite these reports, there was a significant delay in staff response and investigation. The resident was not promptly interviewed about the incident, and the grievance process was not initiated in a timely manner. The CNA involved returned to the resident's room later that day, despite the resident's expressed wishes not to receive care from that CNA, and only left after being told by the resident about the complaint. Interviews with staff revealed confusion and lack of clarity regarding the grievance process and timely follow-up. The social worker did not return to the resident until several hours after the initial report, and the grievance form was not processed or followed up on until brought to the attention of surveyors. The resident did not receive communication about the outcome of the complaint until much later, and staff failed to ensure the resident's dignity and respect during personal care, as well as a timely and appropriate response to the resident's concerns.
Failure to Refer Resident for PASRR Level II Evaluation After New Mental Health Diagnosis
Penalty
Summary
The facility failed to refer a resident for a Preadmission Screening and Resident Review (PASRR) Level II Evaluation after the identification of a new serious mental health diagnosis. The resident was originally admitted with a history of alcohol abuse and depression, and the initial PASRR completed at admission did not indicate the need for a Level II Evaluation. Over time, the resident's diagnoses expanded to include dementia, anxiety, psychosis, and delusional disorder, with the diagnosis of psychosis and delusional disorder being documented on 9/26/24. A behavioral health note from 3/29/23 also indicated the presence of psychosis, but there was no evidence in the medical record that a PASRR Level II Evaluation was conducted following these new or newly evident diagnoses. During an interview, the facility's social worker confirmed that a request for a PASRR Level II Evaluation should have been made when the new mental health diagnosis was identified, but this referral was not completed as required. The deficiency was identified through record review and staff interview, which confirmed the lack of appropriate referral for further evaluation after the resident's mental health status changed.
Failure to Update Eye Drop Administration per Ophthalmologist Recommendation
Penalty
Summary
The facility failed to ensure that a resident received treatment and care in accordance with professional standards of practice. Specifically, the facility did not follow up on an ophthalmologist's recommendation to increase the administration of Refresh Optive Mega-3 Ophthalmic Solution from two times per day to four times per day. The recommendation was documented in a consultation report and reviewed and accepted by the facility provider, as indicated by their initials. However, the physician order for the eye drops remained at two times per day, and the medication administration records showed that the resident continued to receive the drops only twice daily. The resident involved had a history of Myasthenia Gravis, dementia, bilateral ectropion, and recurrent conjunctivitis. During an observation, the resident was noted to have red, watery lower eyelids and a yellow crusty substance on the left upper lid. Interviews with staff confirmed that the process for updating the medication order after a consultant's recommendation was not followed, resulting in the resident not receiving the increased frequency of eye drops as recommended by the ophthalmologist.
Failure to Implement Audiology Recommendations for Hearing Loss
Penalty
Summary
The facility failed to implement audiology recommendations for a resident with a history of hearing loss, resulting in a lack of appropriate treatment for the resident's condition. The resident, who was cognitively intact and required assistance with personal care, had a care plan in place that included audiology consults and the use of assistive hearing devices. Despite a documented audiology consult in January 2025, which identified impacted cerumen in the left ear, a perforated tympanic membrane in the right ear, and issues with hearing aid function, the recommended follow-up actions were not carried out by the facility. The audiologist's recommendations included removal of earwax in the left ear, a medical consult for wax removal, and specific instructions for hearing aid maintenance and use. However, there was no evidence in the clinical record that these recommendations were reviewed or implemented by the provider or nursing staff. The consult form was not initialed as reviewed, and no new orders for wax removal were found in the resident's record. Staff interviews confirmed a lack of awareness regarding the resident's hearing aids and the audiologist's recommendations, and the hearing aids were found unused in the resident's room. Observations during the survey revealed that the resident continued to experience significant hearing difficulties, relied on a white board for communication, and was not using hearing aids. The resident reported ongoing issues with hearing, wax buildup, and lack of follow-up after the audiology appointment. Facility staff, including the unit manager and CNA, were unaware of the resident's hearing aid use and the need for follow-up care, further demonstrating the facility's failure to ensure the audiologist's recommendations were implemented.
Failure to Obtain Ordered Laboratory Test for Medication Monitoring
Penalty
Summary
The facility failed to obtain laboratory services as ordered by the physician for a resident with epilepsy who was maintained on Keppra (Levetiracetam) for seizure management. The physician assistant documented a decline in the resident's status and weight loss, and ordered a Keppra level to be drawn on a specific date. Review of the resident's clinical record and medication administration record showed that while Keppra was administered as ordered, there was no evidence that the Keppra level was drawn as required. The medication administration record indicated the lab order was blocked off, and no laboratory requisition slip was found to confirm the test was performed. Interviews with facility staff revealed that the Keppra level was not drawn because the necessary laboratory requisition had not been completed by the facility. The DON acknowledged that the absence of the lab requisition resulted in the test not being performed, and confirmed that the resident's clinical record did not contain evidence of the required lab draw. This failure to obtain the ordered laboratory test resulted in inadequate monitoring of the resident's medication level.
Failure to Maintain Complete and Accurate Clinical Records for Multiple Residents
Penalty
Summary
The facility failed to maintain complete and accurate clinical records for three residents, resulting in deficiencies related to documentation of critical medical information. For one resident with a history of urinary tract infection, acute kidney failure, and chronic kidney disease, physician orders required post void residual (PVR) measurements every shift for three days. However, the clinical record lacked documentation of PVRs for two evening shifts, and interviews with nursing staff revealed that the measurements may have been completed but were not consistently recorded in the resident's record as required. Another resident with acute on chronic heart failure and ischemic cardiomyopathy was ordered to receive Lasix 20 mg in the evening for three days following a weight gain. The medication administration record showed that Lasix was given on the second and third days, but there was no documentation of administration on the first day as ordered. Nursing staff confirmed that the medication was not signed off as given, and acknowledged that it should have been documented if administered. A third resident, admitted with vascular dementia and severe cognitive impairment, had a physician order for PRN Seroquel to manage agitation. The medication card indicated that doses had been removed, but there was no corresponding documentation in the medication administration record or progress notes to confirm administration. Nursing staff admitted to administering the medication without always documenting it, and the DON confirmed that the required documentation was not consistently completed.
Improper Use of Hoyer Lift Leads to Resident Incident
Penalty
Summary
The facility failed to ensure a safe environment for a resident who required the use of a Hoyer lift for transfers. On the morning of November 19, 2024, two CNAs, CNA #3 and CNA #4, were responsible for transferring the resident from bed to a wheelchair using the Hoyer lift. During the transfer, the CNAs did not properly set up the lift by failing to widen the base legs, which are crucial for stability. As a result, the lift began to tip sideways, and the resident was lowered to the floor by the CNAs to prevent injury. The resident involved had a history of severe cognitive impairment and was dependent on staff for transfers, as indicated in their care plan. The resident had been admitted to the facility earlier in the year with diagnoses including dementia and recent falls that resulted in a subdural hematoma, subgleal hematoma, and subarachnoid hemorrhage. Despite these conditions, the resident did not sustain any new injuries during the incident, and no signs of pain were observed by the attending nurse. Interviews with the CNAs and other staff revealed a lack of understanding regarding the proper use of the Hoyer lift. Both CNAs admitted to not realizing the importance of opening the base legs for stability during the transfer process. The facility's investigation and re-enactment of the incident confirmed that the failure to open the base legs led to the lift tipping over. This deficiency highlights a gap in the staff's knowledge and adherence to the facility's mechanical lift protocols, which contributed to the unsafe transfer of the resident.
Failure to Follow Care Plan Results in Resident Injury
Penalty
Summary
The Facility failed to ensure staff implemented and followed interventions in a resident's care plan, resulting in the resident falling out of bed and sustaining fractures. The resident, who required assistance from two staff members for bed mobility, was being cared for by a single CNA. During the care, the CNA rolled the resident onto their side without another staff member present, causing the resident to fall off the bed and land on the floor, leading to acute non-displaced fractures of the right superior and inferior pubic rami. The resident was subsequently transferred to the hospital for evaluation and treatment. The resident had a comprehensive care plan indicating the need for two staff members for bed mobility and transfers due to their non-ambulatory status and increased fall risk. Despite this, the CNA proceeded with the care alone and lowered the side rail at the resident's request, which was against the care plan's instructions. The CNA was unaware of the requirement for two staff members for bed mobility and positioning, despite having signed an acknowledgment form indicating she was educated on the care plans and Care Kardex cards. Interviews with the resident, nursing staff, and the Director of Nurses confirmed that the CNA did not follow the care plan. The CNA admitted to not knowing the resident required two staff members for bed mobility and positioning and stated that she had not been shown where the Care Kardex cards were located. The incident highlighted a failure in communication and adherence to the care plan, resulting in the resident's injury.
Failure to Provide Adequate Assistance and Use of Assistive Devices
Penalty
Summary
The Facility failed to ensure that a resident who required assistance of two staff members for bed mobility and the use of bilateral side rails was provided with the necessary level of staff assistance and required assistive device. On the day of the incident, a CNA, without obtaining assistance from another staff member, put the side rails down and rolled the resident onto their side. As a result, the resident rolled off the bed onto the floor, landing on their right side and immediately complained of pain. The resident was subsequently transferred to the Hospital Emergency Department and diagnosed with acute non-displaced fractures of the right superior and inferior pubic rami. The resident had been admitted to the Facility in May 2019 with diagnoses including general Osteoarthritis and Rheumatoid Arthritis. The resident's care plans and assessments indicated that they were at increased risk for falls, required assistance of two staff members for bed mobility and transfers, and utilized bilateral side rails in bed. Despite these documented needs, the CNA did not follow the care plan and proceeded to provide care without the required assistance, leading to the resident's fall and injury. Interviews with the resident, nursing staff, and the CNA revealed that the CNA was aware of the resident's need for two-person assistance but did not follow the care plan. The CNA claimed that the resident insisted on putting the side rail down, and she complied without seeking additional help. The Director of Nurses confirmed that the CNA failed to follow the care plan and should have requested assistance from another staff member. The incident resulted in the resident experiencing increased pain and being unable to get out of bed since the fall.
Violation of Resident Privacy Due to Unauthorized Video Call
Penalty
Summary
The Facility failed to ensure the privacy of two severely cognitively impaired residents when a Certified Nurse Aide (CNA) used her personal cell phone to participate in a non-work-related live video call while providing care. The incident occurred on 03/14/24, involving Resident #1, who had Parkinson's Disease and neurocognitive disorder with Lewy Bodies, and Resident #2, who had Alzheimer's Disease, anxiety disorder, and aphasia. Both residents were dependent on staff for activities of daily living and mobility, and their Health Care Proxies were activated. The CNA did not obtain consent from the residents or their representatives before including them in the video call, violating their right to privacy and confidentiality as per the Facility's policies and Federal and State laws. During the incident, CNA #1 answered a video call from a family member while assisting with Resident #1 in the shower room. She turned the phone's camera towards Resident #1's face and made comments about the resident's agitation, which were heard by the person on the call. CNA #2, who was present, confirmed that CNA #1 remained on the call during the provision of care. Later, CNA #1 continued the video call while assisting Resident #2 in the bathroom, propping the phone on the sink and potentially exposing Resident #2's personal care to the person on the call. Although CNA #1 claimed the camera was pointed at her back, she admitted that the audio was not obstructed. The Director of Nurses (DON) confirmed that CNA #1's actions violated the Facility's Mobile Device Use Policy and the residents' right to privacy. The internal investigation revealed that CNA #1 had indeed used her personal cell phone in a resident care area and included the residents in a video call without consent. This breach of privacy and confidentiality was against the standard of care provided at the Facility.
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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 Longmeadow
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| East Longmeadow Skilled Nursing Center | 1 mi | ★★★★★ | 0 | 0 |
| Care One At Redstone | 1.4 mi | ★★★★★ | 13 | 0 |
| Chestnut Hill Health And Rehabilitation Center Llc | 2.6 mi | ★★★★★ | 0 | 0 |
| Sixteen Acres Health And Rehabilitation Center Llc | 3.1 mi | ★★★★★ | 10 | 0 |
| Agawam East Rehab And Nursing | 3.4 mi | ★★★★★ | 3 | 0 |
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