Day Brook Village: Medical Records Violations - MA
The resident developed moisture-associated skin damage on March 26, but family members weren't told, according to the November inspection report. The wound then deteriorated on July 14, July 29, and August 5 — each time without family notification.
The facility's own wound nurse told inspectors that the resident's representative "should have been notified" when the skin damage first appeared in March and again when the wound worsened on all three dates in July and August.
During interviews with inspectors, the wound nurse said she "did not recall" if she called the family member when she assessed deterioration on July 14 and July 29. On those dates, she had documented "HCP Aware" — indicating the healthcare provider was notified — but admitted "she needed to work on improving her documentation."
By August 5, when the wound deteriorated further, there was no skin-wound note in the resident's progress records and "N/A" was documented on the ongoing skin condition assessment. The wound nurse acknowledged that if those records showed no documentation, "Family Member #1 was not notified, but that he should have been."
Two unit managers confirmed to inspectors that nurses are responsible for weekly skin assessments and must notify residents' representatives of new skin issues or worsening wounds. Unit Manager #1 said staff nurses carry this responsibility for every resident. Unit Manager #2 specified that primary nurses must contact families when there's "a new area of concern, or worsening of a wound."
The Director of Nurses reviewed the resident's records with inspectors alongside the Corporate Quality Improvement Manager. She found no nursing progress notes indicating staff had notified the family member after the wound developed in March or after it worsened in July and August.
Both the Director of Nurses and Quality Improvement Manager told inspectors there was "no evidence" on the ongoing skin condition assessment that the wound nurse had notified the family about the worsening wound on August 5.
The facility was found to be in "Past Non-Compliance" on September 24 and presented inspectors with a correction plan dated September 17.
The plan showed that on August 26, an interdisciplinary progress note finally included documentation that the resident's representative was contacted about the worsening wound — five months after the initial skin damage appeared.
The facility's correction efforts included facility-wide audits to check notification procedures for all residents with wounds or significant wound changes. The Director of Nursing completed an audit on September 12, while unit managers conducted additional audits on September 19 and September 26.
Between September 12 and September 24, the Director of Nursing provided staff education titled "Notification Protocol for Residents with Change in Wound Status or Treatment." The training included review of facility policies on informing residents of health and medical conditions and physician notification procedures.
The facility committed to weekly audits by unit managers to ensure physicians and resident representatives are notified of wound status changes. After achieving 100% compliance weekly, the facility said it would continue random audits.
The deficient practice and audit results were scheduled for presentation at the monthly Quality Assurance Performance Improvement meeting on October 8. The Director of Nursing and designees were assigned responsibility for overall compliance.
Federal regulations require nursing homes to immediately inform residents and their representatives of changes in health status, including the development or worsening of wounds. The violation was classified as causing minimal harm or potential for actual harm to few residents.
The inspection was conducted in response to a complaint. Day Brook Village Senior Living operates at 298 Jarvis Avenue in Holyoke.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Day Brook Village Senior Living from 2025-11-18 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
DAY BROOK VILLAGE SENIOR LIVING in HOLYOKE, MA was cited for violations during a health inspection on November 18, 2025.
The resident developed moisture-associated skin damage on March 26, but family members weren't told, according to the November inspection report.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.