Agawam West Rehab: Resident Falls From Bed During Care - MA
The September 24th incident at Agawam West Rehab and Nursing occurred during routine personal care....
Latest reports, citations, and penalties from CMS data
The September 24th incident at Agawam West Rehab and Nursing occurred during routine personal care....
Federal inspectors found staff failed to follow the facility's own policies for evaluating residents experiencing changes in condition....
The incident began August 28 when the resident's representative reported to facility staff that money was missing....
The resident had answered yes to every question on an abuse interview form during the earlier investigation....
Resident #7 fell sometime before staff found her on the floor....
The incident occurred on September 16 at Frederick Crossing of Journey, where Resident #1 alleged that geriatric nursing assistant #5 slapped him in the face....
On October 7, 2025, Resident 1 told Licensed Vocational Nurse 1 that Resident 2 had struck her with a water bottle....
The September 8 incident at Linn Manor Care Center began when two certified nursing assistants found Resident #1 in his bathroom during their 6 a.m....
The facility houses 143 residents....
One resident was moved four times during their stay at the facility....
The resident first reported pain on March 27....
Staff last changed the catheter on September 2....
The October 13 incident occurred at 2:30 a.m....
Two days later, the resident complained of rib pain and was vomiting a coffee-brown substance....
Director of Nursing confirmed during an October 15 interview that no orders existed for the resident's J-tube site care until that day....
The patient at CHI Franciscan Villa had been readmitted with acute respiratory failure, anoxic brain damage, and congestive heart failure....
The facility's Director of Nursing acknowledged that no registered nurse completed required weekly assessments with measurements from April 30 through June 11....
The resident developed a UTI that went undiagnosed from September 4 through September 13 at Methodist Manor Retirement Community....
The administrator confirmed to inspectors that no discharge notice was issued....
Twelve residents at the facility had been identified as being at risk for wandering....