Agawam East Rehab: Unsafe Discharge Failures - MA
The state ombudsman told inspectors she hadn't received any discharge notices from Agawam East Rehab and Nursing since March 2025....
Latest reports, citations, and penalties from CMS data
The state ombudsman told inspectors she hadn't received any discharge notices from Agawam East Rehab and Nursing since March 2025....
The resident weighed 171.8 pounds on October 20....
Staff A started her 7:00 AM shift on October 19, 2025, and began checking rooms around 7:15 AM when she discovered Resident ID #1 missing from bed....
Medical records showed diagnoses including memory and thinking disorders, anxiety, and depression....
Among the citations, the facility failed to ensure residents' right to a safe, clean, and comfortable living environment....
For conditions such as stroke, sepsis, or cardiac events, even hours of delay can significantly affect outcomes....
The deficiency was classified at **Scope/Severity Level D**, meaning the violation was isolated in nature....
The facility has not submitted a plan of correction....
The food safety citation was one of **four total deficiencies** found during the inspection of the Britton facility....
The facility has since submitted a plan of correction with a reported correction date of January 7, 2026....
The facility, which received **five total deficiencies** during the inspection, has not submitted a plan of correction for the feeding tube violation....
The deficiency was classified at **Scope/Severity Level E**, indicating a pattern of noncompliance rather than an isolated incident....
This review must include an examination of the resident's medical chart and follow established policies and procedures for reporting any irregularities....
Inspectors documented the sequence in a complaint investigation completed September 9....
The nursing assistant, identified in inspection records as NAT #17, was hired by Oaks on Parkwood on February 21, 2024....
Federal inspectors who visited the facility on November 17, 2025, determined that staff had failed to provide adequate hydration to the resident....
Resident #126 arrived at the facility with pneumonia and immediately began receiving oxygen through a nasal cannula at 2 liters per minute....
The violent altercation left the resident with a nasal fracture....
The facility has not submitted a plan of correction for the cited deficiency....
The resident broke down crying while describing the incident to inspectors on November 17....